Mild/moderate hip arthritis
Arthritis of the hip is inflammation of one or more of the joints in the hip. Pain, swelling, and stiffness are the primary symptoms of arthritis. Hip arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people.
The goal of hip arthritis treatment is to relieve pain and maintain the function of the hip. Your doctor will be able to suggest a future course of action, such as pain medication, walking aids, or changing to more appropriate footwear.
Rarity: Common
Top Symptoms: hip pain, difficulty walking, pain in one hip, limping, groin pain
Symptoms that always occur with mild/moderate hip arthritis: hip pain
Symptoms that never occur with mild/moderate hip arthritis: severe hip pain
Urgency: Primary care doctor
Indirect hernia
A hernia occurs when an organ or internal body part bulges through the abdominal wall. In the case of indirect hernia, the hernia is a result an improperly failed deep inguinal ring after the testicle has passed through it.
A physician is needed to determine the course of treatment. A hernia reduction will be attempted, meaning that the bulging loop of intestine will be carefully pushed back, if possible. Then, your doctor will recommend surgery in some cases. Often, watchful waiting is the preferred route in minimally symptomatic hernias.
Iliopsoas bursitis
Bursae are small fluid-filled sacks located around the body in strategic locations to provide a cushion and help reduce friction. Iliopsoas bursitis, or hip bursitis, is an inflammation of the hip bursa, causing pain at the point of the hip. The pain may extend to the outside of the thigh area.
You should visit your primary care physician. Treatment for this condition usually involves avoiding activities that worsen the symptoms, over-the-counter pain medication, physical therapy, and steroid injections. Surgery is rarely needed.
Rarity: Uncommon
Top Symptoms: thigh pain, groin pain, limping, snapping or clicking sensation of the hip, pain in the front of the hip
Symptoms that never occur with iliopsoas bursitis: fever, back pain, butt pain from an injury, pain in both hips, unmovable hip lump, hard hip lump, back pain that shoots down the leg
Urgency: Primary care doctor
Groin nerve irritation
There are several nerves supplying the groin, inner thigh and genital region. Entrapment or irritation of one of these nerves can result in pain or numbness in this area. This is often caused by surgery in this area but can happen without a specific cause as well.
You should discuss your symptoms with your primary care physician. Sometimes a referral to a specialist is needed. Treatment often includes an injection with a local anesthetic.
Rarity: Rare
Top Symptoms: thigh numbness, groin numbness, testicle numbness, sharp testicle or scrotum pain, sharp groin pain
Urgency: Primary care doctor
Groin hernia
A groin hernia, also called an inguinal hernia, means that a structure in the lower abdomen – a loop of intestine or a section of fat – has pushed through the muscles of the abdominal wall. This creates a bulge, or hernia, that can be seen and felt in the groin.
A hernia is caused by a weak spot in the abdominal wall muscles, which can separate under heavy lifting or repeated straining. The weakness may be inherited or may be from previous surgery, injury, or pregnancy.
Symptoms include a bulge low down in the abdomen, most visible when the person stands; and pain in the bulge with any strain on the abdominal muscles, such as lifting a heavy object or bending over.
A hernia will not heal on its own. There is the risk of serious complications if the blood supply to the herniated organ becomes reduced or cut off.
Diagnosis is made through physical examination and x-ray or CT scan.
A small hernia may need no treatment. A larger one can be repaired with surgery.
Rarity: Uncommon
Top Symptoms: pain in the lower right abdomen, pain in the lower left abdomen, groin pain, testicle pain, groin lump
Urgency: Primary care doctor
Groin abscess
An abscess is a buildup of pus under the skin that is caused by an infection. Redness and swelling may occur on the skin around the infected area.
You should consider visiting a medical professional within the next day to discuss your symptoms. An abscess can be evaluated with a physical exam, an abscess fluid sample test, and sometimes imaging. Once diagnosed, it can be treated with antibiotics or surgery to drain the abscess.
Rarity: Common
Top Symptoms: groin pain, constant groin lump, lump on one side of the groin, painful lump in one side of the groin, hard groin lump
Symptoms that always occur with groin abscess: lump on one side of the groin, constant groin lump
Urgency: Primary care doctor
Greater trochanteric pain syndrome
Greater trochanteric pain syndrome, also called trochanteric bursitis or GTPS, is an inflammation of the bursa of the greater trochanter.
