Sometimes the therapist's patients complain that their stomach hurts and radiates to the leg, sacral area or lower back. Such discomfort may indicate dangerous diseases.
We must listen to our body and, when alarming symptoms appear, choose effective measures together with a doctor and begin treatment immediately. This is the only way to help yourself and protect yourself from complications.
If your stomach hurts and radiates to your leg, then your doctor will be one of the first to suspect acute appendicitis. This term refers to inflammation localized in a small appendage of the cecum of the human intestine. This appendix, which is the first section of the large intestine, is usually called the appendix; its second name is the vermiform appendix. Previously, it was believed that this part of the body was completely non-functional and did not affect life, but recent evidence suggests that the appendix is an integral peripheral element of the immune system. This part of the intestine performs an important task - it promotes the proliferation of beneficial bacteria, which serve for the normal digestion of food and the absorption of nutrients from food.
It is known that people living without an appendix have difficulty restoring normal gastrointestinal microflora after antibiotic therapy. It is for this reason that people with a removed appendix are advised to take special bacterial preparations along with treating infections with antibiotics. Patients aged 20 to 40 years are most often hospitalized with inflammation of the appendix; this disorder is more common in women.
In acute appendicitis, pain is concentrated in the navel or lower abdomen and is localized on the right. The patient requires a thorough examination by a qualified specialist and the exclusion of other diseases because the appendix often gives pain similar to what women experience with adnexitis and men with inflammation of the bladder. The irradiation of pain can also be directed to the groin and lower back.
A person can lightly tap his ilium with his fingers; with appendicitis, this will certainly cause pain. Such sensations do not occur on the left. If you cough hard with an inflamed appendix, the pain intensifies. You should find the point of the highest pain; when exposed to it, the discomfort weakens, and the moment you remove your hand, the pain, on the contrary, intensifies. If, in case of pain due to inflammation of the appendix, you take the fetal position and lie on your right side, then some relief occurs, but when you move to the left side of the body and straighten your legs, the discomfort increases. Such manifestations indicate appendicitis.
Abdominal pain radiates to the leg: a symptom characteristic of appendicitis, osteochondrosis, suppuration of the uterine appendages, complications after operations in the abdominal cavity, inguinal and femoral hernia
When you are bothered by abdominal pain, and from time to time it radiates to your leg, one of the possible diagnoses is osteochondrosis. It is necessary to describe your feelings to the doctor in detail so that he can accurately determine the cause of the ailment and prescribe effective treatment. It has been noticed that with osteochondrosis, destructive processes occur in the human vertebrae, as a result of which the nerve roots are pinched. With such pinching, the body inevitably malfunctions - the normal innervation of organs is disrupted. Of course, with such a pathology, the main pain sensations are localized precisely in the back area, but practice shows that impulses can appear in the leg and abdominal area closer to the groin.
Unfortunately, sometimes after surgery the human body signals pathology. When pathological fluid, represented by pus, blood or so-called effusion, accumulates in the abdominal cavity, pain in the abdomen and leg may occur due to the effect of this fluid on the nerve fibers of the limb. This can be either a limb or other parts of the body, depending on where the purulent focus or internal bleeding is located.
Today, many people are diagnosed with hidden gynecological ailments. If the throbbing pain is concentrated in the lower abdomen and clearly radiates to the leg, this condition may indicate suppuration in the uterine appendages. When a woman discovers such problems, she should consult a doctor. In advanced cases, the prognosis may be unfavorable, so to restore the health of the reproductive system, you need to take action as early as possible.
A person may experience abdominal pain that radiates strongly to the leg in case of complications of a hernia. We are talking about an inguinal or femoral hernia. This pathology can be recognized by the presence of a round formation in the groin area that is painful on palpation. Pain in this area intensifies when coughing and with sudden movements. A strangulated hernia is life-threatening, so if you suspect this disease, you should immediately go to the hospital.
