Groin pain can have many causes and can occur with pain in other areas of the body, for example:
Causes of pain in the groin to the leg
Muscle tightness in the groin
A groin muscle injury is a stretch or rupture of the adductor muscle due to a sudden or rapid movement of the leg.
- During the race,
- In the change of direction,
- In a move against a resistance such as during a kick in a ball
Lesions of the groin muscles may occur during a workout, on the right or left sides with the same probability.
The symptoms are felt during walking, running and when the patient lifts the leg.
The patient does not feel pain when standing.
Muscle injury or strain may cause swelling and pain in the groin and leg.
- It originates in the first 4 vertebrae of the spine ,
- It descends to the front of the tibia and the foot passing through the inner side of the knee.
It is an acute spasmodic pain in the leg that radiates from the back of the spine to the right or left abdomen and then descends along the anterior and inner part of the thigh .
Since some testicular nerves start from the crural, the sufferer of this symptom also has pain in the testicle .
The pain gets worse:
- With the cough ,
- During the evacuation.
These actions cause a contraction in the abdomen that increases pressure on the intervertebral disc.
The main cause of an acute groin or leg injury may be:
- A direct trauma ,
- An accident,
- A fall,
- An abnormal twist of the leg.
osteitis Pubic osteitis is the inflammation of the pubic bone that can cause pain around the groin and leg during physical activity.
Iliopsoas muscle contraction
Many people believe they have a distension of the abdominal muscles, but in reality these muscles do not suffer this type of injury.
Muscle injury occurs in muscles that stretch violently (for example, the calf, quadriceps, etc.).
In fact, muscle pain can be felt in a deeper muscle called iliopsoas.
The contracture or a trigger point active at this level causes a pain that can radiate up to the quadriceps.
Arthritis and hip arthrosis
Degenerative diseases can cause pain:
- In the hip ,
- In the groin.
- Internal rotation,
- Hip extension (bringing pelvis forward and knees back).
This disorder does not cause pain in the testicle.
The hip joint can also be affected by arthritis .
Inflammation of the outer capsule of the hip joint due to rheumatoid arthritis can cause severe pain in the groin.
- Stones in the kidneys ,
- Cancer (pain can also be felt at night),
- Fracture of the femur at the hip ,
- Pyriform syndrome (a gluteus muscle that often also causes groin pain),
- Varicocele (dilatation of the veins of the cord that supports the testicles), usually affects the left testicle but does not cause inguinal pain,
Groin pain during pregnancy
Pregnant women may experience groin pain due to various factors such as hormonal changes and changes in body structure.
Most pregnancy-related discomforts include groin pain; this can be attributed to the hormonal changes that occur during this period.
An increasing level of pregnancy hormones (particularly relaxin and progesterone) make the pelvic muscles and ligaments softer and more flexible to facilitate delivery.
However, these muscles and ligaments hold the joints of the pelvic region and when they become flexible, pregnant women may feel pain:
- In the lower abdominal area,
- In the groin,
- On the right or left side of the abdomen.
Structural changes of the body
Pregnancy is also characterized by some structural changes in the body that can cause pelvic and groin pain.
Fetal growth as well as an increase in body weight may increase
- On the hips,
- In pelvic joints.
An increase in body weight also alters the center of gravity of the body that can cause pain in the back and pelvic area.
These changes do not occur early in pregnancy but close to the fifth month and reach the maximum intensity around the eighth or ninth month.
Pain in the round ligament
Pain in the round ligament is often described as an acute and pungent pain that can be felt:
- In the hip,
- In the pelvis,
- In the lower abdomen,
- In the groin.
The round ligaments connect the groin and the front of the uterus and are responsible for the support of this organ.
During pregnancy, these ligaments stretch and thicken to support and make room for uterus growth.
However, if the elongation of the ligament is slower than the growth of the uterus, the consequence is a stretch that can cause pain on one or both sides of the abdomen down to the groin.
Sometimes the pain can reach the hips.
Pregnant women often feel this pain when they suddenly rise from a sitting position and even when they cough or when they do an activity that puts pressure on the round ligaments.
The dysfunction of the pubic symphysis
The pelvis (or pelvic girdle) is a bony structure consisting of four bones:
- Two bones of the bowl,
- Sacrum (triangular bone structure located at the base of the spine),
The coccyx and the sacrum are united in the posterior part, while the two bones of the basin are in the sides, curved later to be in the previous part.
The pubic symphysis is the fibrocartilaginous junction in the anterior part, where the two halves of the pelvis are found.
In fibrocartilaginous joints, the bones are joined by cartilage and fibrous tissues and this type of joint allows small movements and little flexibility.
Relaxin and progesterone are the hormones that prepare the body for labor by softening and relaxing the pelvic ligaments.
