Soccer Players and Pelvic Pain

Updated: Mar 25

Soccer player kicking a soccer ball
Soccer can result in pelvic pain

We've all seen soccer players fall to the ground in agony from a seemingly minor injury, but is there more to it than meets the eye?

The hips and pelvis of a professional soccer player are put under a lot of stress during practices and games. Soccer requires a lot of pivoting, rapid acceleration and deceleration, and, of course, kicking.

The following injuries are common in both professional and amateur soccer players, and can mean the end of a sports career and debilitating pelvic pain.

Groin Strains

The adductor muscles of the inner thigh (adductor longus, brevis, and magnus, which are part of the group of muscles known as the hip adductors) connect the femur thigh bone to the pubic bone.

These muscles the adductor longus, magnus and brevis are a group of muscles that are part of the hip adductors.
These muscles (are part of the hip adductors) when injured can lead to pelvic pain

When a soccer player kicks, these muscles lengthen as the leg moves up. When kicking repetitively, this can strain the muscle. The added rapid acceleration and deceleration of the soccer player adds extra strain, and after many kicks, the muscles can eventually tear.

This injury is called a groin strain and accounts for just under 5% of sport related injuries.

Osteitis Pubis

Each time a soccer player kicks, the pelvis twists. This repeatedly stresses the joint between the two sides of the pelvis - the pubic symphysis joint. This joint can become inflamed which causes a condition called osteitis pubis.

The pubic symphysis joint inflammed
The symphysis joint, when inflammed, leads to pelvic pain.

The inflammation can spread to the surrounding muscle, leading to pain in the adductor muscles of the inner thigh, and the abdominal muscles, as well as the original concentration of pain in the pelvis. Kicking more on one side can cause a muscle imbalance between the hips and abdomen, which can further inflame the injury.

Osteitis pubis accounts for 5% of all soccer injuries.

Athletic Pubalgia

Another condition caused by kicking, pivoting on the spot and quick acceleration and deceleration, is athletic pubalgia. The twisting motion damages the tendons which connect the oblique muscles, of the lower abdomen, to the pubic bone. The tendons can separate from the bone, leading to pelvic floor weakness. This is a soft tissue injury of the muscles in the lower abdomen and groin, and is often felt on one side of the pelvis more than the other.

NB: Athletic pubalgia is often incorrectly called 'sports hernia' in the press.

Groin Hernias

Hernias are not exclusive to exercise. They can occur when you lift a heavy object, or strain as a result of constipation.

Groin hernias, however, are very common in soccer players. They occur where there is a weak spot in the abdominal muscles. The soccer player will feel general groin pain for a long time before the hernia occurs. If the soccer player continues to participate in exercise regardless of this pain, one of the pelvic organs or pelvic tissue, can come through the muscle layer and protrude painfully under the skin as a hernia.

Pelvic Floor Damage

The pelvic floor experiences a considerable amount of damage during high impact exercises. These are many exercises where both feet are off the ground at points, or land heavily on the ground in turn.

When both feet land back on the ground, pressure shoots up the legs to the pelvis, injuring the pelvic floor.

It's Not All Bad News for Soccer Players

Regular exercise is essential for good cardiovascular health and maintaining strength. However, its important to rest often and allow your body to recover before exercising again. If you feel pain during or after exercise, from which you do not easily recover, consider:

  1. Creatine and protein supplementation - To help your muscles recover from damage quicker and build muscle tone.

  2. Taking Vitamin D - Vitamin D improves general musculoskeletal health. It slows the skeletons natural ageing and reduces the rate of fractures as we get older.

  3. Increasing rest periods - Giving your body time to recover.

  4. Exercising to strengthen your core - Having a strong core can prevent muscle imbalances and provide better support for your posture.

  5. Introducing stretching exercises and yoga into your exercise programme - To strengthen the muscles, improve flexibility and avoid muscle stiffness. Particularly of the adductor muscles in the inner thigh.

  6. Once you have recovered, exercise your pelvic floor with either manual pelvic floor exercises or the Kegel8 V for Men electronic pelvic exerciser/toner. V for Men will do all the right things to strengthen your pelvic floor muscles in one easy session a day, as well as help treat pelvic pain.

Get your V for Men at Takealot


Original article: Kegel8 Website

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