As we can see from the above, when your stomach hurts and radiates to your legs, you should not hesitate to visit the hospital, as serious pathologies may be discovered. In the worst case, along with pain in the abdomen and leg, other symptoms are present, including flatulence and bowel movements, dizziness, high temperature, feeling of nausea, blood pressure less than 100/60 units, general weakness, cold sweating, pulse of 100 beats per minute.
Pain in the tailbone, radiating to the buttock and leg, should make you think that the problems may be associated with damage to the sciatic nerve. The sciatic nerve is the largest nerve in the body, it arises from the sacral nerve plexus, passes through the infrapiriformis foramen (the gap between the piriformis muscle and the sacrospinous ligament) into the buttock and down the back of the thigh. In the popliteal fossa, it branches into the tibial and peroneal nerves and innervates the muscles of the leg and foot.
Typically, the main symptom is pain. It occurs along the nerve, that is, in the lower back, extends into the buttock, runs along the back or side of the thigh, and spreads to the lower leg and foot.
Often, the pain in each patient can be of a different nature - from a feeling of heaviness in the leg to burning, stabbing, shooting pain in all of these areas.
Increased pain is provoked by movement, sneezing and coughing. Because of this, people suffering from sciatic neuralgia may have gait disturbances, as they cannot place their foot on the heel or toe without pain, and are often unable to stand on their feet.
When palpated at the exit points of the nerve (sacrogluteal, mid-back thigh, popliteal fossa, behind the head of the fibula, on the foot), sharp pain occurs. Often, along with pain, there are paresthesias (tingling, goosebumps) and disturbances of superficial and deep sensitivity (numbness, sensations of the ground sinking under the foot). With serious long-term nerve damage, atrophy of the muscles of the lower limb may develop.
An attack of pain is provoked by emotional experiences, stress, hypothermia, physical exertion, and injury. Usually the lesions are unilateral.
A large number of pathological conditions can lead to dysfunction of the sciatic nerve:
Most often, the sciatic nerve is affected by degenerative-dystrophic processes in the lumbar spine - osteochondrosis, intervertebral disc herniation, spondylosis.
With osteochondrosis, the disc becomes thinner, the vertebral bodies move closer together and compress the nerve. Spondylosis is characterized by the appearance of growths (osteophytes) on the vertebrae, and with a hernia, a protrusion of the disc substance outward is formed; these formations can also put pressure on the nerve, leading to its irritation.
Treatment in this case is symptomatic and etiological. Symptomatic will consist of relieving pain, and etiological will be variable, it will be aimed at the cause of the disease.
Pain relief can be carried out with the help of drugs that must be prescribed by the attending physician.
It is not recommended to prescribe something for yourself, because without the necessary knowledge you can harm yourself. To relieve pain, non-steroidal anti-inflammatory drugs are used - these are ointments (Voltaren Emulgel, Indomethacin, Bystrumgel, Fastum, Nise, Finalgel), tablets (Ibuprofen, Ketonal, Diclofenac, Naproxen, Peroxicam, Nimesin), solutions for intramuscular administration (Meloxicam, Rofecoxib, Tenoxicam, Xefocam).
Blockades with Novocaine or Lidocaine, or with corticosteroids (Kenalog, Diprospan) are highly effective. With this method of pain relief, less drug is administered, but even severe pain is relieved. Muscle relaxants may be used to reduce muscle tension and pressure on the nerve. B vitamins must be introduced to improve the condition of the nervous tissue. In order to reduce pain, bed rest is prescribed so that the nerve is irritated and injured as little as possible.
Effective in the fight against pain and inflammation is the use of physiotherapeutic methods of treatment - massages, exposure to ultraviolet radiation, diadynamic currents, ultra-high frequency magnetic fields, magnetotherapy, etc.
Acupuncture, moxa therapy, and manual therapy are used according to indications.
During the recovery stage, physical therapy is indicated to help improve blood circulation in the affected area.
If conservative treatment is ineffective, surgical treatment can be used, for example, for a herniated disc. There are such methods of surgical interventions as microsurgical discectomy according to Caspar, laser vaporization of the intervertebral disc, and puncture endoscopic microdiscectomy.
