How and why to strengthen the pectineus, and its implication in various hip-related disorders

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The pectineus has been shown to be difficult to treat, in my personal clinical experience. I think one of the reasons that this is, is due to its diffuse role in adduction. I have ultimately come to realize that its involved in adduction is mainly during lateral femoral rotation, hence the poor activity and stimulus harvested from previous rehabilitative attempts.

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4 фев 2019

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Комментарии : 38

@mohamedsmansour 5 лет назад

You're the first person in my life to address pectineus isolation. So often, PTs lump movement patterns together without acknowledging the importance of every working part. It's like if a CEO just lumped all the employees together as long as they get the job done, not noticing that 1 of his employees is actually dead. Thank you so much for attention to detail in all of your videos.

@omalone1169 3 года назад

He does postural restoration

@MSKNeurology 2 года назад

@@omalone1169 I am not a fan of PRI at all

@evangeliaalexander6259 17 дней назад

O my goodness yes he is on point . I have this pain for so long . He is heaven send . Thank you doctor . Thank you thank you

@appl314 4 года назад

Yes! This is exactly where my pain is and this exercise helps. I have osteoarthritis in my hips, but family history of no pain with the osteoarthritis (I have no other pain). Once diagnosticians see arthritis they just dismiss any possible alternative diagnosis. Where I live the medical plan will not even pay for MRIs, etc if an x-ray shows osteoarthritis. Thank you, so much!

@thruthebook 3 года назад

Thanks for the great in-depth information!

@danielayoub6890 2 месяца назад

right on the money! been doing tons of adductor specific strengthening but this is isolating that troublesome little spot

@robbellis5944 Год назад

Wow, years of hip pain nearly all gone after a week of doing this exercise. Thank you for perfecting the technique and sharing.

@werdtothewerds 3 года назад

Youre thing king msk. Thanks so much for the info! I've gotten so much out of these videos, you would not believe.

@MSKNeurology 3 года назад

Awesome man

@MrGheller 3 года назад

@@MSKNeurology Thank you for sharing. And how do you do the exercise if you only have a standard straight chair?

@MSKNeurology 3 года назад

@@MrGheller Just slump your low back a little

@marlysargeant442 5 лет назад

I gave up on the last one because I couldn’t feel it,...just did this one, feels like it will work , thank you!

@parthorbjornsson571 Год назад

Thank you! Exactly what I was looking for.

@Knud451 5 лет назад

This is super info!

@4LynnMarie 5 месяцев назад

Wow, I can feel my pectineus kicking in when I walk after doing only 10 reps of this one time. Thank you!

@Chris_Traynor 3 года назад

Instant temporary relief to 20 years of skateboarding-induced groin pain. Even that is such a blessing. I hope this will translate over the long term. Thanks mate. Fantastic stuff!

@MSKNeurology 3 года назад

There's probably more to it, but I'm glad you're feeling better

@Emmanuelx13 Год назад

What were your symptoms? Thank you

@Chris_Traynor Год назад

@@Emmanuelx13 My hip would lock up. Stabbing pain/stiffness in upper thigh. Exercise aggregates it. Stretching and mobility only temporarily relieves it or makes it worse. Sore to lift the thigh. Physiotherapist told me my pectineus was constantly ‘on’ chronically tight, and trying to do the work for the larger adductors. However, I have a herniated disc so it sends bogus pain signals to my hip and back even if I haven’t injured myself, so probably neurological. One thing my physio recommended was a product called a ‘Jacknobber’. Rediculous name- but it’s helped a lot. It’s a trigger point therapy tool. Because I can’t reach the muscle with a ball I use the jacknobber to put pressure on the muscle which relieves a lot of tightness. Hope that helps you somewhat.👍🏻

@Emmanuelx13 Год назад

@@Chris_Traynor hell yeah thanks! This helps not only me but others in the comments checking for this! I have the same problem with my hip hurting but it only happens when i sit down, drive or even. Lay down to sleep sadly. My whole upper leg starts to hurt as well, even my hamstring and the side leg going down to my knee. My knee starts to hurt to sometimes. However, you said you had a herniated disc, For me I have a strained oblique muscle. So that makes my side , hip, abductors, and upper leg hurt as well.

@robertdays6226 4 года назад

Thank you for this video. What is your approach to treating IT band syndrome? Any videos that I might be missing?

@shaynaformity1384 9 месяцев назад

Wow. The muscle felt tired after just 3 repetitions! I definitely need to do this often. Thank you so much for the specificity of your teaching.

@shaynaformity1384 9 месяцев назад

I easily did 5 repetitions today. Better is good!

@mist7529 5 лет назад

great video, thanks. I like you channel. I struggled with neck and middle spine pain for 2 years and did stretches mostly but now I know that I have to strengthen muscles. Recently I learned that lats have a lot to do with posture and shoulder/neck pain. What do you think?

@MSKNeurology 5 лет назад

Lats have very little to do with that. They are just another victim of scapular dysfunction, especially scapular depression in posture. The latter also causes neck and shoulder pain.

@johncarpenter6127 5 лет назад

Wow, I pulled my pectinius three years ago and ever since on my road bike rides I'd occasionally get pain in the scrotum on the one side. Could never find out why. I thought it was some sort of inguinal hernia. When you said leaning forward with a tight pectinuis can cause this, a light bulb went off!! I see how to strengthen them now but how do you relieve tightness in them? Stretch before riding? Thanks!!

@laurenbeall5819 2 года назад

I love your content! Is it possible that a strained pectinius can cause a tight psoas?

@Knud451 4 года назад

If you have compression of the femoral nerve from the pectineus, will this exercise help that issue? Or does that require something else?

@thebigdshow 4 года назад

Thank you I will try this. Also can a slight labrum SLAP tear mimic this pain. I injured my groin doing uphill sprints. They found no ligament/muscle tears with MRI. I also play ice hockey. Hope this info helps. Thanks!

@omalone1169 3 года назад

03:45 watch from there

@joncen2658 3 года назад

Is there a way of dealing with femoral retroversion?

@user-cl7fm1uc4r Год назад

What about the gym? Is there a machine or way to work all these none quad bodybulier muscles?

@dorothysmith4327 7 месяцев назад

I have anterior femoral glide on the right side and a really twisted pelvis. Pectineus is very weak and painful, I think because it has been doing work of glutes and psoas. In any case, I am doing your valuable exercise sitting on a straight-back wooden dinner chair. I don't quite understand if I should sit up straight with anterior tilt or lean back in chair, which is uncomfortable but possible, with a scooped belly and posterior tilt. Please help and thanks for this exercise.

@krzychu7937 3 года назад

Should i stretch it also? The sore feeling comes back when bending the leg backwards

@MSKNeurology 3 года назад

More likely to be weakness of the iliopsoas. You can try to stretch the pectineus if there's no pain in the muscle. Never stretch weak muscles though.

@atvols777 2 года назад

This may be a stupid question but if you have a pectineus injury or tendonopathy could this exercise cause discomfort? I tried it and it reproduces the excruciating pain I typically feel.

@MSKNeurology 2 года назад

Definitely. If you have a pectineus injury, and you're SURE thats what it is (ie., it's not something else mimicking it, like nerve pain), then it will hurt and you should go very easy on it. If the cause is something else, eg. genitofemoral neuralgia, then this exercise will make it worse