Adductor Anatomy & Palpation - Ask Dr. Abelson

Adductor Anatomy & Palpation - Anatomy & Palpation of the 5 Adductor Muscles covers the: Adductor Longus, Adductor Brevis, Pectineus, Adductor Magnus, and Gracilis. The primary action of the adductor muscles is to pull the leg inwards (adduction) and also to help bend and rotate the leg at the hip joint. A strain occurs when one or more of the groin muscles are either stretched too far or forcefully contracted while it is being stretched, resulting in torn muscle fibres. Check out our Anatomy Playlist for more videos • 23 Anatomy Videos - He...
PUBLICATIONS
Discover and read Dr. Abelson’s internationally best-selling books available online at many bookstores including Chapters/Indigo: www.chapters.indigo.ca/en-ca/...
RECOMMENDED REFERENCE BOOKS
Netter Atlas of Human Anatomy amzn.to/3SQYWgx
Functional Atlas of the Human Fascial System - Carla Stecco amzn.to/3TE1EqP Functional Anatomy: Anatomy, Kinesiology, and Palpation amzn.to/3f49Xgn
The Muscle and Bone Palpation Manual with Trigger Points, Referral Patterns and Stretching Joseph E. Muscolino - amzn.to/3SAh5Pl
LET'S CONNECT
Kinetic Health Clinic - www.kinetichealth.ca/
Facebook - / abelsonb
Instagram - / kinetichealthyyc
Twitter: / kinetichealth
Linkedin - / kinetichealth
Motion Specific Release - www.motionspecificrelease.com/
00:00 Introduction
00:46 Anatomy Adductor Longus
02:24 Anatomy Adductor Brevis
03:04 Anatomy Pectineus
04:12 Anatomy Gracilis
05:11 Anatomy Adductor Magnus
07:22 Clinical Notes
Medical Disclaimer: Nothing in this video, or related to this channel, should be construed as personal advice or diagnosis, and must not be used in this manner. You should and must consult a health care professional before adopting any of the suggestions in this video or before drawing inferences from it. Any decision regarding treatment and medication for your condition should be made with the advice and consultation of a qualified health care professional. If you have, or suspect you have, a health-care problem immediately contact a qualified health care professional for treatment.

[@nicolemoschini3817]

Thank you so much! 5 years later and you are helping someone on their hip labrum surgery repair. THANK YOU!!!!!!

[@johnsonkwan1393]

Hi Brian, Thanks for your video. I found it very helpful and informative. Palpating the adductor region is always a struggle to me. Please keep posting videos like this and help clinicians to refine their palpating skills. Good work!

[@SusannetHart]

Very clear and helpful. Thank you

[@sug149]

great stuff. Very helpful for my exam coming up! Thank you.

[@betula-pendula]

Thank you! Great tutorial, that's what I looked for! 👍

[@babycakes2077]

What’s most common way to injure pectinius? I ask bc I think I popped he’ll outta mine doing dynamic backbend.

[@mystictheninja1486]

been having pain for over a year now. Felt like a tear in the adductor somewhere and since then there's been pinching in the joint close to the pubis. Since all the adductor stuff is in there, I don't know what to do about it. It's been bothered and there's also impingement but I feel it's all related to the same problem, just don't know what to do about it...

[@omairsaeed8503]

Hi Brian, what exercises can i do to activate the brevis? Tx

[@kinetichealthonline]

Hi Omair Saeed: This article has some good advice on Adductor Exercises. Cheers www.healthline.com/health/adductor-exercises

[@Jennifer-vw8yy]