After removal of the disc herniation, the spinal column is stabilized using metal structures. A decrease in physical activity is necessary for 6 weeks, then you can return to normal life.
For etiological treatment of other possible diseases, a thorough examination is necessary to determine the cause of the pain. You may need to take antibiotics, correct metabolic disorders, and consult with other specialists.
Today we offer an article on the topic: “Lower back pain radiates to the groin.” We tried to describe everything clearly and in detail. If you have any questions, ask at the end of the article.
Any pain, as a rule, has a certain irradiation . It is from this that doctors often determine what exactly is the cause of these sensations. The same can be said about the situation when pain in the lower back radiates to the groin. The reasons for this are not necessarily related to the pelvic organs. Often pain is caused by pathologies of the spine. This could be osteochondrosis or spondylosis. In addition, inflammation can also be accompanied by back pain radiating to the groin area. In this case, the presence of diseases such as arthrosis, arthritis or ankylosing spondylitis is possible. In addition, infectious lesions of the spine, for example, tuberculosis or osteomyelitis, cannot be excluded.
Inflammation in the sacrum and pelvic joints can also cause groin pain. In addition, inflammation of the intestine, especially its lower sections, is often accompanied by pain in the lower back, radiating to the groin. Also, do not forget about the kidneys and pelvic organs, the pathology of which can also cause these sensations.
In order to prescribe treatment, you should first undergo an examination to clarify the diagnosis. Only after this the doctor will be able to select the most suitable drug and methods for eliminating pain.
When the intestines are damaged, first of all, the condition of the mucous membrane and microflora are determined. Most often, such diseases are accompanied by diarrhea or constipation, as well as other dyspeptic disorders. That is why, first of all, inspection and testing are carried out. After this, medications are prescribed to improve digestion and normalize flora. In the presence of inflammatory processes, antibiotics and anti-inflammatory drugs can be used.
Kidney damage will be determined using the same scheme. Pyelonephritis often causes these pains. In this case, it can radiate to the groin or to the back of the thigh. With this disease, in addition to pain, there will be an increase in temperature (in the case of an acute course), as well as changes in urine tests.
Particular attention should be paid to the situation when lower back pain radiates to the groin while lifting weights or pain occurs in the groin when walking. Most often this occurs with damage to the musculoskeletal system, in particular the spine. In this case, it is necessary to conduct a more thorough examination to exclude diseases such as hernia or bone tuberculosis . In addition to standard examinations, MRI and radiography are prescribed. Only on the basis of all this data can a correct diagnosis be made, and therefore a treatment regimen that will be effective.
Patients are increasingly turning to doctors with complaints that lower back pain radiates to the groin. Each time there are more and more such cases, and they are usually accompanied by similar symptoms.
Groin pain can have many causes. It can be caused by arthrosis of the hip joint or coxarthrosis. Atopic necrosis of the surface of the thigh, which is also called infarction of the hip part of the body, can also lead to its development. Avascular necrosis can also cause pain in the groin. Inflammation of the hip joints, such as trochanteritis, may also occur. It is also quite possible that the patient has piriformis syndrome due to inflammation and injury to the pelvis and parts of the spine. And, in the end, you need to be checked for arthritis and arthrosis.
A diagnosis such as coxarthrosis, or deforming arthrosis of the hip joint, is sounding more and more often. Doctors suspect it in every third person who comes with complaints of pain in the lumbar region. But despite the frequency with which this diagnosis is assumed, arthrosis of the hip joint is much less common than it seems. Qualified doctors understand that among all patients who are initially diagnosed with this, only 25-30% are actually suffering from coxarthrosis.
This disease appears in people after reaching 40 years of age. Women get sick somewhat more often than men. Hip disease can affect one or both hip bones. Most often, it happens that arthrosis cannot be noticed at an early stage, and this greatly complicates the healing process. At the same time, the disease develops quite slowly, and the transition from one degree to another takes about 1-3 years.
