There are many factors that provoke pain in the inner thigh and groin. To determine what to do in such cases, let’s look at the causes of groin pain.
The inner thigh hurts for a number of reasons. Here the connection of the upper and lower parts of the body occurs; clusters of blood vessels, the bladder, and the pubic bone are located here. The muscles responsible for movement are directly connected to the inner thigh.
Possible causes of pain on the inner thigh muscle:
Pain localized on one side often manifests itself as a result of anomalies: inguinal hernia, pain in the kidneys, inflammation of appendicitis. A hernia appears as a swelling. The cause is weakness of the abdominal wall and muscles.
With colic in the kidneys, the pain is one-sided. Pain appears on the surface of the lumbar spine, when stones move towards the bladder, and is accompanied by frequent urination.
When appendicitis is inflamed, the area to the right of the inner thigh hurts, the discomfort intensifies, moving down. When walking and lying on the left side, the discomfort intensifies and radiates pain to the colon area.
A hernia is a common cause of muscle discomfort on the inner thigh. Conventionally, hernias are divided into several types, based on factors:
In addition to the main cause of the disease, there are factors leading to the formation of the disease. These include: coughing, sneezing, excess weight problems, pregnancy, constipation, constant carrying of heavy objects.
Symptoms of an emerging hernia include:
Based on the nature and intensity of pain on the inner side of the thigh, pathological processes in the patient’s body are determined.
Acute pain occurs with cystitis, urolithiasis, nerve compression, and inflammatory processes in the lymph nodes. The muscles in the thigh area are very sore due to oncological processes, ovarian dysfunction, and painful menstruation. Dull pain in men signals varicose veins in the testicle. Tugging feelings occur after intense training and are a consequence of prostatitis and gynecological diseases. The feeling of pulsation manifests itself when blood vessels rupture, of which there are many concentrated in the groin.
Athletes often experience unpleasant feelings after competitions and intense training. The muscles of the inner thigh are subjected to heavy loads in athletes involved in hockey, basketball, tennis and football. Such pains are nagging in nature. Often playing sports is accompanied by serious injuries in the form of muscle tears in the groin. In this case, the pain becomes acute.
A common cause of pain on the inner part of the thigh muscle, which intensifies while walking, is a chronic type of pelvic joint disease - coxarthrosis. The disease is accompanied by modifications of joint tissues.
At rest, the disease has no obvious symptoms. Painful sensations are unilaterally localized. Symptoms appear due to an acute inflammatory process in the testicle and its epididymis.
The appearance of such symptoms is a signal of diseases of the urethra, stones in the bladder, inflammatory processes of the uterus and its prolapse. The same symptoms occur in ectopic pregnancy.
Muscle pain just above and to the right of the groin indicates an inflammatory process in appendicitis. Bladder diseases also cause pain in this part of the thigh.
Pain localized below the groin represents muscle pain or indicates prostatitis in men.
Often, pain moves from the intrafemoral area to the leg, with unpleasant symptoms spreading both to the femoral part of the muscle and throughout the leg. Such symptoms indicate the presence of coxarthrosis. Such symptoms include: oncological manifestations, osteochondrosis of the spine in the lumbar region, inguinal hernia, diseases of gynecology and urology, injuries in the groin.
If pain appears in the lumbar area, moving to the groin, the presence of osteochondrosis is likely. Also, such sensations cause inflammatory processes in the area of the pelvic joints and sacroiliac elements and prostatitis.
Groin pain is a consequence of serious illnesses. It is dangerous to drown out unpleasant symptoms with painkillers. The doctor decides what to do in such cases, based on the results of a comprehensive examination and the individual characteristics of the patient’s body.
If a hernia is detected, the surgeon determines the methods of treatment. The only effective treatment for hernias is surgery. The patient is prescribed the use of a bandage, a reduction or complete cessation of physical activity, and an operation to remove the pathology. In the event of a possible entrapment of the hernia, surgical intervention is required urgently.
If stones are detected in the genitourinary system, consultation with a therapist and urologist is required. Taking into account the location and size of the stone, therapy is prescribed to help crush the stone formation and its subsequent removal naturally. In difficult cases, surgery is performed to remove stones by making incisions in the wall of the abdomen and bladder.
