Groin Strains: When to Seek Medical Attention - Rehabilitation

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Hello! Thank you for reaching out with your questions regarding groin strains and ankle injuries. It sounds like you have been dealing with some persistent pain, and it's important to address these issues properly.


Understanding Groin Strains
A groin strain occurs when the muscles in the groin area are overstretched or torn. This type of injury is common in sports that involve sudden movements, such as kicking, sprinting, or changing direction. The symptoms you describe—pain during specific movements like lifting your leg or twisting your torso—are typical of a groin strain. The fact that you initially experienced pain only during certain activities but now have discomfort even when walking suggests that the injury may not have fully healed.

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When to Seek Medical Attention
Given that it has been over a month since your initial injury and you are still experiencing pain, especially with certain movements, it would be advisable to seek medical attention again. Here are some signs that indicate you should see a doctor:
1. Persistent Pain: If the pain continues or worsens despite rest and conservative treatment, it may indicate that the injury is more severe than initially thought.

2. Swelling or Bruising: If you notice any swelling, bruising, or tenderness in the area, this could suggest a more serious injury.

3. Limited Range of Motion: If you find it difficult to perform daily activities or specific movements without pain, it’s a sign that further evaluation is needed.

4. Radiating Pain: If the pain starts radiating to other areas, such as your buttocks, it could indicate that other structures are involved.

In your case, since you mentioned pain near the buttocks close to the groin area, this could suggest that the injury might have affected surrounding muscles or tendons. A follow-up with an orthopedic specialist would be beneficial, as they can assess the injury and determine if further imaging, such as an MRI, is needed to rule out any tears or other complications.


Ankle Injury Considerations
Regarding your previous ankle injury, it’s not uncommon for individuals to experience lingering pain after an ankle sprain, especially if it was not properly treated at the time. Chronic ankle pain can result from residual instability, scar tissue formation, or even arthritis in some cases.

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When to Seek Medical Attention for Ankle Pain
You should consider seeing a healthcare provider if:
1. Pain Persists: If you are experiencing pain that affects your daily activities or worsens with exercise, it’s time to get it checked out.

2. Swelling or Instability: If your ankle swells or feels unstable, this could indicate ongoing issues that need to be addressed.

3. Difficulty Walking: If you find it hard to walk or bear weight on the ankle, this is a clear sign that you should seek medical advice.


Which Specialist to See?
For both your groin and ankle issues, you can choose to see either an orthopedic specialist or a physical therapist. Orthopedic doctors can provide a comprehensive evaluation and treatment plan, including imaging if necessary. Physical therapists can help with rehabilitation exercises to strengthen the affected areas and improve mobility.

In summary, it’s essential to listen to your body. Given the persistence of your symptoms, seeking further medical evaluation is warranted. Early intervention can prevent further complications and help you return to your activities safely. Best of luck, and I hope you find relief soon!