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Updated visitor guidelines. You are here Home » Groin Pain. Top of the page. Topic Overview Many times mild groin pain is caused by a minor injury that you may not have even noticed.
Causes of groin pain Pain felt in the groin may be coming from other parts of the body radiating or referred pain. This kind of pain may be caused by: A kidney stone passing through a ureter. A urinary tract infection. This is a good thing under normal circumstances because the disk is subject to constant compressive loading of the adjacent vertebrae anytime an athlete is in an upright position. When the nucleus pulposus begins to extend beyond its natural boundaries, there is initially no pain involved.
The pain and symptoms of a herniated disk only begin when the material of the disk begins to extend beyond the annulus fibrosis and pushes against soft tissues that have sensory nerve innervation. It is not unusual to have individuals walking around with either protruded or prolapsed discs with no pain or neurological symptoms. The general types of signs and symptoms of a herniated disk will be similar regardless of the level of the disk injury. However, the level of the disk injury will dictate which extremities are affected.
Symptoms may include sharp pain and muscle spasms in the vicinity of the herniated disk. Neurological symptoms may also include shooting pain, radiating pain, weakness, burning, tingling, and numbness following the nerve root that is affected by the herniation.
In the area of the neck, these symptoms may follow nerve roots and cause pain into the shoulder, arm, and fingers. Associated reflexes may also be involved. In the lumbar area, the individual may experience radiating pain down the back of the hip and all the way down the leg. The individual may walk slightly crouched over with a lean towards the opposite side of the herniation. This position helps take the pressure off the herniated disk. The most common herniated disks in the lumbar region are between L4-L5 and L5-S1.
A herniation to the intervertebral disc between L4 and L5 would have the following symptoms:. A thorough and careful clinical assessment can determine if there is a disk herniation specifically looking for nerve root involvement including radiating pain, weakness, sensory deficits, and abnormal reflex tests.
To confirm the diagnosis, the sports medicine physician may order an MRI, x-rays, or an electromyogram nerve stimulation study measures activity within specific muscles to determine if there is sufficient motor nerve stimulation of the muscle.
Cervical disk injuries usually affect older, physically active individuals. In this case, these individuals may be affected by a chronic, degenerative disk disease.
Over time, the disk height diminishes and there may be the formation of bony growths known as osteophytes in and around the vertebrae. Acute cervical disk injuries can be seen in athletes who compete in contact sports and who receive repetitive axial loading compression forces through the head and the spine or hyperflexion type injuries such as seen in the sport of football. Athletes who lead with their heads may be at risk for a cervical disc injury.
In the lumbar spine, disc injuries can occur in athletes who repetitively load their spine and combine the movement with a twist or lateral bending move.
This can be seen in the sport of basketball when an athlete comes down from a rebound and then twists the upper body to clear the area of any nearby defenders. The best way to explain the causes of a herniated disk is to think of the disk as a gel-filled balloon. The disk is sandwiched above and below by the bodies of two adjacent vertebrae. When compressive loads are distributed equally across the vertebrae, then the disk has an equal amount of force spread throughout the disk.
This pain can be either sharp or dull, depending on the location and conditions of the injury. Depending on severity, muscle strain is treated most commonly with rest, over the counter pain medication, or in more severe cases, physical therapy. Pinched nerves occur when a nerve is compressed unnaturally by surrounding tissue or bone. This compression sends a pain signal to your brain and can cause reactions ranging from a numb, tingling sensation, to sharp pain.
Like muscle strains, the severity will determine your course of treatment. Because pinched nerves usually cause short-term discomfort, rest is often the best medicine. In more severe cases, your healthcare provider may prescribe anti-inflammatory medication. Arthritis is a common condition many individuals begin to experience as they age. While there are many types over , in fact , many of the most common are caused by wear and tear on the body as you age.
This can cause pain and limited range of motion, sometimes beginning in the back and radiating into the groin area. Arthritis is a complex condition requiring a physical exam and discussion with your healthcare provider on how to move forward. Depending on what is right for you, medications, physical therapy, and different types of surgery may be utilized to manage or solve arthritic pain.
Spinal vertebrae are made of two parts— a soft inner substance and a hard outer shell. This combination allows the vertebrae to move freely and without pain. In cases where the inner lining of a disc becomes misplaced and begins to prolapse, the disc becomes herniated. Suffering from herniated discs, depending on the location, can cause pain, tinging, and a fair amount of radiating pain due to the collection of nerves collected around the spinal column.
Of these patients, 21 4. The characteristic clinical features and magnetic resonance imaging findings of the 21 patients were investigated and compared with the features and findings of patients with no groin pain.
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