Methods for crushing kidney and bladder stones:
For crushing, the patient is placed on a chair with his legs spread wide apart and a special tube with a probe is inserted into the bladder. The bladder is filled with a special liquid, after which the stone is crushed using a pre-selected method. The crushing method is chosen based on test results, the general condition of the patient and the nature of the stone. The broken stone fragments are removed using special tools. Sometimes, after the procedure, a catheter is left in the patient for a short period of time to facilitate the removal of urine with the remains of stone chips.
Problems of this kind are solved by a neurologist. Physiotherapy and massage are used in treatment. Also physical therapy with the use of medications that help relieve pain, spasms and swelling, eliminating inflammatory processes. In cases of severe form of the disease, a surgical method is used to solve the problem.
Therapeutic procedures for coxarthrosis, which provokes pain on the surface of the inner thigh and gives off unpleasant sensations throughout the leg, include:
In treatment aimed at eliminating pain symptoms in the area of the inner thigh and the diseases that caused them, it is recommended to give up bad habits and follow a diet that limits the consumption of fatty, fried, smoked and salty foods.
Mom is 79 years old. Height 164, weight 84. Hysterectomy (2001), herniotomy (2009). Since 2001, diagnoses: hypertension, ischemic heart disease, cardiosclerosis, CVD in cerebrosclerosis and osteochondrosis. Until 2014, I did not take medications of the year; I got rid of headaches with citramon.
Complains of severe dizziness if he throws his head back, tries to look up, lies on his left side, “no blood flows to the brain on the left side.”
In April 2014, I fell off the table (while hanging wallpaper) after throwing my head back. She hit her head, lower back, and broke her arm. There was no concussion. After 2-3 months, “jolts” and slight unsteadiness began when walking. Then a slight tremor of the right hand appeared.
- neurologist at the Institute of Gerontology 11/10/14: dyscirculatory a/c and hypertensive encephalopathy, stage 2. With [. ] mainly in the vessels of the VBB, essential tremor of the arms and head. Mildronate 1 month, Actovegin - 2 months, Neovital - 1 month, Epadol - 1 month, Cerebrovital - 1 month.
On 12/13/14 at night I wanted to get up to go to the toilet, felt a sharply painful blow in the lumbar region, “as if four arrows were shot up my spine” and lost consciousness, fell back on the bed and slept (?) until the morning. Presumably, she lay on her left side for some time. In the morning I couldn’t get up, it was difficult to open my eyes, I had severe nausea, they called an ambulance, they assumed a hypertensive crisis, they gave me injections, there was no improvement. I lay there for two days
12/15/14 hospitalization in the Chernigov City Hospital, neurology, discharge diagnosis 12/29/14:
CVH, stage 2 CPMC in VBB in the advanced stage (13/12/14) with moribund vestibulotaxic syndrome. A/c cerebral artery (I67.8.7), hypert. illness 2nd grade, 3rd grade, rizik 4. Transverse osteochondrosis with important symptoms of the cervical region. CV-CVI instability. Cervicalgia with mild pain syndrome. IXC. Angina pectoris isst., stable, 2 f.k. with preserved systolic function of the left circuit. Post-infarction (according to ECG) cardiosclerosis. Chronic cystitis, remission stage.
Recommendations: atherocardium, Cardiomagnyl, dicorlong, roseart. Hospitalization for 6 months.
She was discharged in satisfactory condition under the supervision of a local neurologist in Chernigov.
On 4/15/15, against the background of an acute respiratory viral infection, the house fell “out of the blue”: I felt a sharply painful blow in the lumbar region, “as if an arrow had been shot up the spine”, fell “as if knocked down” back, and hit the back of my head.
Examination by a neurologist at the Meddiagnostika center 04/22/15
Complaints: clockwise dizziness, occurs when changing position, in a position on the left side, when throwing the head back, unsteadiness when walking, instability, hand tremors. Morning stiffness - no. Meteor dependence - yes. Joint syndrome: pain in the legs, no night pain; low-grade fever no. Previous treatment: giloba, mildronate, vasoserc, neuroxon, mexidol.
