These conditions are relatively rare compared to musculoskeletal pain, but when present you will need to see a medical practitioner and usually a specialist for that system or problem, for example, a Rheumatologist, Orthopaedic Specialist, Oncologist or Vascular Specialist.
Groin pain can also be associated with organ problems ovaries, uterus, bowel, bladder, prostate. One of the most common causes of organ-related pain in females is endometriosis. This occurs when tissue that is similar to the lining of the uterus womb grows out side the uterus attaching to other structures such as the pelvic ligaments or the bladder and bowel.
This can lead to debilitating pain that may be cyclic, relating to the menstrual cycle. A skilled assessment by a Hip Pain Professional will help clarify if the problem requires further medical attention and whether it is likely to be related to a musculoskeletal problem or not.
Hip Pain Help is a one stop shop for those suffering with hip pain. This week we look at how a Hip Pain Professional can help you, and inform. Hip Pain Help is an easy to use platform where you can search the Hip.
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It is mandatory to procure user consent prior to running these cookies on your website. Home Groin Pain. Groin Pain Groin pain is pain this experienced in the groin region and the inside of the upper thigh. What is pain? Joint Related. Joint Related Pain. The two most common joints associated with pain in the groin Figure 1. The Hip Joints The hip joint is the largest ball and socket joint in the body.
The ball is the head of the femur thigh bone. The socket in the pelvis, is called the acetabulum Figure 1. Both the ball and socket are lined with smooth cartilage which allows the bones to slide against each other easily Figure 1. The smooth cartilage lining the socket merges into a fringe of a more fibrous cartilage that joins around the edge of the bony socket. This is called the labrum acetabular labrum Figure 1. It has a variety of functions, assisting in joint stability and health.
The labrum makes the joint deeper and hugs firmly around the head of the femur, providing a suction effect. Both of these features contribute to joint stability.
The labrum is also involved in the flow of nutrient-rich joint fluid and trapping fluid between the bones when you land on your foot in walking and running. This provides a cushioning effect for your cartilage and helps maintain joint health. The ball and socket joint is surrounded by a fibrous capsule, reinforced by a number of ligaments that run between the pelvis and femur Figure 1. These strong ligaments provide stability for the joint but are also flexible, allowing your hip to move in large ranges of motion.
There is a large normal variation in how flexible these ligaments are in different people. Identification of changes in joint health on XRays or scans is therefore not considered meaningful unless related to pain or other symptoms are poorly correlated with level of pain most often become painful with one or more of the following factors: too much or too little activity rapid changes in activity levels activities that put large forces across the hip joint e.
After a thorough assessment, your Hip Pain Professional will be able to: tell you whether the hip joint and changes on any XRays or scans, are likely to be related to your pain.
This is most common in field or court sports that involve changing direction at high speed or kicking. Soft Tissue Related. Soft Tissue Related Pain. Soft tissues are non-bony structures that connect, support, or surround other structures and include: the muscles, which allow you to move the tendons, which connect your muscles to the bone the bursae — small, flat pockets of fluid that help all these things slide and glide against one another, reducing friction.
There are bursae are all around the body in places where different structures may rub against one another, for example where a tendon runs around a bone. All our muscles are enveloped in fascia, like stretchy stockings that help transfer energy from muscle and movement. Fascia also forms sheaths or tunnels for safe passage of blood vessels and nerves and wraps and supports all our bodily organs. This group of muscles includes: the adductor magnus large adductor the adductor longus long adductor the adductor brevis short adductor , that sits underneath the adductor longus muscle the gracilis a long strappy muscle pectineus a smaller muscle.
Traumatic injury resulting in a rapid onset of pain, is usually associated with sporting actions such as: changing direction at speed sliding sideways kicking A single cause for more longstanding groin pain can however be much more difficult to establish. Inguinal Related Groin Pain In the region where the abdominal muscles join onto the pelvis and the inguinal ligament Figure 2. Bone Related. Bone Related Pain. Bone Related Pain in the Groin Region The most likely bone-related issues associated with pain in the groin region, are fractures or stress fractures of the femur or front of the pelvis pubic ramus Figure 3.
A fracture: is the medical term for a broken bone usually occurs from a traumatic event like a fall, car accident or more severe sporting injury is more likely to occur in a weakened bone e. A stress fracture: is the medical term used for a fracture that occurs due to a build-up of repetitive stress is usually related to overuse -an accumulation of repeated small traumas e.
Most common during ages years. Slipped Capital Femoral Epiphysis or Slipped Upper Femoral Epiphysis-usually a small shift in the growth plate in the neck of the femur that can change the shape of the head and neck of the femur. Your Hip Pain Professional can: perform a thorough assessment and let you know if a bone issue may be suspected. In these cases, you may be advised to undertake further imaging or referral to a medical specialist for further advice provide or refer you for rehabilitation at an appropriate time following bony injury provide important information about managing sporting activity and recovery in those with bony stress injuries.
Back Related. Back Related Groin Pain. There are two main ways this might occur: Referred pain Referred pain is pain felt in a part of the body other than its actual source.
Referred pain: is usually a dull, aching or gnawing pain can expand into a wide area that is difficult to localize is not related to a problem of the nerve roots in the spine is not associated with other nerve-related symptoms such as tingling or numbness.
Inguinal canal. This is a tunnel in the groin. It is formed by layers of muscle and other tissues in the wall of the abdomen. Femoral canal. This is a tunnel in the wall of the abdomen. It allows blood vessels and nerves to pass through the groin into the leg. Spermatic cord. This passes through the inguinal canal and connects to the testicle. All rights reserved. Skip to topic navigation. Groin pain is a common symptom and can happen to anyone.
There are some potential causes of groin pain that are more common than others. The most common cause of groin pain is a strain of the muscles, ligaments, or tendons in the groin area. This type of injury occurs most often in athletes, as noted in a study published in the BMJ Open Sport and Exercise Medicine journal. Another common cause of groin pain is an inguinal hernia. An inguinal hernia occurs when internal tissues of the abdomen push through a weak spot in the groin muscles. This can create a bulging lump in your groin area and cause pain.
Kidney stones small, hard mineral deposits in the kidneys and bladder or bone fractures can cause groin pain as well. Most cases of groin pain do not require medical attention. However, you should see a doctor if you experience severe, prolonged pain accompanied by fever or swelling.
These symptoms may indicate a more serious condition. Your doctor will evaluate your symptoms and ask about any recent physical activity. This information will help your doctor diagnose the problem. They will then perform a physical examination of the groin area along with other tests, if necessary.
Your doctor will insert one finger into the scrotum the sac that contains the testicles and ask you to cough. Coughing raises the pressure in the abdomen and pushes your intestines into the hernia opening. X-rays and ultrasounds can help your healthcare provider see if a bone fracture, testicular mass, or ovarian cyst is causing the groin pain.
This type of blood test can help determine if an infection is present. The treatment for your groin pain will depend on the underlying cause. You can often treat minor strains at home, but more severe groin pain may require medical treatment. If your groin pain is the result of a strain, treatment at home is probably your best option.
Resting and taking a break from physical activity for two to three weeks will allow your strain to heal naturally. Pain medications, including acetaminophen Tylenol , may be taken to manage your pain and discomfort. Applying ice packs for 20 minutes a few times per day can help as well. If a broken bone or fracture is the cause of your groin pain, surgery may be required to repair the bone.
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