The question has always been, is and will be relevant - what is the danger of aching pain in the right side of the lower abdomen, pulling in the groin and leg? Let's look at the reasons for this problem.
This article discusses the etiology, pathogenesis and clinic of the phenomenon of pain irradiation to the groin and lower extremities. The very definition of the phenomenon of irradiation implies pain in parts of the body other than the site of origin.
Let's consider the option of pain radiating to the left or right lower extremities. There can be a great many reasons, but the most common is sciatica. After all, the definition speaks for itself - pain sensations arising in the lumbar spine, irradiating to the lower extremities.
In most cases, the pain spreads to the gluteal, sartorius, triceps and quadriceps muscles. Moreover, it should be noted that it predominantly occurs in the proximal parts of the lower extremities.
The etiology of pain in this case is radicular. Damage occurs to the spinal roots, in most cases to the sciatic nerve.
As a rule, the pain in this pathology is aching and gradually increasing in nature. Neurological disorders are also characteristic: paresthesia, numbness.
Most often, pain manifests itself without visible precursors - with improper physical activity.
There are a number of conditions that contribute to the manifestation of lumboischialgia. In most cases, patients are elderly people, with an increased body mass index, concomitant diseases of the musculoskeletal system (osteoarthritis, scoliosis), experiencing (or having previously suffered) physical overexertion.
Manifestations of the disease are also common in pregnant women.
The largest number of diseases of this nature arises from protrusion of the intervertebral disc in the lumbar region of the spinal column. The polyetiological nature of lumboischialgia becomes clear.
Unlike the previous case, there are a great many reasons for which abdominal pain occurs (with possible irradiation to the groin), and the frequency of manifestations of the consequences is approximately comparable.
However, as was mentioned at the beginning of the article, the most common and at the same time dangerous disease (from the category under consideration) is appendicitis - inflammation of the vermiform appendix of the cecum.
As a rule, the manifestation of the disease is manifested by pain in the epigastric region (Kocher-Volkovich symptom), followed by irradiation to the right side (bottom). Irradiation to the groin is also possible.
In this case, the patient is indicated for urgent surgical treatment in order to avoid peritonitis and bacterial toxic shock with a fatal outcome.
It doesn’t matter whether the pain lingers in the area of the right hypogastrium or aches for any period of time - in any case, consultation with a surgeon is necessary.
Many people experience lower back pain; constant discomfort makes them wonder - what could it be, what is the reason ? What to do for acute lower back pain? What is nighttime lower back pain and why does it occur? How and what to treat unpleasant symptoms?
You will receive answers to all these questions from chiropractor Pavel Melnik.
So, pain in the lumbar region is a consequence of various processes in our body - from banal obesity and a sedentary lifestyle to serious degenerative-dystrophic diseases of the spine or pathologies of other origins.
Lower back pain has different localizations with frequent irradiation (radiates to the tailbone or leg, right or left). Aching pain in the lower back is quite common, the causes of which we will also consider below.
Any pain must be clearly localized, diagnosed, and its causes . This will allow you to develop the right treatment tactics and achieve the desired result - recovery.
When the lower back hurts, a set of measures begins with the definition of the lesion. Often, lumbar pain is a symptomatic sign of pathology of various organs and systems.
If pain occurs in the lumbar region, you need to determine:
1. Intensity is a very important criterion:
2. Localization - it hurts on the left side or on the right side of the lower back. It could also be girdling back pain.
3. The presence of irradiation - discomfort extends beyond the lumbar region, the pain spreads below, to the right / left, above, radiates to the groin, to the leg along the entire lower back and to the gluteal region (both the lower back and buttocks often hurt) or to the ribs.
4. Dependence on physical activity , changes in body position and other functional indicators. The most common pain is after lifting heavy objects, as well as pain when sitting or staying in one position for a long time.
5. It is also worth paying attention to when pain sensations appeared - it happens that the lower back hurts in the morning (characteristic pain in the lower back after sleep), sometimes pain occurs when inhaling, and also a very common phenomenon is pain when coughing.
Lumbodynia (lower back pain) can be an independent symptom of spinal pathology and a marker of more serious diseases (infectious process, cancer, etc.).
To accurately diagnose a particular disease, it is necessary to carry out a certain list of measures.