Objectively: Neurological status: at the time of examination, cranial innervation - the left lip fold was smoothed, slight deviation of the tongue to the left, otherwise without acute pathology. Head tremor of the essential type is inconsistent, tremor of the hands, more on the right. Muscle strength is diffusely reduced, gait is ataxic, muscle tone is unevenly increased in an extrapyramidal pattern. Tendon and periosteal reflexes are moderately alert with a slight predominance in the left hand. Strumpel's syndrome on both sides, the left plantar reflex is distorted (the right one is reduced). Tension symptoms: Lassegue positive on the right, Wasserman (Matskevich) on the right on both sides. In Romberg's position she is unstable, falls back and to the right. The function of the pelvic organs is increased. Limitation of flexion abduction rotation in symmetrical hip joints.
Diagnosis: stage 2-3 DEP in the form of pronounced vestibuloatactic syndrome, extrapyramidal disorders such as hyperkinesis, hydrocephalus.
Consultation at the Parkinsonism Center September 2015.
Diagnosis: extrapyramidal yeast syndrome against the background of stage 2 DEP, stage 2 hypertension.
Recommendations: Levodopa is not currently indicated.
From the fall of 2015 to 2/18/16, traffic problems grew in waves.
Dizziness is common (while taking vestibo 24). Pressure surges: during the day from 170-180/110 to 80/55 (low is always around 11 am, goes away after an hour’s sleep).
Duplex scanning of extracranial sections of brachiocephalic vessels and transcranial duplex scanning:
7/10/14 A/c arteries. Vertebrogenic non-straightness of the course of both vertebral arteries.
28/1/15 A/c arteries. Vertebrogenic non-straightness of the course of the vertebral arteries. Deformation of the right vertebral artery in segment VI. Wavy course of the ICA.
28/4/15 Echographic signs of stenotic a/s. A decrease in the speed of blood flow in the basin of both middle cerebral arteries, more pronounced in the left middle cerebral artery. Vertebrogenic deformation of the V2 segment at the level of C5-6 vertebrae of both vertebral arteries, which has no systemic hemodynamic significance. Signs of dyshemia and a decrease in the speed of blood flow in the arteries of the VB basin on both sides, more pronounced on the right, probably due to influences of vertebrogenic origin in the area of the cranio-vertebral junction.
Signs of impaired venous outflow from the cranial cavity, accompanied by a decrease in volumetric blood flow through the left internal jugular vein and volume overload of the right internal jugular vein, with signs of increased blood flow through the deep veins of the brain on both sides. Expansion of the cavity of the third ventricle. A significant decrease in the transparency of the temporal ultrasound windows on both sides, more pronounced on the left.
Evaluation of the results of functional cerebrovascular tests:
Decrease in the functional (perfusion) reserve of cerebral circulation in the basin of both middle cerebral arteries. When studying cerebrovascular reactivity, signs of tension in the autoregulation system are determined with the development of functional vasospasm of the arteriolar bed in the basin of both middle cerebral arteries.
When performing vertebrobasilar tests, signs of increased severity of dyshemia in the left vertebral artery basin are determined.
MRI of the brain:
On 12/15/14, the MRI sign of pathological changes in the brain was not detected. Atrophic enlargement of the liquor spaces (mixed hydrocephalus ex vacua). Changes in the paranasal sinuses are of a chronic ignition nature. The parietal volume of the right maxillary sinus (high protein cyst).
CT scan of the lumbar region
CT picture of intervertebral osteochondrosis L3-S1, herniated discs L4-S1.
CT scan of the cervical spine
CT picture of intervertebral osteochondrosis of the C3-C7 discs, herniation of the intervertebral discs C5-C6, C6-C7.
CT scan of the chest
CT picture of m/n osteochondrosis Th3-Th10. Osteoprosis.
Published by: admin in Leg pain 01/31/2018 0 9 Views
Other names for this disease: coxarthrosis . deforming arthrosis of the hip joint, according to the American classification - osteoarthritis of the hip joint .
Arthrosis of the hip joints (coxarthrosis) begins in most cases after the age of forty. Ladies get sick a little more often than men. Coxarthrosis can affect either one or both hip joints. But in addition, in the case of a bilateral lesion, first, in most cases, one joint becomes ill, and only later does the second one “pull up” to it.