By FAR the most informative video locating varius parts in this area! Basically I'm getting MASSAGE everything and often. Lol I have had severe pain from groin all the way down the inner part of leg to the feet. From this video I have deduced it to the gracilius and some maximus, but wudnt surprise me if a little of all of them. Long time search for this info so ty! Ive found the more I squeeze and massage the better, leg feels lighter, but does come back. Wondering if massage is gonna be for lifetime or if there is a cure? To me feels like rope in this area. No pain no gain in my case. The harder and longer the massage the better I always feel afterwards. Legs often keep me from sleeping. I try to massage all areas of legs. Outer legs have some intermittent pain but not nearly as bad as inner. The areas just before and after the knee are always high level of pain, and noticeably connect to the pain I have in the inner abductor(s). Also Im born w/ flexible flat feet. Pronation in both ankles more so in right. W/ knees pointing straight up right foot naturally and noticeably twists outward. Idk if born this way or gradually became this way. So leg bone is off maybe. Also when standing feet point outward. To stand pointing straight hurts or is awkward (for the legs). The right foot much further out than the left. Dancers stance I hear. This is my comfortable stance. Also at 51 yrs of age w/ relative good weight (cud lose 20 lbs working on it, Ive recently learned I prob have been walking wrong my whole LIFE! By this I mean walk w/heel hitting first. Been hard on my feet for sure waiting tables, dancing for fun, etc...but while trying to remain active about yr and 1/2 ago had sudden severe pain in feet but in diff places on each foot. Saw orthopedic and basically no help at all! Got the same ole orthotic and suffer or do surgery. Even tho high heels and high ones at that do not bother me at all i found it strange he didn't seem to care if i wore them or not. I love heels but have chosen to wear them only to church or something like that. Nothing to do with his advice one way or the other. Also when I do I always prefer the open heel open toe style. They look sexier and are MUCH more comfortable! I spread my toes as much as I can and only have callus issue on big toes due to flat feet. And when I say flat I mean flat! Never saw anyone as flat as mine lol. At the time of ortho appt right foot had so much pain i couldn't walk w/a lump on the big toe metatarsal right in the middle of foot. I decided and am convinced the blocks in shoes are NO GOOD and orthotics do not work. Over time w/ massage, castor oil, purposely putting pressure directly on the knot/lump/bone in the middle of that metatarsal has helped tremendously. Ive done the exact opposite of what ortho doc said! I have tried to go barefoot or wear barefoot shoes as much as possible. Being out of work has allowed me to do this more often tho this financially is not feesable long term. Im so much better in the right foot, but it needs more time. My left foot hurts only on the bottom of heel pad. Possibly plantar, but i personally think its something else now. Keep in mind im flat footed w/ cock-eyed legs and there is no pain in any part of the foot except bottom of heel pad. I seldom these days trust doctors and im not really looking for bandaids, labeling, and drugs. It is refreshing to see someone such as yourself just give the video pointing out the areas of concern and the massaging. Any advice you may have for my specific situation would be greatly appreciated. Also wanted to thank you for having us stop and read parts of this video. Why? Well for many yrs I had bad varicose veins. The large behind the knee bulging kind not the spider vein tiny red ones. Had injection saline surgery about 12 yrs ago and it helped. I do still now have them but not nearly as bad. Doc was concerned at the time of DVT but i havent been diagnosed. Heres the thing. I have flat feet, cock-eyed leg stance, walk heel first (usually fast and long strides is my natural), heavy pronation, tight calves (i do work on!) And awful inner abductor pain. And yes it does go from pubis all the way down and i def feel in groin area. I have no idea what caused this inner leg pain. My structure? Or the sudden onset of left heel pad pain? Age? Walking wrong whole life? As might imagine hard to change walk at my age. When concentrating on it and slower I can walk mid arch. And ive found skipping forces me to land toe first, which I appreciate tho not realistic in daily life or work outside of exercise. So i realize this is long and various points and issues spoken of. I appreciate your attention to my situation. Can you please advise if there is a cure for abductor pain? Or is this lifetime? If you can point to a cause great too. So glad I didn't get surgery on feet I can say that!!! Much better doing my own research such as your videos and wearing barefoot shoes. Nike and all the blocks added every yr from all the companies have done us all a big injustice! And i refuse to listen to any doc going forward that tells me orthotics. Its not hard for me now to distinguish a good dr from one that either doesnt care or doesnt know or is money hungry. That said, once again I really appreciated this particular video. I have watched some of your others and as of this video I will now subscribe.

