Adductor Magnus

Pointer Plus The Pointer Plus is an easy to use trigger point (TP) locator which incorporates a push button stimulation feature to immediately treat Trigger point pain.

The Adductor Magnus is a muscle of the medial thigh.

Anatomical Attachments:

• Origin: Attaches to the inferior ramus of the pubis, the ischium and the ischial tuberosity.
• Insertion: Attaches on a line from the greater trochanter to the linea aspera and from the linea aspera to the adductor tubercle of the femur.

Action: Adducts, laterally rotates and flexes the thigh.

Synergist:

• Prime Movers: Iliopsoas, Pectineus, Tensor fasciae latae, Adductor brevis, Sartorius.
• Accessory Movers: Adductor longus, Gracilis, Gluteus minimus, Hamstrings.

Antagonist: Gluteus maximus.

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Nerve Supply: Obturator and Sciatic Nerves (L2, L3, L4).

Vascular supply: Medial femoral circumflex, Profunda femoris, Obturator and the Popliteal arteries.

Vascular entrapment: Entraps the femoral vessels at their exit through the adductor hiatus.

• Primary: The pain refers up into the groin, posterior to the inguinal ligament and down over the anteromedial aspect of the thigh close to the knee.
• Satellite or associated triggers: Vastus medialis, Pectineus, Adductor longus or brevis.

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Trigger Point Signs and Symptoms: Anteromedial thigh and groin pain; Internal pelvic pain including the pubic bone, vagina and rectum; inability to lie on the dysfunctional side at night, prefers to sleep with a pillow between the legs for comfort; sexual intercourse exacerbates symptoms.

Trigger Point Activating and Perpetuating Factors: Trauma, persistent emotional stress, sudden overload of the muscle, running on unleveled ground, sitting for long periods of time with hips flexed and legs crossed.

Differential Diagnosis: Obturator or Sciatic (sciatica) neuralgia, (Segmental, Subluxation, Somatic dysfunction) L2 L3 or L4 radiculopathy, Obturator or Genitofemoral nerve entrapment, Iliac or femoral aneurysms or thrombosis, Inguinal hernia, Inguinal lipedema, Lymphedema, Lymphatic cancer, Lymphogranuloma venereum, Prostate cancer, Prostatitis, Testicular cancer, Bone cancer, Pubic stress symphysitis, Pubic stress fracture, muscle strain (groin pull), Polymyalgia rheumatica, Fibromyalgia, Osteoarthritis, Prolapsed uterus, Endometriosis, Bartholin’s abscess, Ovarian cancer, Ovarian cyst, Cervical cancer, Ectopic (tubal) pregnancy Vaginismus, Coxa Plana, Hemorrhoids, Rectocele, Proctalgia, Anal rectal fissures, Anal rectal tearing, Anal Polyps, Fecal Impaction – Constipation, Tetanus, Systemic infections or inflammation, Nutritional inadequacy, Metabolic imbalance, Toxicity, Side effects of medication.

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