Arthrosis of the joint causes depletion of cartilage tissue and compression of the sciatic nerve
Sometimes exceptions occur. It happens that, having received an injury or overloaded the nervous system with severe stress, the patient accelerates the development of the disease. The pain will intensify much faster, arthrosis will reach its peak within a few months, and possibly even weeks.
It is quite simple to distinguish coxarthrosis from another disease. For example, one of its symptoms is pain in the groin. They will be felt in the area of the front and side of the thigh. It happens that a strong ache is felt in the buttocks. Aches and sharp pain with arthrosis are transferred to the knee.
You can feel all these symptoms when walking or other stress on the hip joint. For example, if you are involved in weightlifting, then at some point you may feel a sensation similar to a cramp in the groin area. Of course, this is not a cramp. This is a manifestation of arthrosis, which can cause really severe suffering if you do not see a doctor in time.
Another symptom that appears with arthrosis of the hip joint is limited mobility of the affected leg. It becomes much more difficult for her to move, move and bend the limb at the knee. There is a strong dependence on the help of others. For example, due to lower back pain, it is no longer possible to put on your shoes or pull on your socks.
Arthrosis limits the motor functions of the affected leg. People who were previously involved in equestrian sports are unlikely to be able to get back into the saddle. The fact is that it becomes almost impossible to spread your legs wide with this pathology of the hip joint.
The next reason that can lead to the development of pain in the groin is aseptic necrosis of the surface of the femur. It is also sometimes compared to a heart attack, which, however, is localized in the area of the hip tendon. In reality, this disease occurs only in 5-10 percent of cases, which are taken from the number of precedents when a patient comes to the doctor with complaints that pain in the lower back radiates to the femoral part.
The symptoms of aseptic necrosis are very similar to those of coxarthrosis. It becomes so difficult to distinguish one disease from another that doctors often confuse them and prescribe the wrong treatment. The difference between the diseases is that avascular necrosis develops much faster than its slower “relative”. A few days are enough to reach the peak of the disease. It happens that already on the first day you feel an unbearable and burning ache in the joints.
The clear difference between aseptic necrosis and arthrosis of the hip joint is that in the second case the patient is able to fall asleep and take a break from pain, but necrosis of the femoral head does not provide such luxury. He will pester the person all night. You will be able to relax only before dawn. The approximate time when the pain stops is 4-5 am. This disease also differs from arthrosis of the hip joint in that women are almost not susceptible to it.
With aseptic necrosis, damaged bone tissue of the joint dies
One of the features of the disease is that it most often affects fairly young and able-bodied people under 45 years of age. After crossing this age limit, a person is much less likely to be exposed to such pathology.
Pain in the groin can be caused not only by arthrosis and its derivatives. Inflammation of the femoral tendons can lead to them. The disease, called trochanteritis, is one of the most common pathologies. According to statistics, it affects approximately 30% of all people who complain of groin pain.
The disease is divided into unilateral and bilateral. In the first case, the femoral tendons of only one leg are affected, and in the second, accordingly, both limbs are affected at once. Unlike aseptic necrosis, trochanteritis mainly affects women. Until its culmination, pain increases just during the menopausal period of restructuring of the body. It is at this time that women's tendons and muscles weaken. But it also happens that young girls are also exposed to this pathology.
The disease develops within 3-15 days. Trochanteritis can be suspected by severe pain running through the outer surface of the thigh. There is aching in the legs and pain in the groin while walking. This can also occur while the patient is lying on the side of the body affected by trochanteritis.
Despite the similarity of symptoms with coxarthrosis, it is difficult to confuse them. Trochanteritis develops faster than coxarthrosis, and is not accompanied by shortening of the diseased leg. Moreover, the patient is able to move his leg in different directions and does not complain of stiffness of movement.
The next common condition that causes subsequent pain in the lower back and area from the groin to the knee is piriformis syndrome. About 30-40% of all people who went to the hospital with complaints of groin pain are people with this pathology. Such a disease, like its “relatives” described above, can be unilateral or bilateral.
