Optimizing Conservative Management of Groin Pain in Athletes: Insights from a Narrative Review

Abstract Background: Groin pain is a complex and multifactorial condition commonly observed in athletes, often impairing performance and quality of life. While conservative treatments are the first-line approach, the variability in intervention protocols and inconsistent evidence necessitate a comprehensive synthesis of current knowledge. Methods: This narrative review analyzed the available literature on conservative management of groin pain in athletes. A systematic search was conducted across the MEDLINE, Cochrane CENTRAL, Scopus, PEDro, and Web of Science databases. Studies focusing on pain reduction, functional recovery, return-to-sport outcomes, and prevention strategies were included. Findings were synthesized to evaluate the efficacy of conservative interventions and identify gaps in the evidence. Results: Conservative treatments, particularly active rehabilitation and multimodal therapy, demonstrated significant efficacy in reducing pain (50–80%) and improving function, as measured by tools such as the HAGOS score. Return-to-sport rates ranged from 70% to 90%, depending on intervention type and adherence. Screening tools, including the adductor squeeze test, were effective in predicting and preventing groin injuries. However, variability in methodologies, small sample sizes, and a lack of long-term follow-up limited the generalizability of the findings. Conclusions: Conservative management remains a cornerstone for treating groin pain in athletes, offering effective outcomes for pain reduction, functional recovery, and injury prevention. However, standardized protocols and high-quality research are needed to enhance clinical guidance and optimize patient outcomes.