One year on the ropes with a groin that never quit. Twenty weeks to stop managing it and finally put it down — and walk out fitter, stronger and harder to hurt.
In the gym? Open it, do it. Pick your week and day — every line is the full prescription (sets · reps · load · how), no scrolling. Tap "why »" on any line to jump down to the deep explanation. Your training maxes are pre-filled (last camp's numbers) so the weights show in real kilos — and they auto-progress each 4-week block, like 5/3/1 is meant to. Edit any of them under "Set maxes." Everything below (RD·00 down) is the manual for the days you want the full story.
Adductor tendinopathy at the pubis + low-grade fibrillar strain of the adductor longus. Doha class: adductor-related groin pain.
Cam morphology (FAI) both sides — worse on the RIGHT, the pain-free side. So the bone isn't the driver; it's a shared-load co-factor.
ORIF after a distal-fibula fracture, 3 yrs ago. Stiff link — and it's on the same side as the groin. Lost dorsiflexion dumps load up-chain onto the pubis.
On & off ~1 year. Not limiting — you play through it, just sore the next day if you push. That's exactly why it never healed: under-loaded, not over-used.
Three acts across 20 weeks. The spine of the whole thing is one idea: a strong adductor is a protected adductor — active loading beats rest and beats the passive machines (that's what the physio's magneto is: a helpful adjunct, not the cure). Copenhagen adduction is the driver; the morning squeeze-test is the gauge. When it's sore you pull the cutting / kicking / frontal-plane volume — never the strength.
Ring the bell to scout each act's training week. Every day, in every act, assumes the daily baseline: morning squeeze-check · adductor isometrics · 8–12 min mobility (psoas half-kneel, cat-cow, supine twist, supported adductor, knee-to-wall + calf) · a 5-min dynamic warm-up before any lifting. The 2 physio sessions/week slot in separately.
The rehab spine. Load is the medicine — but graded, monitored, never spiked. Everything below is gated by the squeeze-test (RD·04). Golden order of operations: earn each step, don't skip to it. The adductor pulls the pubis down; the abdominals pull it up — so we train the anterior wall as hard as the adductor.
| Block | Lever | Dose | Effort | Frequency |
|---|---|---|---|---|
| W1–2 | Short only — ball between the knees, hips/knees bent | 5 × 30–45 s holds | 60–70% | 1–2×/day |
| W3–4 | Long-lever (ball at ankles, legs straight); add 45° | 5 × 30–45 s | 70–80% | 1×/day |
| W5–20 | Long-lever | 5 × 30–45 s | Hard | Pre-training & pre-match primer |
| Block | Level | Sets × reps | Freq | Gate to start / advance |
|---|---|---|---|---|
| W1–2 | None yet — isometrics only | — | — | Short-lever iso pain-free first |
| W2–4 | L1 knee-support hold → L2 lift bottom leg (iso-biased) | 2 × 6/side | 2×/wk (up to 2–3 off-season) | Short-lever iso ≤3/10, settled by next AM |
| W5–8 | L3–L4 long-lever (foot on bench) | 2–3 × 8/side | Mon/Tue · 1×/wk congested weeks | 0° + 45° squeeze ≤2/10 |
| W9–12 | L5 raised → L6 full eccentric (3 s lower) | 3 × 10–12/side | 2×/wk, early week | Squeeze ≤2/10 before any full-lever eccentric |
| W13–16 | Full Copenhagen | 3 × 12–15/side | 1×/wk maintenance | — |
| W17–∞ | Full — for life | 3 × 8–12/side | 1×/wk forever (prevention) | — |
| Target | Weapons | Dose & 16-week progression |
|---|---|---|
| Glute medius | Side-lying abduction (heel-led) → mini-band walks → standing cable abduction | W1–4 3×12–15 near-daily + band walks; W5–12 cable 3×10–12, 2–3×/wk; W13+ heavy 3×8. Keeps the adductor:abductor ratio honest — but only chase it once adduction loads (W5+). |
| Glute maximus | Hip thrust (shallow ~90°, finish in posterior tilt + squeeze) → B-stance / single-leg | W1–4 bridges → SL bridges; W5+ 3–4×8–12, 2×/wk. Pure hip extension — safe for the cam, safe for the adductor. |
| Hamstrings | Nordic curl (build off-season so the DOMS lands with no matches) + RDL / trap-bar → single-leg RDL | W1: 2×5 → W2: 2×6 → W3: 3×6–8 → W4: 3×8–10; in-season 1×/wk, always ≥48 h from a match (Mon). Halves hamstring-injury risk. |
| Rectus abdominis / anti-rotation | Dead-bug + TA draw-in, plank → body-saw, Pallof, ab-wheel/fallout, reverse crunch / 90-90 heel lowers | Dead-bug near-daily; the rest 3×/wk. Avoid straight sit-ups / full crunches early (they spike the symphysis). Hanging knee-raises later, below the pinch. |
| Left ankle (post-ORIF) | Knee-to-wall DF drill, straight + bent-knee calf raises, seated soleus, tibialis, balance → plyo readiness | Daily W1–4, then maintain. Close the L↔R gap to <1.5 cm · build to ~25 clean single-leg heel raises left before left-side plyos. |
The science: Hölmich's landmark RCT — active adductor strengthening beat passive treatment for return to sport. The Copenhagen Adduction program (Harøy, BJSM) cut groin problems ~41% in footballers and builds the exact eccentric adduction strength that's missing. The Nordic curl roughly halves hamstring injuries. Warwick agreement / FASHIoN trial: structured physio is the correct first line for cam-FAI — the bone is not a sentence.