The rate of increase in symptoms and pain is a period of 1 to 3 days. Pain can be felt at different times of the day with equal intensity, but more often a person feels worse in the evening and finds it difficult to fall asleep. Painful symptoms also occur at night or in the morning. If a person makes an unsuccessful movement, tries to lift too much weight, or experiences a strong shock, he can accelerate the development of pathology. In most cases, before an attack of the piriformis muscle of the lumbar spine occurs, you can feel a sharp pain in the lower back.
Very often, the symptoms of this disease spread to the gluteal region and the groin is affected. Sometimes it happens that pain symptoms cover the entire gap from the groin to the knee. And yet, pain in the buttocks with this pathology will be much stronger than any other.
The main symptom of polymyalgia rheumatica is severe muscle pain
The rarest of all pathologies that can cause ailments expressed by pain in the groin is considered to be polymyalgia rheumatica. This systemic disease is quite rare. Only 1% of all people who come to the hospital because of aching hips are affected by it.
Most often, patients are women who have already crossed the threshold of 50 years. The age peak is 65-75 years. About 70-80% of all people suffering from polymyalgia rheumatica are those who, for some reason, have suffered severe nervous shock. There are, of course, other reasons for the development of the disease. For example, a severe form of flu or cold.
The disease will very quickly begin to make itself felt. Its development period is 3-20 days. It is expressed in long-term and non-stop pain in the shoulder joints, and then in the muscles of the thighs, buttocks, and back. In this case, the person affected by the disease will feel very weak.
Whichever of the above diseases you are diagnosed with, you cannot hesitate. Immediately pull yourself together and begin to follow all medical recommendations. If you do not have time to stop the development of pathology in the initial stages, then it will be more difficult to do this. Take care of your health!
There are many reasons that cause
pain in the groin . Often pain in this area is radiating, i.e. transmitted from another area outside the groin. If you experience any pain in the groin, you should
to determine the cause of pain and prescribe appropriate treatment.
Possible causes of groin pain
Groin pain can be caused by many reasons.
Diseases of internal organs: 1. Pathologies of the genitourinary system:
2. Intestinal pathologies:
Diseases of the musculoskeletal system: 1. Spine:
2. Hip joint:
3. Muscle weakening:
Diseases of the nervous system: pinched pudendal nerve.
Diseases of the lymphatic system and circulatory system: 1. Inguinal lymphadenitis (inflammation of the lymph nodes).
2. Aneurysm (enlargement) of the femoral artery.
Other diseases: 1. Trauma to the groin area.
2. Tumors of various localizations.
3. Genital (genital) herpes in men.
4. Psoas abscess (focus of suppuration in the tissue covering the iliopsoas muscle).
5. varicose node of the leg saphenous vein.
Unilateral (right or left) groin pain Pain in the groin on one side - right or left - can most often occur for three reasons:
1. With an inguinal hernia.
2. For renal colic.
3. For appendicitis.
Inguinal hernia occurs much more often in men than in women. It manifests itself as swelling in the groin, on the right or left. This swelling is an inguinal hernia. It is more noticeable in a standing position and is painful when touched. It is formed due to the movement of intestinal loops from the abdominal cavity to the groin when the muscles and ligaments of the anterior abdominal wall weaken. In advanced cases, strangulation of the inguinal hernia may occur, accompanied by sharp pain in the abdomen and groin. If a hernia is strangulated, immediate surgical intervention is necessary.
Renal colic is also characterized by unilateral pain in the right or left groin. In addition to the groin area, sudden acute pain during renal colic affects the lumbar region and the bladder area. Renal colic occurs due to urolithiasis. The pain is caused by the displacement of a stone from the kidney into the ureter and its movement along the ureter. The pain is so sharp and excruciating that it is difficult for the patient to bear. Accompanied by frequent urge to urinate.
Pain in the groin on the right may be a manifestation of appendicitis. In this case, the pain increases gradually, arising in the epigastric region, and gradually descending below. Pain in the right side of the groin caused by appendicitis intensifies when walking and when lying on the left side. Painful sensations can also radiate to the rectum.