Bursae are the small "cushions" between tendons, bones, and muscles. The greater trochanter is the larger of two bony knobs at the top of the thigh bone. Overuse, trauma, or infection can cause inflamed and irritated bursae around the greater trochanter.
Most susceptible are individuals with low back pain, osteoarthritis, and obesity.
Symptoms include chronic, persistent pain on the outside of the hip that radiates down the outside of the leg, sometimes to the knee.
The symptoms are similar to other conditions such as degenerative joint disease, and so a medical provider should be seen for an accurate diagnosis.
Diagnosis is made through physical examination and observation of simple movements.
Treatment largely involves managing the symptoms through weight loss, physical therapy, and over-the-counter nonsteroidal anti-inflammatory drugs. In some cases, corticosteroid injections into the hip work well to relieve pain, and surgery can sometimes help.
Ectopic pregnancy
Ectopic pregnancy, or tubal pregnancy, means that a fertilized egg has not implanted in the uterus as it should. Instead, it has attached elsewhere – usually inside one of the fallopian tubes.
The condition is caused by scarring and damage to the fallopian tube from pelvic inflammatory disease or injury; by hormonal imbalance; or possibly by abnormal development of the fertilized egg. Other risk factors include smoking, use of an IUD, and use of fertility drugs.
Early symptoms include light vaginal bleeding, pelvic discomfort, and sometimes referred shoulder pain. Later symptoms include sudden severe pain on one side of the lower abdomen, vaginal bleeding, shoulder pain, and fainting.
The fallopian tube cannot accommodate a growing pregnancy. Eventually it will rupture, causing uncontrolled bleeding within the abdomen. If ectopic pregnancy is suspected, take the patient to the emergency room or call 9-1-1.
Diagnosis is made through pelvic examination, blood tests, and ultrasound.
Treatment almost always requires surgery, though in some cases medications can be used.
Prevention involves avoiding pelvic inflammatory disease by always practicing safe sex.
Ankylosing spondylitis
"Ankylosing" means a joint has become stiffened and fixed in one position due to injury or disease. "Spondylitis" means inflammation in the joints of the spine.
In ankylosing spondylitis, inflammation has damaged the vertebrae of the low back and caused a form of arthritis, leaving the lower spine inflexible.
The exact cause is unknown. It is thought to be an inherited, abnormal immune response that is triggered following damage to the lining of the intestines.
Most susceptible are those with a family history of ankylosing spondylitis and a history of intestinal damage from illness. However, anyone can be affected at any age.
Symptoms include pain and stiffness in the back and hips, and sometimes in the neck and shoulders. The pain will be worse during sleep and rest.
Early treatment can help to manage the symptoms, prevent complications, and improve quality of life.
Diagnosis is made through physical examination and x-rays.
Treatment involves nonsteroidal anti-inflammatory drugs; new forms of biologic medications; physical therapy; and, in some cases, surgery to repair damaged joints.
Professional treatments
If at-home treatments are not enough, consult your physician for the following.
- Physical therapy: A professional can teach more advanced techniques and target therapy to the specific area of injury.
- X-rays: A doctor may order X-rays or some other form of imaging like CT or MRI to evaluate the cause of your pain.
- Steroid injections: If your pain stems from inflammation in a joint or the surrounding area, steroids can treat this problem.
- Antibiotics: While not commonly used for groin pain, your doctor may prescribe antibiotics if a bacterial infection is suspected.
- Surgery: Surgery can address more severe muscle tears and bone breaks or other problems like a hernia that may be the source of your discomfort.
When groin pain is an emergency
See a doctor without delay if you have:
- Sudden onset, severe pain
- Nausea, vomiting, fever or chills with the pain
- Severe testicular pain that radiates to the groin
- Problems urinating, including blood in your urine
Questions your doctor may ask about groin pain
- Do your symptoms get worse when you exercise?
- Were you lifting weights or straining yourself right before your symptoms started?
- Do you have a history of constipation?
- Does coughing cause other symptoms to worsen or appear?
Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.