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Quality in Sport

Groin Pain: One Complaint, Numerous Potential Origins - Review of Literature
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Groin Pain: One Complaint, Numerous Potential Origins - Review of Literature

Authors

  • Jakub Miasnikiewicz Central Teaching Hospital of the Medical University of Lodz, 251 Pomorska Street, 92-213 Łódź, Poland https://orcid.org/0009-0003-3186-010X
  • Klaudia Goleniewska University Clinical Hospital No. 2 of Medical University of Łódź, 113 Żeromskiego Street, 90-549 Łódź; Poland https://orcid.org/0009-0002-1597-9699
  • Kamil Ciechomski https://orcid.org/0009-0002-0049-2714
  • Wiktoria Cecuła https://orcid.org/0009-0005-8749-2312
  • Joanna Rypel-Bośka Szpital Specjalistyczny Chorób Płuc „Odrodzenie” im. Klary Jelskiej https://orcid.org/0009-0002-2380-571X
  • Natalia Siuta https://orcid.org/0000-0001-8441-5382
  • Aleksandra Stupecka https://orcid.org/0009-0004-3585-9664
  • Marcin Migiel https://orcid.org/0009-0003-3562-5051
  • Izabela Brynczka https://orcid.org/0009-0002-1527-5659

DOI:

https://doi.org/10.12775/QS.2025.48.66910

Keywords

groin pain, athletic pubalgia, sports hernia, Musculoskeletal injury, Injury prevention, Adductor strengthening, Doha classification, Functional assessment

Abstract

Introduction

Groin pain is a prevalent and often persistent musculoskeletal issue among athletes, particularly in disciplines requiring rapid changes of direction, kicking, and high-intensity movements. Its multifactorial origin and overlapping symptomatology pose a diagnostic and therapeutic challenge for clinicians and therapists. Proper classification, accurate assessment, and individualized management are crucial for the best outcomes and minimizing time away from sport.

Aim of the Study

This literature review aims to synthesize current knowledge on the diagnosis, treatment, and prevention of groin pain in athletes, based on the latest evidence and clinical guidelines. The study also highlights the role of functional assessment and neuromuscular control in both rehabilitation and injury prevention.

Materials and Methods

A comprehensive literature search was conducted using electronic databases (PubMed, Scopus, Web of Science) to identify relevant studies, clinical guidelines, and systematic reviews published in recent years. This paper focuses on articles addressing the Doha agreement classification system, diagnostic modalities, rehabilitation strategies, and preventive programs targeting modifiable risk factors in athletic populations.

Conclusion

Groin pain management requires a multidisciplinary and individualized approach. The implementation of evidence-based classification systems and preventive strategies such as adductor strengthening, core stabilization, and proper load management can significantly reduce the incidence and recurrence of groin injuries. Future research should validate functional tests and refine preventive protocols to ensure greater efficacy and applicability in sport-specific contexts.

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MIASNIKIEWICZ, Jakub, GOLENIEWSKA, Klaudia, KAMIL CIECHOMSKI, WIKTORIA CECUŁA, RYPEL-BOŚKA, Joanna, NATALIA SIUTA, ALEKSANDRA STUPECKA, MARCIN MIGIEL and IZABELA BRYNCZKA. Groin Pain: One Complaint, Numerous Potential Origins - Review of Literature. Quality in Sport. Online. 12 December 2025. Vol. 48, p. 66910. [Accessed 13 December 2025]. DOI 10.12775/QS.2025.48.66910.
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Copyright (c) 2025 Jakub Miasnikiewicz, Klaudia Goleniewska, Kamil Ciechomski, Wiktoria Cecuła, Joanna Rypel-Bośka, Natalia Siuta, Aleksandra Stupecka, Marcin Migiel, Izabela Brynczka

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