In women, pain in the groin area can be caused by various diseases, pregnancy or characteristics of the menstrual cycle.
Diseases that cause groin pain in women Bowel diseases: cancer
(inflamed protrusion of the intestinal mucosa). In these diseases, pain in the groin is accompanied by:
Inflammatory diseases of the uterine appendages (adnexitis, salpingoophoritis, parametritis). These diseases cause acute pain in the groin, increased body temperature, deterioration of general condition, and painful sensations when palpating the lower abdomen.
Rupture of an ovarian cyst or torsion of its legs. With an ovarian cyst, acute, severe, one-sided pain occurs in the groin. Body temperature rises, vomiting may occur, and blood pressure may drop sharply. If the cyst has formed on the right ovary, the clinical picture is similar to that of appendicitis.
Ectopic pregnancy. With the development of this pathology, cramping, gradually increasing pain in the groin area is combined with abdominal pain, radiating to the anus. If it comes to a rupture of the fallopian tube, the pain in the groin and abdomen becomes very strong, unbearable, even to the point of loss of consciousness. A woman in this condition needs emergency surgical care.
Pain in the groin often occurs during normal
. These pains have an aching, pulling character, and are most often associated with the physiological softening of the pelvic bones before
, and sprained ligaments that
attached to the inner walls of the pelvis.
Wearing a pelvic bandage and performing exercises that strengthen the pelvic floor muscles will help eliminate or at least reduce these pains. Homeopathic medicines prescribed by a gynecologist also reduce groin pain in pregnant women.
In some cases, pain in the groin area during pregnancy may be associated with a lack of calcium in the pregnant woman's body (this is determined using special tests). Then, in addition to increasing calcium-rich foods in the diet (cheese, cottage cheese, nuts, oatmeal, etc.), the doctor prescribes additional calcium intake in the form of medications.
Such pain, affecting the groin area and lower abdomen, often occurs in nulliparous women and young girls. This phenomenon is called algomenorrhea. Aching and sometimes cramping pain begins 1-2 days before
, and continues for another 1-2 days after it starts. The cause of pain is most often hormonal deficiency.
If the pain in the groin before menstruation is severe enough to affect your general well-being, you should consult a gynecologist.
The most common cause of groin pain in men is inguinal
, described above in the section “Unilateral groin pain.”
Pain in the testicles and groin (aching, constant, not too intense) may be a sign of chronic prostatitis or prostate adenoma.
Vesiculitis (inflammation of the seminal vesicles) is also accompanied by pain in the groin area, testicles, perineum, and above the pubis.
Acute inflammation of the testicles (orchitis) can be a complication of an infection, inflammatory disease of the genitourinary organs, or a consequence of injury. In this case, intense pain occurs in the groin and testicles, intensifying with movement. The pain is accompanied by swelling and redness of the scrotum. The patient's general condition worsens, body temperature rises, headache appears, and sometimes vomiting.
Acute epididymitis (inflammation of the epididymis) is accompanied by similar symptoms . Pain in the groin and testicles with chronic epididymitis is not so severe; it occurs periodically, but quite often, intensifying when walking.
A spermatic cord cyst causes aching pain in the groin of middle-aged and elderly men. Young men with this pathology usually do not experience pain, and accidentally discover a spherical formation on their scrotum.
Testicular torsion can occur with sudden movements during sports. In this case, the patient experiences severe pain in the groin and testicles. Half of the scrotum rapidly increases in size due to swelling. The skin of the scrotum turns blue. A twisted testicle is raised higher than a healthy one. Nausea and vomiting may occur. Body temperature rises.
Dilatation of the testicular veins (varicocele) is characterized by pressing, dull, intermittent pain in the groin that does not have a clear localization. Varicocele can be right- or left-sided, and pain is perceived by the patient on the opposite side, or spreads to the entire groin. Often the patient simply experiences a feeling of heaviness and discomfort in the groin.
Any pain in the groin in men requires contacting an andrologist, because... Many of these diseases, if left untreated, can cause a decrease in sexual activity, the development of impotence and even male infertility.