Your daily dashboard and the gate on everything. Lie on your back, squeeze a ball / your fist (a blood-pressure cuff is even better) between the ankles/knees and rate the left groin 0–10 — at 0° (legs straight) and 45° (peak-force, knees bent). Log pain and how it compares to the right. Decisions come from 0° and 45° — a 90° test can pinch the cam and confound the reading, so treat it as context only. Test every morning, and the morning after every match or hard session.
≤3/10 and back to baseline by next morning. Keep loading — or progress one step (one variable at a time).
4–5/10 but settling within 24 h. Hold the level. Add NO cutting / kicking volume this week.
>5/10, lasting >24–48 h, or climbing week-on-week. Drop one level + add a rest day.
Note to you & the physio: the doctor said "stretch the adductors," and we're deliberately keeping that gentle and supported early (loaded lengthening via Cossacks comes later, ~W6+). That's an intentional, evidence-based tweak — not ignoring the order. Static dose: 30–45 s × 2–3, most days, after training. Pre-match = dynamic only.
| # | Pose | Target / cue |
|---|---|---|
| 1 | Cat–Cow ×6–8 | Spine warm-up |
| 2 | Low Lunge (Anjaneyasana) | Psoas — posterior-pelvic-tilt cue, don't arch |
| 3 | Half Splits (Ardha Hanumanasana) | Hamstrings — soft front knee, hinge don't round |
| 4 | Downward Dog (pedal the feet) | Posterior chain + ankle dorsiflexion |
| 5 | Warrior II | Wide open-hip stance (external rotation) — cam-safe |
| 6 | Triangle (Trikonasana) * | Adductor + lateral chain. Add from ~W9; rest/short the LEFT before that |
| 7 | Open low-lunge twist | Gentle thoracic rotation — rotate away, knee stays put |
| 8 | Supine figure-4 (reclined pigeon) | Glute / external rotators, no joint compression |
| 9 | Supta Baddha Konasana (props under knees) | Supported adductors + hip flexors |
| 10 | Supine gentle twist | Paravertebrals / QL |
| 11 | Modified child's pose → short Savasana | Down-regulate |
You still get strong through all of this — you just steer around two things: the cam pinch (loaded deep flexion + internal rotation) and the healing left adductor. Run a 5/3/1-style wave off a conservative Training Max (~90% of a pain-free 1RM) so intensity self-regulates and low frequency survives alongside football. In-season, protect match day: 2 lifting days, heaviest lower early in the week. The Card up top turns these waves into real kilos and steps your Training Max up +5 kg (squat / deadlift) or +2.5 kg (bench / press) each 4-week block automatically.
| Wave | Set 1 | Set 2 | Top Set | Note |
|---|---|---|---|---|
| A · 3×5 | 65×5 | 75×5 | 85×5+ | Rebuild volume |
| B · 3×3 | 70×3 | 80×3 | 90×3+ | Intensify |
| C · 5/3/1 | 75×5 | 85×3 | 95×1+ | Peak — in-season, cap AMRAP at 2–3 reps in reserve |
| D · deload | 40×5 | 50×5 | 60×5 | Every 4th week / congested weeks |
| Act | Lifting days | Shape |
|---|---|---|
| I · W1–4 | 3–4 | Build + rehab window. Lower (box squat + RDL + glute-med + core) · Posterior/push (hip thrust + trap-bar + split squat + abduction + Nordic build + core) · Upper (press/row/bench + core). Stagger new stimuli — don't turn Nordic, Copenhagen, squats & hinge all on in week 1. |
| II · W5–16 | 2 | Protect the match. Mon heavier lower (box squat wave, capped AMRAP + hip thrust + cable adduction + abduction + core + Nordic ≥48 h from match). Thu hinge/upper (trap-bar or RDL + split squat + rows/press + curl + 2nd abduction dose + one anti-rotation set). Hardest Copenhagen early week. |
| III · W17–20 | 2–3 + power | Add jumps / med-ball / trap-bar speed pulls, single-leg hops, reactive cutting. Optionally reintroduce a little deeper squat / light sumo. Copenhagen drops to 1×/wk maintenance — forever. |
The football actions that load the groin come back in a fixed order, each gated by the squeeze test — 0° and 45° ≤2/10, gym adduction pain-free & climbing, morning soreness back to baseline. Change one variable at a time (angle → speed → volume), cap increases ~10–15%/week. Kicking is the highest adductor risk — it comes last.