The main symptom of coxarthrosis is pain in the groin. Much more often, pain from the groin spreads down the leg - along the front and side of the thigh. From time to time, such pain also spreads to the buttock. In most cases, the pain coming from the groin along the front and side of the thigh reaches down only to the middle of the thigh or to the knee. This pain rarely goes below the knee. Only very rarely does the pain reach the middle of the lower leg, but does not go down to the toes - this is the difference between coxarthrosis pain and pain caused by damage to the lower back (for example, a herniated intervertebral disc).
Pain occurs mostly when walking and when trying to get up from a chair or bed. Quite often, the very first couple of steps after standing up are especially painful. Later, when the sick person leaves, he may feel a little better. But after a long walk, the pain intensifies again. At rest, sitting and lying down, the pain in most cases goes away.
In the early stages of coxarthrosis, pain in the groin and thigh is mild, most often there is only a slight limp and a slight aching pain when walking. Based on this, the sick person is in no hurry to see the doctor, maintaining the hope that the trouble will somehow resolve itself. But time passes, the disease progresses, and the pain increases. As a rule, this happens slowly, but from time to time, after an unsuccessful movement or load, quite sharp exacerbations can occur, which last from several days to several months.
limited mobility of the affected leg is added to the pain . It is difficult for a sick person to move his leg to the side or pull his leg to his chest; hard to put on socks or shoes. A sick person is unlikely to be able to sit astride a chair with his legs spread wide apart, or will do so with difficulty.
Coxarthrosis - symptoms, degrees, treatment
As coxarthrosis progresses, some patients may experience an increasingly distinct crunching sound in the affected joint when moving and walking. In most cases, it is often associated with friction of articular surfaces that are not perfectly adjusted to each other in shape.
It goes without saying that healthy joints will also be able to click easily, and in some people the clicking is also very loud. But arthrosis crunch has a completely different tone, it is uncouth and dry. And if at the first stage of the disease the crunching of the joint is relatively weakly expressed, then as coxarthrosis progresses it becomes more audible and distinct.
I would like to emphasize once again: one should not confuse crude arthritic crunching in a joint, which is in fact invariably accompanied by pain, with a harmless cracking of joints that occurs in some healthy people and is not accompanied by pain. Painless, soft cracking of the joints is only possible as a result of weak ligamentous apparatus, or as a result of excessive joint mobility or some other personal quirks in the structure of the joints of a given person. In most cases, such a soft crunching does not threaten anything, does not have negative consequences, and does not increase the risk of joint diseases in the future.
In long-term cases of arthrosis, the affected leg contracts (in fairness, it should be noted that in approximately 10% of patients, atypical, irregular coxarthrosis begins, while the affected leg, on the contrary, lengthens). The shortening of the legs is especially noticeable when the patient lies on his back. It is immediately clear that the affected leg is smaller than the healthy one and is turned outward.
In addition, shortening of the leg can be recognized if the patient is placed on the belly and his heels are brought together. But at the same time you need to make sure that the patient lies straight and does not twist the body. And don’t forget that a difference in leg length of half a centimeter to a centimeter is considered physiological, in other words, normal, acceptable. But the difference in and more needs to be compensated: for example, it is possible to put an additional insole in the shoes of a shortened leg.
Due to the shortening of the leg, a person suffering from coxarthrosis noticeably limp when walking . he seems to be falling on his bad leg. It is clear that due to lameness, the lumbar spine is subject to increased stress when walking. Based on this, over time, chronic fatigue pain in the lower back is added to pain in the groin and hip.
At approximately the same stages of the disease, atrophy of the thigh muscles appears: the muscles of the diseased leg above the knee seem to dry out and decrease in volume. The diseased leg looks obviously thinner than the healthy one.
Atrophy of the femoral muscles leads to pain in the knee area, at the tendon attachment points. The most interesting thing is that such pain in the knee area can be more pronounced than groin and hip pain. As a result, patients are usually misdiagnosed with arthrosis of the knee joint and receive inappropriate treatment.