Pain in the lower back, or more precisely its location and nature, allows us to assume a possible disease, that is, to put it simply, to determine why it hurts by how the clinical picture manifests itself:
Also, similar localization and symptomatic manifestations are observed with malignant neoplasms in the spine, when the nerve formations of the sacrolumbar region are affected. They are often described by patients as terrible lower back pain, which is almost impossible to relieve at home. With such symptoms, you should not contact a chiropractor, but an oncologist.
When faced with pain, a person wonders about the reason for it. In fact, there are many options for its origin.
The groin area is located in the lower abdomen and is attached to the thighs. Mostly, pain in the groin is associated with pathologies of the genitourinary organs, but there are other sources of its origin.
Neuralgia in this area indicates the following diseases:
Not all possible diseases in this area are listed. To understand why a person feels discomfort in the groin, it is important to know the symptoms of neuralgia.
Neuralgia radiating to the groin may begin as a slight tingling sensation, growing every day. This cannot be ignored, because it speaks of serious illnesses.
Symptoms of groin pain:
In addition to the symptoms that define the disease, there are different types of neuralgia. This allows you to understand the cause of the discomfort.
Types of pain radiating to the groin:
So, osteochondrosis can cause neuralgia in the groin area.
Osteochondrosis of the lumbar region is similar to lesions in other areas of the spine. The main symptom is constant pain that radiates to the groin area and lower extremities, increasing with movement. The patient’s physical activity leads to a sharp, “shooting” neuralgia in the groin, which stops a few minutes after its onset.
With lumbar osteochondrosis, disturbances in urination, sexual function (men), menstrual cycle (women), as well as intestinal atony are observed.
Often a person feels neuralgia in the perineum. This can be caused by several diseases. In order to find out whether osteochondrosis can cause pain in this area, you need to consider options for ailments with similar symptoms.
Perineal neuralgia occurs:
It happens due to:
So, the cause of neuralgia between the thighs can be pinched nerves in the lumbar spine due to osteochondrosis. Therefore, a person feels sharp “shooting” pain in this area.
If the disease has entered a chronic stage, then sensitivity between the thighs may be completely lost. In very severe forms of the disease, motor function in the pelvis is impaired.
Neuralgia is felt due to the fact that blood flow in the spinal cord is disrupted, the intervertebral space, which is responsible for the normal functioning of blood vessels and arteries, is reduced. When the patient begins to actively move, the vessels are injured (narrowed or pinched).
If osteochondrosis in the lumbar region of the spine is complicated by compression, then severe painful neuralgia appears in this area. It can radiate to the buttocks, genitals and thighs.
Any pain that appears in the groin area should definitely be a reason to go to the doctor. The specialist will conduct an examination and make an accurate diagnosis. You cannot delay treatment, because osteochondrosis is a very insidious disease. In the most severe and advanced cases, it can even reach paralysis. This disease essentially cannot be cured, it can only be stopped without allowing it to develop into dangerous forms.
Discomfort in the right side is more common in women than in men. Children are no exception. The pain prevents full movement and is characterized by unpleasant sensations, which indicates pathology. This part of the body is associated with organs in which disorders occur. Why it hurts, how to deal with it, read on.
Depending on the manifestations of pain, the problem that caused it is distinguished. The duration of sensitivity in the side is:
Pain feels like:
By the nature of the attack:
Discomfort often radiates to other parts of the body:
Symptoms are often accompanied by:
A person may feel like there is pain in one part of the body. But pain can be associated with other organs.
If such manifestations occur, immediately contact a professional. The doctor will answer what is causing the discomfort in the right side. After examination, tests, doctor's appointments, it is possible to get rid of pain. Treatment directly depends on the cause.
If the pain in the right side radiates to the leg, the range of possible pathologies narrows. But a trip to the doctor is not ruled out.
When the right side is exposed to unpleasant sensitivity, think about the presence of pathologies:
The side is disturbing for reasons that lead to serious consequences requiring consultation with a doctor.
Appendicitis. A common disease is called “acute abdomen”. The pain is unbearable. You should not ignore it; consult a doctor immediately. The symptoms do not begin with sharp sensations, then the sensations intensify. This is due to inflammation and stretching of the appendix.
At first it is not possible to determine the location of the pain. Then the sensitivity will become clearer. Subsequently, the unpleasant sensations move lower, radiating to the groin and rectum. The pathology is accompanied by abdominal tension, temperature (up to 39 degrees), vomiting and sweating are not excluded. Often the sensitivity is transferred to the leg. Specialized treatment (surgery) is required. You cannot ignore the pain; call a doctor immediately.
Increased pressure of hollow organs - increased intracavitary pressure. Accompanied by throbbing pain.