In girls, the cause of pain in the groin can be injury, an inguinal hernia (a rare pathology) and enlargement of the inguinal lymph nodes, usually associated with a cold-like inflammation of the uterine appendages.
The number of reasons that cause groin pain in boys is much broader:
Pain in the inguinal lymph nodes Enlargement of the inguinal lymph nodes, their hardening, pain in the groin lymph nodes are a signal of trouble in nearby organs. In this case, pain in the inguinal lymph nodes can be very acute. Inguinal lymphadenitis (inflammation of the lymph nodes) may indicate the presence of the following diseases:
Therefore, if you find an enlarged and painful lymph node (or group of nodes) in your groin, you need to pay close attention to this symptom and immediately consult a doctor.
The nature of groin pain in various diseases Acute Such pain can occur with:
Severe Severe pain in the groin area is characteristic of the following pathologies:
Dull, intermittent pain in the groin occurs with varicocele -
varicose veins
Pain of this nature is typical for chronic gynecological diseases (chronic adnexitis,
, endometritis) and for chronic prostatitis. Aching pain in the groin can be accompanied by acute cystitis, as well as physiological menstruation.
In addition, nagging pain occurs in the groin muscles after excessive overload during sports training.
Throbbing pain is usually concentrated in the right or left side of the groin. Right-sided throbbing pain causes the doctor to suspect, first of all, appendicitis.
Severe unilateral throbbing pain in the groin can also occur when a femoral artery aneurysm ruptures (an aneurysm is an enlargement of a vessel associated with stretching or thinning of its wall). The rupture leads to the accumulation of blood in the surrounding tissues; the pain radiates to the groin.
Pain in the muscles of the groin area
Pain in the muscles of the groin and inner thighs often occurs in athletes after competitions or intense training. These muscles experience the greatest load in football, hockey, tennis and basketball players. Muscle pain in the groin has a pulling, aching character.
Athletes may experience groin muscle strains and even inner thigh muscle tears. But these injuries are classified as traumatic and are accompanied by acute pain.
Pain in the groin when moving (walking)
The most common cause of groin pain that worsens with movement (walking) is coxarthrosis, a chronic disease of the hip joint accompanied by deformation of the articular tissues.
Pain in the groin with coxarthrosis is often one-sided and radiates to the thigh. When walking, they first intensify, then the patient “paces,” and the intensity of the pain decreases. But long walking again leads to increased pain. With rest the pain subsides.
Pain in the groin caused by acute inflammation of the testicle (orchitis) or its appendage (epididymitis) also intensifies when walking.
Pain near the groin (above, below)
Pain localized near the groin can be a sign of diseases such as urethritis, bladder stones, uterine prolapse, endometritis (inflammation of the uterus). An ectopic pregnancy can also cause pain near the groin.
The cause of unilateral (right or left) pain above the groin can be an inguinal hernia. Right-sided pain above the groin is characteristic of appendicitis. Bladder diseases may be accompanied by pain above the groin in the center of the lower abdomen.
Pain below the groin (lower groin) is most often a muscle pain. Pain of this localization is possible with prostatitis.
Pain in groin and leg
In a number of diseases, pain in the groin radiates to the leg. In this case, painful sensations can affect part of the leg (thigh) or the entire limb. For example, pain in the groin, radiating to the anterolateral part of the thigh, down to the knee, is characteristic of coxarthrosis.
In addition, pain in the leg and groin can occur due to tumors (benign and malignant), osteochondrosis of the lumbar spine, inguinal hernia, gynecological and urological diseases, and trauma to the groin area.
Lower back pain radiating to the groin
This complex of symptoms is possible when
(mainly the lumbar spine), as well as for prostatitis, inflammation of the hip joints and sacroiliac joints.
Sometimes such pain is referred to as pain in the back and groin.
What to do if you have pain in the groin?
Since groin pain is most often caused by quite serious diseases, you cannot simply drown it out
). You need to see a doctor to determine the cause of the pain.
