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

10 September 2026·5 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.

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 street parking directly outside 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.

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), B.Sc (Osteopathy) · AHPRA-registered
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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