Postoperative pathology of the abdominal cavity. Accompanied by throbbing pain extending to the right lower limb. The resulting pus or blood enters the clusters of nerve endings in the leg. The sensations may affect the leg and other areas. Depends on the direction of the accumulated liquid spill.
Suppuration of the uterine appendages. Pulsating sensations in the lower abdomen, with a return to the leg, often indicate a destructive process. The syndrome is often accompanied by fever, nausea, dizziness, and weakness. Cold sweat, increased heart rate, low blood pressure, stool problems, flatulence. If some of the symptoms are present, discomfort radiates to the lower limb - consult a doctor who will prescribe appropriate treatment.
Inguinal hernia. Accompanied by sharp sensations in the side. Appear after lifting weights or physical stress. Subsequently it radiates to the lower limb. A characteristic sign of the disorder is a protrusion in the side, which disappears in a supine position.
Apoplexy of the ovary. A disease caused by sudden hemorrhage into the ovary. Leads to rupture of the ovary, spilling blood into the abdominal cavity. Women under 40 years of age suffer from apoplexy. More often, disturbances are observed in the right ovary, unpleasant sensitivity and bleeding occur. If bleeding predominates - anemic form of the disease, pain - painful.
If the symptoms appear equally, it is a mixed form of the disease. The disease is prone to sudden onset with acute, strong sensations. It often radiates to the lower back, rectum, and thigh. Nausea, vomiting, and fainting cannot be ruled out. Heavy bleeding is accompanied by a decrease in pressure and collapse. The ovary has the shape of a ball. Treated under the guidance of a doctor.
Ovarian cyst. A cavity filled with fluid that can increase the size of the gland. Often the ovary does not hurt. Discomfort manifests itself as follows:
It is possible that the abdomen will become enlarged if the cyst enlarges.
If the cyst is painless, when the pedicle is twisted, expect:
If you have symptoms, consult your doctor.
Self-medication is excluded, it will aggravate the situation and lead to irreparable consequences.
Unpleasant sensitivity in the side, radiating to the lower limb, is the result of a number of pathologies that require professional treatment. The pain cannot be ignored.
You should consult a doctor. To cope with the symptom, you need to overcome the outbreak. The earlier treatment is prescribed, the more successful the outcome will be. Self-medication is unacceptable. Wrong actions lead to dire consequences. By consulting a doctor, you can cope with the pain and forget about the discomfort.
Men often come to the doctor with right-sided colic in the abdomen. The specific structure of the groin area creates many prerequisites for the development of pathological processes. The causes of painful sensations are varied and only an integrated approach will allow the disease to be correctly diagnosed. A significant indicator is the type and location of pain. A dull character indicates a chronic disease, an acute one indicates a life-threatening pathology and the need for urgent surgical intervention.
Right-sided pain in men in the groin is explained by malfunctions of the nervous, reproductive and urinary systems, the musculoskeletal system (MS) and the gastrointestinal tract (GIT). Each of them has its own characteristics, which the doctor must know for correct diagnosis. Prescription of treatment is permissible only after a complete examination of the patient.
Let's take a closer look at common diseases accompanied by pain:
A right-sided inguinal hernia occurs when the peritoneum or internal organs protrude into the inguinal canal. Development is facilitated by thinned areas of the peritoneal walls in the groin - deepening of the inguinal spaces.
The figure shows the types of hernias and places of their manifestation.
Irritable bowel syndrome - disruptions in intestinal motility, digested food moves very quickly or slowly. The location of the piercing pain determines the location of the affected area.
Intestinal obstruction is the improper movement of food in the intestines. The pain becomes increasingly acute, and the location of the pain determines the location of the lesion.
Chronic constipation is problematic and very infrequent bowel movements. The patient is bothered by distension and abdominal pain.
Colon cancer . At first it is asymptomatic, but later aching pain occurs at the site of development of the tumor.
Urolithiasis is the appearance of stones in the urinary system. During obstruction in the lumbar region, acute colic occurs in the right ureter. At the same time, blood appears in the urine and digestion is disrupted.
Cystitis is an inflammation of the bladder. It is expressed by punctate colic, which intensifies during emptying.
Appendicitis. The pathology is accompanied by piercing pain in the lower abdomen, transmitted to the groin and right leg. The vermiform appendix is located in the iliac region on the right. Nausea and fever often occur.
Bladder cancer is a growth on the wall of the bladder. The disease does not manifest itself until the malignant cells spread to nearby organs.
