The most common cause of pain in the groin is an acute groin strain and this is frequently seen in twisting and turning sports such as American football, rugby, and soccer. Whereas acute groin strains can take 2 to 3 weeks to recover, chronic groin injuries can take months if not years to clear up, often because there are several possible causes.
A groin strain is a tear or rupture to any of the adductor muscles on the inside of the thigh. Symptoms include a sudden sharp pain in the thigh which can range from a quite mild niggling injury to very severe injuries that are completely debilitating. Explosive movements and changing direction quickly can cause groin pain, especially if you haven't warmed up properly and have tight adductor muscles.
The adductor muscles can become inflamed through overuse or following injury resulting in pain and stiffness at the top of the groin. Groin pain can travel down the leg and make it difficult to run. Overuse or previous injury can make the tendons that attach the muscles to the bone inflamed. Read more on the causes, symptoms and treatment of groin inflammation.
A hernia occurs when an internal part of the body (such as the intestine), pushes through a weakness in the overlying muscle wall, resulting in a soft lump. The groin pain can increase with exercise and even when coughing. Read more about the different types of hernia and the symptoms and treatment of each.
Gilmore's Groin can also be known as a Sportsmans Hernia, athletic pubalgia, slap shot gut and a sports hernia. However, a true Gilmore's Groin has nothing to do with a hernia. It occurs when excessive strain is placed on the groin and pelvic area, through kicking sports such as soccer and rugby. We talk to Jerry Gilmore himself who first identified this groin injury in 1980.
The iliopsoas muscle is a strong muscle that lifts the knee up. It starts at the lower back and goes down into the thigh. The muscle or tendon can become inflamed causing groin pain and a feeling of tightness and swelling. Read more on the causes, symptoms and treatment of this groin injury.
Spermatic cord torsion is the twisting of the testicle resulting in a reduced blood flow through the tissues which connects it to the abdomen. This can be a serious condition as a complete loss of blood flow would quite quickly result in the death of the testicle. It will cause severe pain and medical help will be needed immediately to prevent further damage and problems.
Osteitis pubis, also known now as pubic bone stress injury, results in groin pain originating from the pubic bones at the front of the pelvis. The pain can come on gradually and will likely be felt when running or doing exercises like sit ups. This is not a particularly common groin injury but you can read more on the causes, symptoms and treatment of it here.
A scrotal contusion is bleeding and bruising in the scrotum or testicles following a direct impact to the area from a ball or opponent. There will be severe pain on impact with swelling, tenderness and nausea also being possible symptoms. This normally heals naturally without any complications or long term problems.
Iliopsoas bursitis is inflammation of the bursa which sits under the Iliopsoas muscle at the front of the hip. It is sometimes also called Iliopectineal bursitis. Overuse and repetitive activities such as running can make this injury more likely to develop. The bursa reduces friction between tissues and bones so when this becomes inflamed, pain flares up in this area.