Groin Pain: Symptoms, Causes, Diagnosis and Treatment
Do groin pain automatically lead to groin break?
Pain in the groin – that is, between abdomen, hip, and thigh – can have many causes. A pull or pressure sensation in the bar can be a hint of a groin. But also urinary stones, overloading by sports, hip problems, testicular changes in man or swollen lymph nodes are among the common causes of groin pain. What is behind pain? How is the correct diagnosis made? Everything about the topic of groin pain in the following post.
What are groin pain?
Most patients associate pain in the groin with the hip joint and are looking for an orthopedic surgeon rather than undergoing a medical examination. But it is not necessarily a disease of the hip joint behind it. Injuries of the groin may manifest themselves as strong, piercing, movement-limiting pain in the groin, which can occur on one side as well as on both sides. In addition, inguinal pain can also be attributed to a triggering event, for example an incorrect movement. Occasionally, however, it can also lead to a slow pain, which can become increasing.
Causes of inguinal pain
The most common and presumably most common cause of inguinal pain is a hernia (inguinal hernia). The inguinal region is a weak point in the human body. Through a gap / weak point of the abdominal wall (= breaking gap) in the region of the strip it comes to the so-called protuberance parietal peritoneum (= sac) optionally with intra-abdominal structures (= breaking content), such as an intestinal loop. Because of gender differences in the anatomical groin / inguinal canal men are much more frequently affected than women. Clinical symptoms include: pressure, pain and / or a bulge in the area of the groin. As inguinal hernias can not heal spontaneously, they should be surgically closed. Both conventional and laparoscopic surgical procedures are available. Surgery of inguinal hernias is one of the most frequent surgical procedures in Germany. The complications of untreated inguinal hernia are: entrapment (incarceration) of, for example meadow bowel segments, thus: ischemia and necrosis (dead tissue) of the incarcerated intestine and the formation of a mechanical intestinal obstruction (ileus). An incarcerated hernia is always the indication for emergency surgery. The faster the treatment, the better the healing chances. Bone fractures are therefore potentially dangerous and, in this connection, very important causes of inguinal pain. The complications of untreated inguinal hernia are: entrapment (incarceration) of, for example meadow bowel segments, thus: ischemia and necrosis (dead tissue) of the incarcerated intestine and the formation of a mechanical intestinal obstruction (ileus). An incarcerated hernia is always the indication for emergency surgery. The faster the treatment, the better the healing chances. Bone fractures are therefore potentially dangerous and, in this connection, very important causes of inguinal pain. The complications of untreated inguinal hernia are: entrapment (incarceration) of, for example meadow bowel segments, thus: ischemia and necrosis (dead tissue) of the incarcerated intestine and the formation of a mechanical intestinal obstruction (ileus). An incarcerated hernia is always the indication for emergency surgery. The faster the treatment, the better the healing chances. Bone fractures are therefore potentially dangerous and, in this connection, very important causes of inguinal pain. An incarcerated hernia is always the indication for emergency surgery. The faster the treatment, the better the healing chances. Bone fractures are therefore potentially dangerous and, in this connection, very important causes of inguinal pain. An incarcerated hernia is always the indication for emergency surgery. The faster the treatment, the better the healing chances. Bone fractures are therefore potentially dangerous and, in this connection, very important causes of inguinal pain.
Other causes of inguinal pain can be:
- Arthritis or Arthritis : In a hip joint arthritis, the affected person suffers a resting pain, which can aggravate during movement and become intolerable. In a clinical examination, pain or movement restrictions occur during the rotation of the hip joint – the groin itself is clinically unobtrusive
- Ureterstein : Narrowing in the distal third of the ureter can lead to inguinal pain. In this case, the pain is not dependent on movement or position, the clinical examination of the groin is inconspicuous. In the ultrasound you can probably recognize a urinary tract or kidney stones.
- Changes in the vessels : In the area of the saphenous vein, inguinal pain can occur due to the insufficiency of the venous valves.
- Urogenital disorders : Urinary tract infections or prostatitis are inflammatory disorders that can cause radiative pain in the groin and may be responsible for lymph node swelling.
- Testicular changes : Pendulum testicles, hydrocele or varicocele can cause pain in the groin.
- Gynecological diseases : inguinal pain can also have a gynecological cause, for example a space requirement in the small pelvis or an endometriosis or ileitis.
- Swelling in the groin : Swelling in the groin due to inflammationally altered lymph nodes can lead to groin pain. Abscesses, usually in the area of a hair root or a sweat gland, can also lead to inguinal pain. A swelling in the groin can also always indicate a groin break. In addition to the clinical examination, the swelling of an inguinal hernia is usually reproducible, lymph nodes and abscesses are not – an ultrasound examination can provide information.
- Muscle distortion : In the case of intense stress (for example soccer match) or within an injury, strains in the region of the inguinal ligament can cause pain and pressure pain in the groin.
Diagnosis for groin pain
With the help of anamnesis talk and physical examination, the treating physician can make the correct diagnosis. In a case of anamnesis, questions such as
- Do the groin pain occur at rest or during exercise?
- Are the inguinal pain only present on one side or both sides?
- Are the groin painful when standing or lying down?
to the patient.
The clinical examination is based on the findings of the anamnesis and determines the following:
- Pressure pain in palpation?
- Palpable change?