Urethral cancer is a tumor in the urethra.
Urethritis is an infectious or non-infectious inflammation of the urethra. There is a feeling of heaviness in the groin, and when urinating, there is a burning sensation and colic.
Acute prostatitis is an infectious inflammation of the prostate gland due to the penetration of microbes. The pain in the groin and perineum will be stabbing. The urge to urinate becomes more frequent and problematic.
Prostate adenoma is a strong growth of glandular tissue. The bladder becomes compressed and pain increases when emptying.
Prostate cancer is a malignant growth of epithelial tissue. In the later stages, cramping pain and repeated urges to defecate occur.
Vesiculitis is an infectious inflammation of the seminal vesicles. Pain in the perineum, moving to the groin; the intensity increases with emptying, a full bladder, and ejaculation.
Epididymoochitis is inflammation of the testicles and appendages. The disease is acute: the temperature is above 38 degrees, acute pain occurs in the scrotum.
Testicular torsion is the twisting of the spermatic duct when the testicle rotates. Piercing pain causes vomiting and dizziness.
Venereal diseases . Caused by sexually transmitted infections. Symptoms depend on the pathogen.
Groin injuries . They are more common among professional athletes. Increased pain with movement, slight swelling is visible.
Nerve damage in the lumbar plexus . Colic is felt in the groin, radiating to the upper thigh and lower abdomen, and sensitivity decreases.
In most cases, nagging pain is characteristic of chronic diseases. The most common culprit is prostatitis. Long-term statistics state the fact: 1/3 of reproductive men suffer from prostatitis. Most cases are detected at late stages and are complicated by concomitant diseases.
The main culprit is pathogenic microflora that appears in the prostate gland. Signs: colic during bowel movements, small discharge, feeling of discomfort in the perineum.
Dull pain indicates a sprain of the inguinal ligaments after excessive stress.
A number of pathologies do not have obvious manifestations and are detected by chance during a routine examination. A person occasionally feels a mild aching pain, but in the future it becomes more pronounced.
Aching pain is a companion to the following diseases:
Aching pain will be the main symptom of acute cystitis. This is an acute inflammation localized on the mucous membrane of the bladder. The culprits of the acute form are various infections. Manifestations of the acute form: cloudy urine, aching pain, frequent urination with pain, the appearance of blood in the urine, nausea, high fever.
The likelihood of developing cystitis increases:
Aching pain is provoked by malignant neoplasms in the rectal mucosa. She talks about the growth of the tumor and the spread of malignant cells into the tissue of nearby organs, the process becomes irreversible. Symptoms: constant constipation, loss of appetite, bloating, bloody stool, feeling of weakness, pale skin.
Pain in the lower back, namely in the kidney area, is an important signal indicating the development of a serious pathology of the internal organs. What is the connection between pain in the kidneys and its irradiation to the leg? What provokes the occurrence of sharp painful sensations in the kidneys and lower extremities?
Pain in the kidneys that radiates to the leg or groin area is often associated with certain pathological changes in the structure of the pelvis and calyces or with excessive stretching of the outer capsule of the kidney. The parenchymal tissue itself does not have pain-sensitive receptors, so the cause of pain may be stretching of the kidney capsule (due to the accumulation of large amounts of urine in the renal pelvis and calyces).
When answering the question whether pain in the kidney can radiate to the leg, it is worth mentioning the presence of stones in the ureter. Thus, pain syndrome can occur due to inflammation of the tissue around the kidney, as a result of urolithiasis and the advancement of stones along the ureter.
If the cause is kidney stones and their advancement, then hematuria and urinary retention occur, and the pain becomes paroxysmal and can be easily relieved with antispasmodics.
The causes of pain in the kidney area, which radiates to the legs, may be the following:
If some symptoms are associated with kidney pain, you should consult a doctor.
Symptoms that should alert the patient:
Necessary methods for examining a patient with renal pathology:
The pain is of a very different nature - it can be dull, sharp, aching, throbbing, or radiate to another organ. *Pain on the right side of a woman’s groin, radiating to her leg* can “speak” of many serious diseases, so it is better to consult a doctor immediately. He will be able to determine the actual cause and, if necessary, prescribe a course of treatment.
In the groin area on the right there are vital organs, tissues, and nerve endings, so there are many causes of pain radiating to the *leg*.
It is better to prevent this kind of *pain* from occurring than to treat it.
It is important not to trigger any diseases. Even the simplest diseases can cause serious complications, including death.