Groin pain the athletic population has many labels, some of which are confusing, outdated or even unhelpful. Many patients are given a diagnostic label such as ‘Osteitis Pubis’, ‘Adductor tendon strain’, ‘Gilmore’s Groin’ or even ‘Sportsman’s hernia’. It’s perhaps more helpful to think of a clinical entity which is really about mechanical overload of structures which insert into the pubic bone area at the front of the pelvis. The anterior part of the bony pelvis is essentially two pubic bones meeting in the middle, separated by fibrocartilaginous joint called the pubic symphysis. The abdominal wall musculature (rectus abdominis muscle) attaches into this area from above, and the two adductor longus muscles attach into this area from below. Both are bonded by a tough, fibrous structure called an aponeurosis. The vast majority of patients who present with groin pain do not have a hernia, lump or torn structures, and do not need surgery. Biomechanical groin pain presents with pain which may be felt in the lower abdomen and an adductor muscles in the groin, and it feels as though it’s centred at the pubic bone area. It may be painful if you cough or sneeze, or sit up in bed. It tends to be flared up with activities such as kicking or running, and calms a little on days when you are relaxing. Unfavourable patterns of biomechanical loading across the pelvis (such as gluteal and lumbar control issues), create a compressive pattern of forces across the bony pelvis, and stress the structures that attach around it. On MRI imaging we can see the bony ‘oedema’ (overload) and inflammation within the symphysis and the surrounding structures, and this can be corrected with correcting the biomechanics causing the overload in the first place, sometimes with the use of injection therapy to help this along.