In my books, I have already spoken about a lady who suffered from coxarthrosis, who was mistakenly treated for 5 years (!) for allegedly having arthrosis of the knee joint. During treatment, the lady was given intra-articular injections into the knee area multiple times But at the same time, for all 5 years, the doctors never bothered to check the condition of her hip joint; in other words, no one ever examined the entire leg or tried to assess the mobility of the joints. At the time when the patient came to see me, and I began to conduct a functional examination, it became known that the lady’s knee joint was in perfect order, but the hip joint had already reached an extreme degree of destruction. And it was too late to treat it; the patient needed surgery.
Unfortunately, this case is not isolated. Such mistakes happen when the doctor is too lazy to conduct a detailed examination of the patient. Despite the fact that it is very simple for a non-lazy, competent expert to examine and rotate the patient’s leg and assess the level of rotation, it is sufficient to accurately make a preliminary diagnosis, also based on the results of the examination. And then you just need to conduct a further examination of the patient, which will confirm (but possibly refute) such a preliminary diagnosis.
Article by Dr. Evdokimenko for the book Arthrosis, published in 2003. Edited in 2011 All rights reserved .
You can watch a video with gymnastics for the treatment of coxarthrosis here
Have you ever had such an unpleasant feeling of numbness in your right or left thigh? In this article we will look at the causes of numbness in the right/left thigh, up to the knee? Let's find out what needs to be done in this case?
Numbness in the sensation of the thigh on the left/right leg is medically defined as paresthesia. The loss of sensation in the thigh area is characterized by a sudden attack that occurs after a very long period of sitting in one place; long night's rest; after running/walking.
In approximately 70% of clinical cases, patients complain that they have numbness in the front of the thigh. Periodically, numbness spreads to the area above the knee or to the back of the thigh.
In severe pathological cases, in particular, with damage to the musculoskeletal system, patients note that they not only begin to experience numbness in the left/right thigh, but also periodically experience pain in the groin, perineum, buttocks, lumbar region and abdominal cavity . That is, in all those places where nerve endings extend from the musculoskeletal system. It is worth immediately noting that in such cases the most common diagnosis is intervertebral hernia.
Among the most common and frequently encountered diagnoses that can be heard after a complete diagnosis of the body (meaning initial complaints about loss of sensitivity in the left/right hip), these are:
Also, other causes of numbness (loss of sensation) in the left/right leg may include conditions such as:
To confirm or refute the diagnoses described above, it is imperative to consult a general practitioner, traumatologist, or vascular surgeon. Initially, you go to a therapist, and they already give you a referral to other specialists.
It is mandatory to do an X-ray of the spine, MRI diagnostics, computed tomography, and neuromyography.
In addition to instrumental diagnostics, it will be necessary to study diseases that were in the anamnesis - for example, mechanical damage, inflammatory and infectious processes.
The general practitioner will definitely refer you for a general and biochemical blood test, urine test, ultrasound of the abdominal cavity and pelvic organs. If there is a suspicion of diseases of other internal organs, then be prepared to study diseases of the thyroid gland, pathology of the blood vessels of the lower extremities, MRI of the brain, as well as a blood test for tumor markers.
If the numbness of the left/right thigh is isolated, then in this case there is no need to be particularly concerned about this.
Also, if numbness of the left/right thigh is associated with the characteristics of professional activity (for example, athletes, as well as all those whose work involves constant lifting of heavy weights).
When the left/right thigh and groin area become numb, then in this case it can be assumed that the patient is developing Bernhardt-Roth syndrome or the second name for the disease is verterogeneous radiculopathy.
With developing numbness of the outer surface of the thigh, both left and right, pathological compression of the so-called neurovascular trigger can be suspected. It is characteristic that if you press the bent legs to the stomach, the patient will not feel the place above the knee; the feeling of leg mobility disappears.
Another reason for numbness in the thigh above/below the knee is characterized by a condition called sciatic neuralgia. Unpleasant symptoms intensify while raising the leg, both bent and straight.
If the inner part of the thigh hurts, and there is also nagging pain inside the perineum, this means that there are gynecological diseases in women or proctological diseases in men.
If your hips go numb while walking, you stop feeling your legs, you limp, and then you get the feeling that goosebumps are running down your legs, then be sure to check your cardiovascular system. If you have recently experienced a heart attack, or your heart is tingling due to discomfort in your legs, then consult a cardiologist.
Numbness in the thighs may be due to insufficient blood circulation, which is caused by the slow work of the heart muscle.