This allows the pelvic joint to move so that the baby can pass through the pelvis.
Usually, the pubic symphysis widens from 2 to 3 mm during pregnancy, to:
- Dilate the pelvic ring,
- Facilitate or deliver.
Sometimes the pelvic joint moves too much because of the overly flexible ligaments and, consequently, the pelvic girdle becomes unstable .
This condition is called pubic symphysis dysfunction in gestation (DSP) and pregnant women may suffer from this pathology during the second trimester.
It is not clear what causes DSP, although it is believed that several factors are responsible, including:
- Overproduction of pregnancy hormones,
- The overload on the pelvis (due to weight gain),
- The way the body moves.
Areas surrounding the pubic symphysis may become inflamed when walking or moving the legs if one side of the pelvis moves more than the other.
DSP can produce severe pain:
- In the pubis,
- In the groin area.
Some women may feel pain in the spine, abdomen and inner thighs .
In addition, a click can be heard at the level of the pubic symphysis during movements.
Diastasis from the pubic symphysis
This condition is caused by a partial or complete rupture of the pubic symphysis, situated at the front of the pelvis.
This happens when the pubic joint extends to such an extent that the space between the two bones grows abnormally.
In women, the mean distance between the bones of the pubic joint is between 4 and 5 mm, but may increase during pregnancy.
If the distance becomes equal to or greater than 15 mm, the condition is referred to as pubic symphysis diastasis (DSP) which can produce:
- Pain in the pubic region,
- Back pain,
- Pain in the lower abdomen .
The symptoms are felt:
- While walking,
- Standing on one leg,
- With the abduction movement (pulling away the knees).
Female groin pain
One cause of groin pain is the presence of ovarian cysts , which in some cases can:
- Be great,
- Causing many other symptoms.
Some of the most likely causes of groin pain in women are:
- Premenstrual syndrome (a few days before and after ovulation ),
- Urinary tract infection and genital herpes (can also be a disease of men),
- Infection of the large intestine,
- Pelvic Disorders,
- Pelvic inflammatory disease (PID),
- Ectopic pregnancy,
- Swelling of lymph nodes .
Groin pain due to other factors
Presence of Kidney Stones:
The stones can cause severe pain that radiates from the kidney to the groin and testicles (or large lips in women) as they pass through the ureter (the tube that connects the kidney to the bladder).
The swelling of a lymph node in the groin area due to infection causes acute pain in this area.
During palpation a swollen ball is felt.
The inflammation of the appendix causes pain in the right groin on top, but at the beginning it can cause discomfort also on the left side.
This disorder mainly affects children, but in rare cases it also occurs in adults.
The pubalgia is a painful inflammation that occurs in the groin area.
It is a male disorder that usually affects teenagers who play soccer.
Pubalgia is a tendinopathy that affects the insertion of the tendons of the abdominal muscles or the adductors of the thigh.
Pubalgia causes pain during movement, especially in adduction and abduction of the leg (opening and closing of the thighs), there is no symptom at rest.
Usually the area is not swollen, unlike the inguinal hernia.
Without a treatment, this disease can cause chronic pain and incapacitating in man, preventing the resumption of sports activities.
The synovitis transient hip joint is a disease characterized by inflammation of the synovial membrane of the hip joint.
This could be responsible for pain in the hip and groin on the affected side.
Natural Treatment and Remedies for Groin Pain
- If a stretched or torn inguinal ligament is causing pain in this area, doctors usually recommend the RICE procedure.
RICE stands for:
- Ice ,
To reduce swelling in the first 24 hours, the use of cold compresses is also recommended and support the legs on the pillows while the person rests.
The anti-inflammatory drugs may relieve pain.
When the injury heals, it is possible to:
- Stretch the groin muscles,
- Strengthen muscles.
In more severe cases, if ligaments or tendons are stretched , a procedure called prolotherapy may be recommended .
It involves the use of dextrose injections at the site where the ligament or tendon meets the bone.
Injection of dextrose solution:
- Helps repair the fabric,
- Stimulates the growth of a new ligament.
If the individual suffers from inguinal hernia , surgery may be recommended.
Hernia repair consists of making incisions and pushing back the protruding part of the intestine.
Then the torn muscle is sewn together.
If the pain is caused by kidney stones , the person can use home remedies to dissolve them or can undergo surgery for removal.
Procedures such as extracorporeal shock wave lithotripsy, ureteroscopy, or nephrolithotripsy can also be used to treat kidney stones.
Sometimes the pain in this area may also be caused by infections or urinary infections affecting the reproductive organs.
They can be treated with the help of medications.
The ringworm , fungal infections or bacterial infections may cause a rash in the groin which may cause pain and itching in the crotch region.
It is possible to take pain relievers to relieve pain, but also the topical application of medicinal creams can help reduce itching or burning in the groin area.