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Groin pain is common among athletes. A major cause of long-standing problems is adductor-related groin pain. The purpose of this randomised clinical trial was to compare an active training programme (AT) with a physiotherapy treatment without active training (PT) in the treatment of adductor-related groin pain in athletes.

68 athletes with long-standing (median 40 weeks) adductor-related groin pain—after examination according to a standardised protocol—were randomly assigned to AT or PT. The treatment period was 8–12 weeks. 4 months after the end of treatment a standardised examination was done. The examining physician was unaware of the treatment allocation. The ultimate outcome measure was full return to sports at the same level without groin pain. Analyses were by intention to treat.

23 patients in the AT group and four in the PT group returned to sports without groin …