- Symptoms during rotation in the hip joint?
- Coughing or pressing?
The use of ultrasound as an imaging method can clarify open questions about exclusion, such as
- Lymph nodes?
- Intestinal loop?
Pains in children
A groin break can also occur in babies and children. Frequently, however, children are not able to localize the pain, but react with “crying in pain”. If the parents notice a “bump” in the area of the groin or the testicle, or if a touch sensitivity is observed even without a “bump”, the child should be taken to a hospital. It could already be an incipient beginning, so that fast action is necessary.
Pains in pregnant women
It is not uncommon for women to suffer from pain in the groin during pregnancy. The reason for this is that the muscle tissue loosens in the pelvic region due to hormonal factors, which is completely normal. Pregnant women then feel ashamed when walking, climbing stairs or certain movements. Even if it is a natural, hormonal condition, the communication to the gynaecologist is recommended.
It is true, if only conditionally, that it can be prevented. In particular, a groin breakage can be prevented if preventive measures are taken:
- Maintain and strengthen muscles
- healthy diet: overweight is reduced/avoided and constipation prevented (problems with the digestion and the associated compulsive pressing strain the groin)
- Exercise to strengthen the muscles
- Correct body care in everyday life and also with heavy lifting
Completely prevent the causes of groin pain, since these are so different, of course not.
All in all, it can be said: Everything that keeps someone from groin pain is also good for the whole body and an advantage.
What is a groin break?
In the case of a groin fracture, also referred to as inguinal hernia or inguinal hernia, it is an intestinal fracture which is present in the inguinal region. This can be both congenital – this form occurs at about three percent of all children on – as well as acquired. The inguinal fracture is one of the most common surgical diseases in humans – every year 0.5% of the population suffers a new disease. 80 percent of the men are particularly affected.
Through a so-called fracture port, which is a weak point or gap in the abdominal wall, parts of the viscera, such as parts of the intestine, can pass from the abdominal cavity during a groin fracture, although these are still enclosed by the abdominal fur, the peritoneum designated for medical speech use , These parts of the intestines, which have emerged through the fracture portal, are also referred to as fracture contents. A bag-like protuberance results, which is visible from the outside as well as palpable.
Causes of hernias
The development of a hernia is due to the fact that there is a weak point in the abdominal wall in the area of the inguinal canal, which can have various causes. In the case of a congenital groin, this weakness is due to an incomplete inner closure of the abdominal wall during embryonic development.
An acquired fracture usually occurs in older age. The following causes can be responsible for this:
- Congenital connective tissue weakness
- Preceding operations may have weakened the abdominal wall due to scarring
Through heavy lifting, coughing / pressing, pregnancy, overweight, the development of a inguinal hernia can be favored.
Typically noticeable is a groin fracture caused by a protrusion or swelling in the area of the groin – in the normal case, this protrusion can be pushed back “well”. Especially in the evening or after heavy physical stress, the swelling becomes clearer. Other “complaints” may be:
- A feeling of pressure on the affected side
- Drawing pain in the inguinal region
- Radiating pulling pain in the man up to the Hodensack
- Radiating pulling pain in the woman up to the labia
Pain typical of hernia fracture can increase as the affected area is scanned or the pressure in the abdomen increases. To a printer elevation it can come by:
- Presses during bowel movements
- Physical exertion: heavy lifting
Often, it is also possible that the affected people do not experience any pain or discomfort, which is why in many people a groin break remains unimposing for the time being.
In most cases, a groin fracture is safe and can be treated electively. It can lead to complications if it is a relatively small fracture track and the abdominal contents such as parts of the intestine are pinched and can not be pushed back into the abdominal cavity. In these cases, an incarcerated hernia is called an emergency situation and must be repaired immediately, so that the infected tissue does not die, ie becomes necrotic, since the blood flow is reduced or completely suppressed. In addition, it can also lead to an intestinal obstruction (ileus) or to an intestinal breakthrough, which can lead to a life-threatening abdominal inflammation.
Diagnosis in groin fracture
After a detailed medical history and a physical examination, the physician to be treated can determine a groin fracture by examining the groin region while the patient is being asked to cough or to press – a protrusion becomes apparent in the case. Furthermore, it is scanned whether this protrusion can be pushed back into the abdominal cavity and how this changes in lying or standing and whether pain is present. Further investigations such as ultrasound (ultrasound) and magnetic resonance tomography (MRI) are used when the fractures are small, which are not clearly visible, or when the affected person is heavily overweight. Since a groin fracture can never be self-healing or “healed” but rather may become increasingly larger over time, it is advisable to promptly carry out a surgical treatment in order to minimize the risk of entrapment. In this case, a visceral and general surgeon is responsible for performing the operation. Various surgical techniques are available to treat hernia hernias today: Minimally invasive surgical procedures, also called laparoscopic procedures, or conventionally open procedures. The surgical techniques can also vary: On the one hand, a plastic mesh can be implanted, which is intended to strengthen the abdominal wall from the inside and, on the other hand, a pure suture procedure is performed.,
In order to prevent hernia hernia it is recommended to avoid overweight, to avoid the lifting of heavy loads and to train the abdominal muscles so that no weak points can develop. People who have been treated for an inguinal hernia should not take heavy loads for three to six months to avoid the recurrence of a new inguinal hernia.
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