Groin pain: Do not ever put a hernia behind

21 October 2017

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Whoever hears of groin pain, might think of hip problems or a hernia. But there are many other causes of pain in the groin. The range is wide, ranging from urinary about spinal disorders to urological problems and sports injuries.

Groin pain are not equal groin pain: Depending on the cause and intensity of pain in the groin may be unilateral or bilateral, is constantly make noticeable only when loading or and vary in strength. In addition, groin pain may be accompanied by other symptoms, such as swelling of lymph nodes in the groin area. 

The groin (inguinal region) represents the Transition between stomach and thighs . In the groin region of about four to five centimeters is long inguinal canal, which in the anterior abdominal wall connecting the abdominal cavity with the external pubic area. In the inguinal canal important nerves and blood and lymph vessels run. In men, the inguinal canal contains the spermatic cord, the so-called in women ligament, pulling from the uterus through the inguinal canal to the labia majora. The inguinal canal is surrounded by muscles, connective tissues and ligaments, to protect the sensitive vessels and trains inside the channel.

Groin pain can have many causes. To common causes include, for example hernias, urinary, hip problems or testicular changes - and in addition there are numerous other possible triggers for pain in the groin.

Common causes pain in the groin include:

Dispatched pressure on the abdomen, the groin area of ​​a high load can be exposed. Muscles, ligaments and connective tissue inelastic protect the inguinal canal prior to external influences - yet it can happen that forms a small gap at a weak point (so-called. hernial). If parts of the viscera (e.g., the intestine) bulge baggy through this gap into the inguinal canal, one also speaks of a hernia or of an inguinal hernia.

Almost always it Men, suffer a hernia. Typical symptoms include a swelling and drawing pains in the groin, the increase in pressure, for example when coughing or when carrying loads. Sometimes hernias in the rest of the abdominal area can cause groin pain, such as hernias on the inside of the thigh or pelvic area.

Wear and disorders of the lumbar spine can cause pain in the groin, such as vertebral fractures (A narrowing of the spinal canal - due to osteoporosis or - rarelyspinal stenosis) (Such as a benign tumor neurinoma). Other possible causes are

Hüpfkopfnekrose: When tissue dies

At a osteonecrosis dies a particular bone area, which may be associated with increasing pain in the groin. If the bone is not sufficient blood in children in the growth phase, parts of the femoral head can die (so-called. Necrosis). This disease is called Perthes disease. In adults it can lead to femoral head necrosis, for example after a hip fracture.

vascular changes can also cause pain in the groin, for example:

For persons performing certain sports, groin pain are more common:

A woman ties to their sport shoe. © iStock

Unsuitable running shoes can cause pain in the groin.

Diseases in the abdominal area can cause pain radiating down to the groin. Such diseases include, for example:

Other possible causes of groin pain include:

To find out what is the cause of groin pain, the doctor will medical history his patient information (medical history). He is, for example, ask:

Then the doctor examines the body area affected. By Scan it can ability to sense changes in the groin region, such as enlarged lymph nodes. Also, he can find out the way the patient reacts to pressure. A hernia, the doctor can usually diagnose for example, without further aids.

Maybe the doctor will perform a ultrasonic or X-ray suggest. Ultrasound can be determined, for example, whether the lymph nodes are enlarged in the groin area. Using a special form of ultrasound, duplex ultrasound, the doctor can examine the flow conditions in the vessels. This is helpful if signs of a closed blood vessel (thrombosis) are present.

Sometimes with groin pain can also be a Computed Tomography make sense - for example, if the doctor suspects a narrowing of the spinal canal (spinal stenosis). On suspicion of a tumor is a Blood and bone marrow examination necessary.

Since groin pain can have many different causes, the treatment depends on the underlying disease. Some examples:


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