[@kinetichealthonline]

Thank you so much for your detailed comment, I really appreciate you taking the time to share your experiences. It's great to hear that the video was informative and that it has helped you on your journey towards understanding and managing your discomfort. While I'm glad that you've found massage beneficial, it's important to note that managing musculoskeletal pain is often a multi-faceted process. Although massage can offer some relief, a more comprehensive treatment plan, which may include a combination of strength training, flexibility exercises, and postural adjustments, could potentially lead to more long-lasting results. However, the specifics of such a plan would always depend on the individual's unique situation. One key point to remember, which I emphasize in my videos, is that while it's valuable to learn and understand from these general resources, they can't replace the insights gained from a thorough in-person evaluation with a healthcare professional. There are so many intricacies in each person's structure and biomechanics that can contribute to their discomfort. Although you've identified the gracilis and some maximus as potential sources of pain, a professional evaluation would be crucial to confirm this and determine the best treatment approach. Regarding your concerns about your feet and your gait, I'd highly recommend seeing a healthcare provider who specializes in lower extremity biomechanics and gait analysis. They could provide more personalized insights and recommendations based on your specific circumstances. Lastly, regarding the varicose veins and concerns over DVT you mentioned, it would be wise to seek a medical consultation to ensure that any underlying conditions are properly addressed. Again, as an online resource, I can provide general advice, but I cannot replace a thorough medical examination. It's wonderful to see how proactive you are about your health and your efforts to find what works best for you. Please continue to take care of yourself, and remember that improvement is possible, but it often requires consistency and finding the right combination of treatments that work for you. Thank you again for your kind words and for subscribing to the channel. I look forward to continuing to provide content that can assist you on your journey.

[@Jennifer-vw8yy]

@@kinetichealthonline I appreciate your professional reply and caring attitude. I do believe doctors are necessary but unfortunately I am of the opinion that most of the time it is either a bandaid approach or complete misdiagnosis. It is refreshing when one comes across a genuine soul. Idk what all I can do for my gait, possibly a physical therapist or even a podiatrist may be seeked out in the future should I need. Ive already had vein surgery some yrs ago, and the orthopedic that looked at my feet was a true waste of the gas in my car. I actually asked for a podiatrist and my general doctor tho well intended sent me to ortho. Having said all this I do want to thank you again as I have since writing my original comment have found some relief through castor oil. Call me crazy but I love this stuff! I have rubbed it on the bothersome gracilis and maximus areas and have found great relief! I've been dealing with this for many many years so its truly miraculous. In fact, I would go so far as to tell you to try it out on some of your patients. Can't hurt. Obviously the pure hexane free kind. I would say my pain level in this area has reduced about 95% as I still feel pain towards the upper groin and around the knee some (just below the knee) but not nearly as bad. Idk if this pain will return but I can say it is a tremendous relief and a noticeable difference. I will continue to use the oil on these parts as well as my feet and calves as needed. I would like to say I agree with you as to the posture and strength exercises and stretching. I do notice I'm better when doing them more regularly. I'm in pretty healthy shape overall but I could do better. Thank you once again for your response and I look forward to your videos. I am very happy that I finally found out what the body part was called. Now should I ever have to speak to a doctor in the future I will be able to at least seem better informed and able to describe better the pain location. So weird how I found your video and found the answer I had been looking for many yrs and soon after have received relief. I will continue to work on these areas. Thank you again!

[@Jennifer-vw8yy]

@@kinetichealthonline Also I have been proactive with my flat feet. Tho I may not be able to change them I have massaged them (with castor oil) and have also tried things like skipping from time to time. I actually found a diff youtube video that was very detailed as one that instructs people how to walk. It was through this video that I learned I had been walking wrong for yrs as I land heel first. At my age I'm not sure that I can change this but I have tried skipping and other foot exercises in my spare time. I realize doctors in house are an option and at times needed and that youtube can only be for general use yadda yadda but the fact of the matter is often it is through our own research on internet in various forms that we actually find the cure or real answers. Also I am of the opinion that natural remedies and the like should be used more often. Not just castor oil. I just feel that often once the problem has been established often there a reasonable and valuable homeopathic and or diy remedies that either work better and in the very least cheaper. I wish you the best in your practice. God bless.

[@user-br6tq2mb1z]

❤

[@kinetichealthonline]

Thanks for watching!