Buttock, Hip and Groin Pain

Gradual onset groin pain or chronic groin pain can occur gradually as an over use injury or can happen as a result of an acute injury which fails to heal.

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Acute hip and groin injuries

Acute hip and groin injuries occur as a result of a sudden impact or trauma and include muscle strains, tendon strains, fractures, avulsion fractures and ligament sprains. Sometimes an injury which has come on gradually can be classed as an acute injury if it has become acutely painful or inflamed. Common acute hip and groin injuries are:

Groin strainGroin strain is a tear or strain in one of the adductor muscles of the groin. A sudden sharp pain in the groin usually when sprinting or turning sharply is felt with immediate swelling and possibly bruising.

Groin inflammation is a gradual onset injury rather than an acute going injury, however if it can appear as an acute injury if painful and severe. Symptoms include pain in the groin at the very top of the muscle which can radiate down the leg

Hip jointHip synovitis is inflammation of the synovial membrane or sheath which surrounds the joint. It is a common complication of most hip injuries but transient hip synovitis commonly affects children between the ages of 2 and 9 years old.

Labral tear of the hip is damage to the lining of the socket that makes up the hip joint called the labrum. It is caused by trauma such as collisions or falling onto the hip or twisting suddenly with body weight going through the joint.

Gradual onset groin pain

Pain in the groin which Adductor musclecomes on gradually over time, also known as chronic groin pain is usually the result of overuse but can also come on a while after an acute injury for example a muscle strain which has failed to heal properly.

Adductor tendonitis or groin inflammation has symptoms of pain in the groin at the top of the muscle near its attachment to the bone which can radiate down into the leg.

Iliopsoas muscleIliopsoas busitis is inflammation of the bursa or small sack of fluid which sits between the tendon and the bone. The function of the bursa is to lubricate movement of the tendon over the bone.

Gilmore's groin can also be known as a sportsmans hernia, athletic pubalgia, slap shot gut and sports hernia although it has nothing to do with a hernia at all. Symptoms of Gilmores groin include a vague, persistant pain in the groin which gets worse when running, sprinting, twisting and turning.

HerniaInguinal hernia occurs when part of the internal tissue protrudes through a weakness in the abdominal wall. Symptoms of an inguinal hernia include pain in the groin during exercise which likely to increase when coughing or sneezing.

Osteitis pubis also known as pubic bone stress injury causes groin pain originating from the pubic bones at the front of the pelvis. Symptoms involve pain in the groin or pelvis area when running, doing sit-ups or squatting exercises.

Perthes' disease is another injury affecting younger children typically aged between 4 and 8 years old but may also be seen in older children and teenagers. Symptoms of Perthes disease include tiredness and pain in the groin and sometimes in the knee.

Buttock pain

Pain in the buttock area can originate from a number of causes such as muscle and tendon strains, bursitis, referred pain, ligament sprains and nerve compression.

Sacroiliac joint painSacroiliac joint pain can be felt in the lower back and buttocks and is caused by dysfunction of the sacroiliac joint between the sacrum bone and ilium bone in the pelvis. The pain may radiate into the buttocks and low back and often into the groin.

Iliolumbar ligament sprain is an injury to the ligament which joins the pelvis and the bottom lumbar vertebra. It can be injured by a sudden movement or from repeated bending and lifting.

Hamstring origin tendonitisHamstring origin tendonitis is inflammation or often degeneration of the hamstring tendon at it's origin where it attaches to a point at the bottom of the buttocks on the pelvis called the ischial tuberosity. Symptoms include pain and tenderness on the bony bits near the crease of the buttocks.

Ischiogluteal bursitis is inflammation of the bursa that lies between the ischial tuberosity and the tendon of the hamstring. A bursa is a small sack of fluid who's purpose is to lubricate movement between the tendon and bone. Bursitis can occur on its own or in conjunction with hamstring origin tendonitis.

Piriformis syndromePiriformis syndrome occurs when the piriformis muscle in the buttock tightens or goes into spasm putting pressure on the sciatic nerve. Symptoms include tenderness and pain in the buttock muscles usually on one side which radiates down into the back the the thigh.

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