What are the factors that cause groin pain when pressed?

The groin is a triangular area on both sides of the lower abdomen. It is an important part connecting the abdomen and thighs. Its inner boundary is the outer edge of the rectus abdominis, its upper boundary is the horizontal line from the anterior superior iliac spine to the outer edge of the rectus abdominis, and its lower boundary is the inguinal ligament. So what are the factors that cause pain when pressing the groin?

1. Hip joint disease, such as osteoarthritis or femoral head necrosis, so patients are generally recommended to have an X-ray or CT or MRI examination. When it is found that there is a lesion in the hip joint, we should actively treat it to prevent it from continuing to develop and causing irreversible joint collapse. Injury to the hip labrum can also cause groin pain, which is common in sports injuries. Pain will occur when the midpoint of the groin is pressed with the hand, also known as the "C" sign. All of the above situations require detailed examination by a physician to make a clear diagnosis.

2. Compression of the lateral femoral cutaneous nerve, which runs along the inguinal ligament. When it is compressed, it will cause inguinal pain. When pressed, it may even induce numbness on the anterior and lateral thigh, or even burning or tingling pain. The symptoms worsen when walking and are relieved when resting.

3. Varicose veins: Common prostatitis in men can sometimes cause groin pain. It manifests as scrotal swelling and pain, and there may be pulling pain in the groin; Varicose veins in men can manifest as scrotal swelling and pain, and there may be pulling pain in the groin, but it usually gets better after lying down. The local spermatic cord is thickened and painful. Frequent attacks require surgical treatment. If it is caused by epididymitis, if combined with testicular swelling, fever and other symptoms,

4. Bone and muscle diseases: local muscle strain, ligament strain, and nerve damage can cause local pain all year round;

5. Gynecological diseases: lumps, ovarian cyst pedicle torsion, pelvic inflammatory disease, etc. can all cause groin pain.

6. Intervertebral disc herniation and piriformis syndrome: It can also cause pain in the waist and lower limbs, which can radiate to the groin area. Patients with piriformis syndrome will also experience pain in the groin. Some patients will feel a cord-like lump in the buttocks. When pressed, it can induce a pulling in the back of the thigh, but the pain generally does not extend beyond the knee. Extremely lateral lumbar disc herniation. In terms of the innervated area, the groin area is innervated by the T12 and L1 nerves. When an extremely lateral L1 intervertebral disc herniation occurs and compresses the L1 nerve root, the patient will experience pulling pain and discomfort in the groin, but the back pain is very mild or even absent. This situation is most likely to overlook lumbar spine lesions, so it needs our attention.

7. Inguinal hernia: After an inguinal hernia attack, there may be local pulling pain in the groin; After an inguinal hernia attack, there may be pulling pain in the groin, and a local soft mass may form, which is obvious when standing and disappears when lying down. Local physical examination and B-ultrasound can also be used for diagnosis, and surgical treatment is the main treatment.

8. Inguinal lymphadenitis: mainly caused by infection or inflammation of the lymphatic system of the lower limbs, causing local pain in the groin area; Inguinal lymphadenitis is one of the main causes of groin pain. Groin pain is likely caused by infection or inflammation of the lymphatic system of the lower limbs, but local swollen lymph nodes can be touched by oneself, and there is tenderness. Some may be combined with lower limb edema, requiring B-ultrasound and routine blood examinations. Consider the use of antibiotics for treatment.