I have had a patient with recurrent adductor strain, that was due to tension in the piriformis, externaly rotating and abducting the femur. This altered position meant that the patient was using his adductor instead of his rectus femoris to flex the thigh on the hip in walking. The resultant and recurrent aductor strain was resolved when the tightness in piriformis was addressed. Piriformis could also be contributing to pelvic torsion, resulting in pelvic obliqity and LLD.

- Peter
Chatered Physiotherapist & Registered Osteopath, U.K.