Don’t go mad trying to fix your patient’s pain with tools and practices that don’t work.
The adductor group of muscles in the lower limb are an underrated bunch. Being called ‘adductors’ lends themselves to being overlooked at doing anything but simply adduct the leg. However they do so much more than that. Particularly the Adductor Magnus muscle. It is not only an adductor, but due to its anatomical orientation it also contributes to hip flexion and extension, external and internal rotation and pelvic stabilisation. Due to this complex group of actions, addressing this muscle is often the missing link in resolving many hip and knee issues.
Consider a patient in the supine position. With one knee flexed, the hip should be able to be flexed so the knee is able to make contact with the lower ribs (without the other hip lifting). If this can’t be achieved, very often it is due to a tight adductor magnus.
Something else to consider is a patient’s gait, as well as the presence of any hip external rotation in the supine position.
Observing these can provide further clues about when the adductors may require a closer look. Hip pain, medial knee pain, recurrent niggles following exercise, or for me personally, local SI pain when the adductors tighten up. Always consider adductors!