Brief Answer:
requires workup

Detailed Answer:
Hello and Welcome

I appreciate your concern.

Intra-articular conditions—such as degenerative joint disease, osteonecrosis, chondrolysis, labral tear, and fractures—typically present with deep groin pain that radiates to the anterior thigh and medial knee.

Extra-articular conditions may include musculotendinous strains, pelvic fractures, sacroiliac joint disorders, sports hernias, nerve entrapments, lumbar radicular pain, or osteitis pubis. These conditions may present with groin pain along with other disorder-specific symptoms and atypical radiation patterns.

An orthopedic consult is required to do a physical exam in this regard , The standing examination can help evaluate factors such as pelvic obliquity and gait, while a seated examination can help determine hip joint mobility by stabilizing the pelvis. A supine examination can assess the internal and external range of motion, as well as hip flexion, extension, abduction, and adduction. In addition, an examination with the patient in the lateral decubitus position may help the orthopaedist evaluate factors such as iliotibial band contracture.

If constitutional symptoms are present along with groin pain and septic arthritis is suspected, then routine blood tests—including complete blood count, erythrocyte sedimentation rate, and C-reactive protein—should be conducted.

Magnetic resonance imaging (MRI) is the study of choice to diagnose labral and cartilage disorders, assessment for its need is to be done in consult with your doctor.

You may take tab buscopan plus and cap gabapentin 300 mg tds for the pain for the time being. The urinary tract must be properly investigated and any identifiable cause of pelvic pain ruled out. This is done by clinical examination, checking of the urine and diagnostic imaging such as ultrasound scanning.

Once this diagnosis has been made, there is no general agreement about treatment — as you have found.

It is common for patients to be prescribed a class of medicines called alpha blockers, which relax the smooth muscle of the prostate and may ease urinary symptoms.

Prostatitis can present in a similar way, A detailed history and physical exam are key, and always should include a digital rectal exam, where the doctor inserts a gloved, lubricated finger into the rectum to feel the prostate and determine if it is tender or swollen. If prostatitis is suspected, urine samples are taken and analyzed.
Treatment depends on the type of prostatitis. If caused by a bacterial infection, an extended course of oral antibiotics is often used. For acute infections, intravenous antibiotics and hospitalization may be required. When the prostatitis doesn’t appear to be caused by a bacterial infection, antibiotics are often still effective, as for some men, the bacterial infection can remain “hidden” within the gland tissue of the prostate and may not be detected within the urine. Additional treatment strategies include over-the-counter nonsteroidal anti-inflammatory medicines or prescription pain medications to reduce swelling. The use of stool softeners, drinking lots of fluids, and soaking in hot baths also commonly provide relief. For the most part, treatment of prostatitis is aimed at providing symptomatic relief until the associated discomfort subsides

Let me know if you have any query

wishing you best of health

Thanks

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