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Soccer injuries: groin, knee and the change-of-direction load

10 September 2026·Updated 15 October 2026·4 min read
Osteopath Steven Eskaf treating a patient at RISE Sports & Spinal in Berwick

Soccer is one of the largest participation sports across Casey, with clubs in nearly every suburb and a long season. Its injury profile is dominated by the demands of repeated acceleration, deceleration and cutting rather than by contact.

Groin and adductor pain

Kicking loads the adductors hard, and doing it repeatedly on a fatigued body is the mechanism behind most soccer groin injuries. Pain deep in the groin that is worse kicking across the body, or that has been niggling for weeks without a clear injury, is the classic presentation. These respond well to progressive adductor loading and poorly to rest alone. See hip and pelvic pain.

Knees

Non-contact ACL injuries happen in the cutting and landing moments, and soccer produces a lot of both. The good news is that structured warm-up programs including landing and deceleration work reduce these rates substantially — the evidence here is as strong as anything in sports medicine.

Hamstrings

Sprint-related hamstring strains, usually in the second half or late in a season. Recurrence rates are high when the return is rushed, and this is the injury where a graded, tested progression matters most. Our muscular strains page covers the stages.

Ankles

Sprains from tackles and uneven ground. As with every code, the mistake is stopping rehab when the swelling settles rather than when balance and strength have been restored.

The pre-season pattern

A large share of soccer injuries cluster in the first three weeks of pre-season and the first two weeks after a mid-season break. If you are returning after time off, building running volume before adding sprint work meaningfully reduces the risk.

Why do soccer players get injured?

Soccer combines repeated sprinting with sharp deceleration, cutting and kicking, often on heavy winter grounds. Many local players also go from very little training in the off season straight into full matches, which is exactly the load spike that injures hamstrings and groins. Fatigue plays a large role too, with a high proportion of injuries occurring in the final stages of each half when running mechanics deteriorate. Previous injury is another major factor, because a hamstring or ankle that was never fully rehabilitated carries its weakness into the new season and tends to fail again under the same demands.

How can soccer clubs prevent injuries?

Structured warm-up programs have been shown to reduce soccer injuries substantially, and they take less than fifteen minutes at the start of training. Nordic hamstring exercises, Copenhagen adductor work, single leg balance and landing practice cover the highest risk areas, and most clubs can run them with no equipment on the pitch. Preseason preparation matters just as much, so building running volume gradually through summer beats arriving at round one underdone. Players who keep some sprinting in their week across the off season give their hamstrings far less reason to complain in March.

How do you return to soccer after an injury?

Returning too early is one of the biggest risks for re-injury, particularly with hamstring strains. A proper return means restoring full strength, sprinting confidently at training and completing progressive sessions before match play. We treat soccer players from juniors through to seniors, and structure rehab around your training nights so you return when the tissue is ready.

How can soccer players prevent ACL injuries?

Most ACL injuries in soccer happen without contact, during landing, cutting or sudden deceleration. Warm-up programs that include landing and cutting technique, balance, and hamstring and hip strength are widely used to reduce knee injury risk, and are particularly worthwhile for female and junior players. Ten to fifteen minutes before each training session is enough to make it a habit.

Should I play through pain?

Mild soreness that warms up and doesn't affect how you run or kick is often manageable with some load adjustment. Pain that changes your running, gets worse through a game, or is still there the next morning is a sign the tissue isn't coping. Groin pain in particular tends to become a long-term problem when it's ignored through a season, so it's worth acting early.

See our post on groin pain in athletes for more.

What a first appointment looks like

We start with what actually happened and what the demands of your sport are, then assess the injured area alongside the joints and muscles above and below it — because the painful structure is often not the limiting one. You get a diagnosis, a realistic timeframe, and a plan that accounts for your training and match schedule rather than assuming you can stop. If we think you need imaging or another practitioner, we will say so at that first visit rather than after six sessions.

Booking in

We are at 5/6-8 Langmore Lane, Berwick, with free on-site parking and same-week appointments most weeks. Initial consultations are 60 minutes and $149, with private health rebates processed on the spot via HICAPS. No referral is required, and we also work with WorkCover, DVA and Medicare care plans where they apply.

Sources

Thorborg K, et al. Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football: a systematic review and meta-analysis of the FIFA 11 and 11+ programmes. British Journal of Sports Medicine, 2017.

van Dyk N, et al. Including the Nordic hamstring exercise in injury prevention programmes halves the rate of hamstring injuries: a systematic review and meta-analysis. British Journal of Sports Medicine, 2019.

Dealing with this condition?

Book an initial consultation at RISE Sports & Spinal in Berwick. Clear diagnosis, hands-on treatment, and a plan that actually gets you better.

Steven Eskaf, AHPRA-registered osteopath at RISE Sports & Spinal in Berwick
Written and clinically reviewed by
Osteopath · M.HlthSc (Osteopathy) · AHPRA reg. OST0002430528
Steven is the founder of RISE Sports & Spinal in Berwick, with over a decade treating sports injuries, spinal pain, headaches and movement-based rehabilitation across the Casey region. More about Steven
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