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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Groin Area And Thighs?

I have been having right hip pain in my groin and across my back at the lower joint of the thigh. It comes and goes, but tends to get very bad at night when I lie down. Sometimes it spreads down the front and side of my thigh to my knee and even down the front of my leg to the top of my foot. It sometimes stays very severe for several days so I have trouble standing up and moving my leg. When I try to lift my leg up the big muscle on top of the thigh will cramp very painfully and not release. When I move my legs sideways or apart or turn the right foot outward, the groin muscles cramp up and stay that way. I am wondering if this could have anything to do with the rigidity from my Parkinson s Disease, since this right leg is the one with tremors and rigidity. I had an x=ray several years ago of the hip and it showed only slight arthritis. I am 65, female, still with pretty good strength overall. Tremor is well controlled.
Tue, 28 Nov 2017
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General & Family Physician 's  Response
Pain in the groin area that radiates through the upper thigh and into the legs, however, may indicate a more serious sports hernia, which may require surgery.
possible causes includes..
GROIN PULL

A network of five adductor muscles exists in the groin region: the pectineus, adductor brevis, adductor longus, adductor magnus and the gracilis. These muscles factor significantly in walking, sprinting, football, soccer and any other sport that demands quick directional shifts, according to the online sport injury resource Sport Injury Clinic. Groin pull symptoms include moderate to severe pain in the groin and inner thigh area, swelling, bruising, and inability to squeeze the legs together. A minor grade one strain typically involves less than 10 per cent of the adductor muscle fibers and responds to rest, ice, compression and elevation treatment. Grades two and three strains require more intense rehabilitation, and in some cases, surgery.

HIP BURSITIS

Bursae are small gel-filled sacs that function as cushions between bones, tendons and ligaments in the joints. Hip bursitis transpires when these bursae become inflamed, often due to repetitive stress through sports such as running, according to the American Academy of Orthopaedic Surgeons. The iliopsoas bursa resides on the inside of the hip joint, so symptoms occur on the groin side of the hip and inner thigh. Hip bursitis typically responds well to ibuprofen and rest, although in some rare cases surgery to remove the afflicted bursa will be recommended.
SPORTS HERNIA

According to Michael Sampson, a doctor of osteopathic medicine, sports hernias are often misdiagnosed as groin pulls. A sports hernia results when a portion of the intestine bulges through a weakened section of the abdominal wall near the groin, according to InteliHealth. Symptoms initially manifest as pressure in the groin which eventually graduates to intense pain that spreads through the groin region and encompasses the hip. Sports hernias often require surgery.

prevention :

One of the simplest methods available to prevent groin injuries remains an adequate warm up. Before engaging in sporting activities or exercise of any sort, spend 5 to 10 minutes heating up your muscles to prepare them for exercise. Increased blood flow especially to the large working muscles of the legs helps these muscles move more easily through their full range of motion, thus reducing the risk of injury, according to the American Academy of Orthopaedic Surgeons.
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What Causes Pain In The Groin Area And Thighs?

Pain in the groin area that radiates through the upper thigh and into the legs, however, may indicate a more serious sports hernia, which may require surgery. possible causes includes.. GROIN PULL A network of five adductor muscles exists in the groin region: the pectineus, adductor brevis, adductor longus, adductor magnus and the gracilis. These muscles factor significantly in walking, sprinting, football, soccer and any other sport that demands quick directional shifts, according to the online sport injury resource Sport Injury Clinic. Groin pull symptoms include moderate to severe pain in the groin and inner thigh area, swelling, bruising, and inability to squeeze the legs together. A minor grade one strain typically involves less than 10 per cent of the adductor muscle fibers and responds to rest, ice, compression and elevation treatment. Grades two and three strains require more intense rehabilitation, and in some cases, surgery. HIP BURSITIS Bursae are small gel-filled sacs that function as cushions between bones, tendons and ligaments in the joints. Hip bursitis transpires when these bursae become inflamed, often due to repetitive stress through sports such as running, according to the American Academy of Orthopaedic Surgeons. The iliopsoas bursa resides on the inside of the hip joint, so symptoms occur on the groin side of the hip and inner thigh. Hip bursitis typically responds well to ibuprofen and rest, although in some rare cases surgery to remove the afflicted bursa will be recommended. SPORTS HERNIA According to Michael Sampson, a doctor of osteopathic medicine, sports hernias are often misdiagnosed as groin pulls. A sports hernia results when a portion of the intestine bulges through a weakened section of the abdominal wall near the groin, according to InteliHealth. Symptoms initially manifest as pressure in the groin which eventually graduates to intense pain that spreads through the groin region and encompasses the hip. Sports hernias often require surgery. prevention : One of the simplest methods available to prevent groin injuries remains an adequate warm up. Before engaging in sporting activities or exercise of any sort, spend 5 to 10 minutes heating up your muscles to prepare them for exercise. Increased blood flow especially to the large working muscles of the legs helps these muscles move more easily through their full range of motion, thus reducing the risk of injury, according to the American Academy of Orthopaedic Surgeons.