Groin and Inner Thigh Pain: Causes and When to Seek Help - Urology

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Hello Ed,
Thank you for reaching out with your concerns regarding the pain you are experiencing in your left groin and inner thigh. Based on your description, it sounds like you are experiencing intermittent pain that radiates from the groin area down to the inner thigh and knee. While this pain does not seem to affect your ability to walk or perform normal activities, it is still important to understand the potential causes and when to seek medical attention.

Possible Causes of Groin and Inner Thigh Pain:
1. Muscle Strain: Even if you haven't engaged in any recent physical activity, it is possible that you may have strained a muscle in the groin or thigh area. Muscle strains can occur from sudden movements or even from prolonged sitting or standing in an awkward position.

2. Ligament Injury: The groin area is supported by various ligaments that can become strained or injured, leading to pain. This is often seen in athletes but can occur in anyone.

3. Hip Joint Issues: Conditions such as hip impingement or osteoarthritis can cause referred pain to the groin and inner thigh. These conditions may not always present with constant pain but can lead to intermittent discomfort.

4. Nerve Compression: Nerve issues, such as a pinched nerve in the lower back or pelvis, can cause pain that radiates down the leg. This type of pain may come and go and can be associated with certain positions or movements.

5. Hernia: An inguinal hernia can present with groin pain, especially if there is a bulge present. This condition may require surgical intervention if diagnosed.

6. Referred Pain from Other Conditions: Sometimes, pain in the groin can be referred from other areas, such as the lower back or abdomen. Conditions like kidney stones or infections can also manifest as groin pain.

When to Seek Medical Help:
Given that your pain is intermittent and not affecting your daily activities, it may not be urgent. However, you should seek medical attention if you experience any of the following:
- Persistent pain that worsens over time
- Swelling or a noticeable bulge in the groin area
- Difficulty walking or performing daily activities
- Signs of infection, such as fever or redness in the area
- Any other concerning symptoms that arise
Which Specialist to See:
For your symptoms, I would recommend starting with a visit to a primary care physician or an orthopedic specialist. They can perform a physical examination and may order imaging studies, such as X-rays or MRI, to determine the underlying cause of your pain. If necessary, they may refer you to a physical therapist or a specialist in sports medicine for further evaluation and treatment.

In conclusion, while your symptoms may not seem severe at the moment, it is always best to err on the side of caution when it comes to unexplained pain. Keeping track of any changes in your symptoms and discussing them with a healthcare provider will help ensure that you receive the appropriate care.

Take care, and I hope you find relief soon!
Best regards.