Often the forgotten cousin of the lower limb (with the quads and hamstrings getting all the attention) is adductor (inner thigh) tightness which can be a fast track to poor movement patterns and low back pain.
If you spend a fair bit of time squatting or completing exercises that require expression of the squat in the movement (eg. Clean, snatch, lunge, step ups, life etc.) then chances are you have had a coach or enthusiastic training partner that tells you to drive your knees out.
The knees out cue is great for creating a lot of tension around the hip and helping to engage your glutes to assist you out of the bottom of the squat. What it also does is place your adductors in a position of mechanical advantage to allow them to assist with hip extension (hip opening).
But when we are preparing for, or recovering from, our squat sessions most of the emphasis is placed on the hips flexors, glutes, quads etc. These are all very important areas to mobilise, but mobility is just like training; you don’t want to become imbalanced. Having a huge mismatch between your strengths and your weaknesses is a recipe for injury. Likewise, super supple hip flexors and quads mixed with tight adductors is only going to compromise your ability to maintain knee position and lumbar position throughout the squat/clean/snatch, predisposing you to patellofemoral pain (knee pain around/under knee cap), impingement issues at the hip or low back pain.
To ensure this doesn’t happen to you, and to get your enthusiastic “knees out” yelling training partners to chill out, make sure you allocate some time to your adductors pre-post workout to ensure healthy hips, knees and nice low squats for the long run.
Remember your often overlooked adductors are doing their fair share of the work, so be fair and give them some attention in your prep/recovery.
Try this this adductor stretch to prep for your training next session:
‘Sling shot’ adductor/hamstring stretch: Standing with a very wide stance (i.e. until you feel tension in the adductors) with a heavy power band or stretch strap around your feet, hinge at the hip by pushing the hips back and letting your chest drop. Take hold of the band with a wide grip as near to your feet as possible. Then set your back as if you are going to lift weight, i.e. engage the lats. Try to pull your belly button toward the floor while keeping your shoulders back. Then tack the hamstrings on and off tension by driving your knees out straight then sitting back into a low bar squat position. To really get to the adductors, glide across from side to side into a cossack squat position and working into the corners that feel the tightest for you.
Spend around 3minutes working on this, you may need to break it up into smaller time pieces if you struggle to maintain tension on the band.
NOTE: DO NOT COMPROMISE YOUR LUMBAR POSITION IN THIS STRETCH. IF YOU CAN’T GET YOUR BACK SET, GET A LIGHTER BAND AND WORK UP TO A HEAVY BAND TENSION.
About the authors
Reviewed by
Allied Health Team Leader & Head Physiotherapist
Head Physiotherapist and Allied Health Team Leader at MTP Health, with a genuine, patient-focused approach to physiotherapy, rehabilitation and patient education.
View profileRecent Post
-
Hip Pain After A Fall In Your 60s
Hip pain after a fall in your 60s may be a fracture, bone bruise or gluteal tendon injury. Dr Donald Cawthorne explains how to tell them apart.
-
Outer Hip Pain When Lying On Your Side
Outer hip pain when lying on your side is usually gluteal tendinopathy, bursitis or a tendon tear. MTP Health explains the causes, sleep fixes and next steps.
-
Why Hip Problems Cause Groin Pain
Groin pain is often the hip joint, not a pulled muscle. Dr Donald Cawthorne explains why hip problems refer pain to the groin and what MTP Health can do.
-
Knee Pain With A Normal Knee Scan
Knee pain but a normal MRI? Dr Jonathan Negus explains how hip arthritis, lower back nerve roots and load present as knee pain, and what to do next.
-
Bone Bruise And Bone Marrow Lesion Knee Pain
Bone bruise or bone marrow lesion on your knee MRI? Dr Jonathan Negus explains why bone hurts, healing times, loading and when subchondroplasty may help.
-
A Swollen Knee: What The Fluid Tells You
How fast a knee swells, and whether it keeps returning, points to the cause. Dr Jonathan Negus explains what the fluid means and when to seek help.
-
Morning Joint Stiffness: Why It Happens and How Long Is Normal
Key Takeaways Brief morning stiffness that eases within about half an hour is common and…
-
Knee Pain After A Twisting Injury
Twisted your knee? Learn how ACL, meniscus and MCL injuries differ, what to do in the first 72 hours and when to book an assessment with MTP Health.
-
Why Joint Pain Feels Worse at Night, and What Actually Helps
Key Takeaways Joint pain at night often worsens because anti-inflammatory cortisol falls overnight while inflammation…
-
Adult Hip Dysplasia: Symptoms, Diagnosis and Treatment Options
Key Takeaways Adult hip dysplasia means the hip socket is too shallow to fully cover…