If there is an inguinal hernia, treatment is prescribed by the surgeon. The patient is recommended to wear a special bandage, limit physical activity, and subsequently undergo a planned operation. If there is a danger of strangulation of the hernia, the operation is performed urgently.
Which doctor should I contact? In case of urolithiasis - examination by a therapist and urologist. Depending on the location and size of the stone, medical or surgical treatment is carried out.
A neurologist treats spinal osteochondrosis. He may refer the patient to a chiropractor, osteopath, physical therapist, or physical therapist. In severe cases, surgery is performed by a neurosurgeon.
Enlarged inguinal lymph nodes require a thorough examination of the patient. It would be reasonable to first contact a local physician, who will prescribe an initial examination (blood and urine tests), and then refer the patient to a urologist, oncologist, gynecologist or immunologist.
Treatment of groin pain using shock wave therapy - video
ATTENTION! The information posted on our website is for reference or popular information and is provided to a wide range of readers for discussion. Prescription of medications should be carried out only by a qualified specialist, based on the medical history and diagnostic results.
Lower back pain that radiates to the groin can have a variety of causes. Here one should suspect both inflammatory diseases of internal organs and destructive changes in the musculoskeletal system. As a rule, such irradiation is not associated with osteochondrosis of the upper spine. The most common cause of pain is arthrosis of the hip joint, spinal stenosis, and osteochondrosis of the lumbosacral spine.
Causes of pain in the lumbar region radiating to the groin
With lumbar osteochondrosis, pain in the lower back can have a sharp “shooting” character and worsen with physical activity. The cause of the disease is excess weight, curvature of the spine, heavy lifting, injury, and insufficiency of the muscular skeleton. The lower spine experiences enormous loads - this is the price to pay for walking upright. Depending on the stage of osteochondrosis, the nature of the pain differs. Over time, if the cause is not treated, the fibrous rings are destroyed and an intervertebral hernia occurs. It is at this moment that pain in the lower back radiates to the groin especially pronounced. The pain radiates to the groin for two reasons: damage to the lowest parts of the spinal column has occurred, or a pinched nerve has occurred.
The diagnosis of arthrosis of the hip joint is made quite rarely, since it is very difficult to notice at an early stage. The disease can affect one or both hip bones. Most often it is diagnosed in women after 40 years of age. Due to the extremely slow transition from one stage to another, as well as due to the similarity with specific female diseases, accurate identification of arthrosis occurs in its last stages. The pain is felt acutely, localized in the sacrum, anterior and lateral thigh, creates a feeling of aching in the buttocks, and can radiate to the leg, often under the knee. If pain in the lower back radiates to the groin, this is a reason to examine the hip joints! Pain in the lower edge of the abdominal cavity is especially pronounced when the joint is loaded: running, training, dancing. At first they resemble a severe cramp, then they become unbearable.
Spinal stenosis is a pathological narrowing of the canal. It may be a consequence of lumbar osteochondrosis or another systemic disease, for example, ankylosing spondylitis. Symptoms of the disease include:
Diagnosis and treatment of low back pain
To prescribe adequate treatment and select optimal therapy, it is necessary to conduct a thorough, comprehensive diagnosis. As a rule, a visual examination does not bring any results, so an instrumental examination is prescribed.
Due to the fact that back pain can be symptoms of diseases of internal organs, signs of inflammation, you should start with ultrasound diagnostics. An MRI is performed to determine the condition of the bones and soft tissues surrounding the spine. There is no need to abandon a seemingly outdated X-ray examination. It can reveal hidden fractures, kidney stones and other diseases, even those not related to pain.
Of course, each specific case requires a special approach. If the pain radiates to the groin so that it is impossible to endure, the patient is prescribed analgesics, NSAIDs, and anesthetics. Often injections are required into trigger points in the muscles, into the cavity of the intervertebral joint. Manual, physical therapy, exercise therapy are an integral part of the treatment process. Often the patient is prescribed to wear special corsets. Surgical treatment is used only in extreme cases.