Pain Near the Groin: Causes and Concerns - Urology

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There is a bone on that side that hurts?


Hello doctor, I would like to ask about a pain I have near my genital area.
There is a bone that hurts in that region, and it seems to be connected to the surrounding tendons, which also hurt (commonly referred to as the "groin" by many people).
Could you please tell me what that area is and why it might be hurting? Thank you for answering my questions!

Nìmíng, 20~29 year old female. Ask Date: 2012/02/23

Dr. Xu Weikai reply Urology


Hello, there are many reasons that can cause groin pain: testicular inflammation, urethritis, urinary tract stones, neuralgia, strains, sprains, tendonitis, overexertion, hernias, and so on.
Therefore, more information is needed to make a proper assessment.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses from the internet can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/02/23

More Info


Understanding pain near the groin can be complex, as this area is home to various structures, including muscles, ligaments, nerves, and bones. The pain you are experiencing could be attributed to several potential causes, and it is important to consider the specific characteristics of your pain, its duration, and any accompanying symptoms.

The area you are referring to is likely the inguinal region, which is located where the abdomen meets the thigh. This region contains several important anatomical structures, including the inguinal canal, which houses the spermatic cord in males and the round ligament in females. Pain in this area can arise from various sources, including:
1. Muscle Strain: One of the most common causes of groin pain is a strain or pull of the muscles in the groin area, particularly the adductor muscles. This can occur during physical activities, such as running, jumping, or sudden changes in direction.

2. Inguinal Hernia: An inguinal hernia occurs when a portion of the intestine protrudes through a weak spot in the abdominal muscles. This can cause pain and discomfort, especially when lifting heavy objects or straining.

3. Hip Joint Issues: Conditions affecting the hip joint, such as arthritis or labral tears, can refer pain to the groin area. Pain may be exacerbated by movement or weight-bearing activities.

4. Nerve Entrapment: The ilioinguinal nerve and other nerves in the region can become entrapped or irritated, leading to pain that may radiate into the groin or genital area.

5. Testicular Issues: In males, conditions affecting the testicles, such as epididymitis or testicular torsion, can present as groin pain. These conditions often require immediate medical attention.

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

7. Ligament or Tendon Injuries: Injuries to the ligaments or tendons in the groin area can also lead to pain. This is particularly common in athletes who engage in sports that require sudden movements.

Given the variety of potential causes, it is crucial to assess the nature of your pain. Consider factors such as whether the pain is sharp or dull, constant or intermittent, and if it worsens with specific movements or activities. Additionally, any accompanying symptoms, such as swelling, redness, or changes in bowel or urinary habits, should be noted.

If your pain persists or worsens, it is advisable to consult a healthcare professional for a thorough evaluation. A physical examination, along with imaging studies such as an ultrasound or MRI, may be necessary to determine the underlying cause of your symptoms. Early diagnosis and appropriate management are essential to prevent complications and ensure a swift recovery.

In summary, pain near the groin can arise from various conditions, including muscle strains, hernias, hip joint issues, nerve entrapment, and more. Understanding the specific characteristics of your pain and seeking medical advice when necessary will help in identifying the cause and determining the best course of action for treatment.

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