Symptoms A-Z

Severe Groin Pain Symptoms, Causes & Common Questions

Understand severe groin pain symptoms, including 10 causes & common questions.

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  1. 10 Possible Severe Groin Pain Causes
  2. Questions Your Doctor May Ask
  3. Statistics

10 Possible Severe Groin Pain Causes

The list below shows results from the use of our quiz by Buoy users who experienced severe groin pain. This list does not constitute medical advice and may not accurately represent what you have.

Severe 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.

Rarity: Common

Top Symptoms: hip pain, difficulty walking, severe hip pain, spontaneous back pain, pain in one hip

Symptoms that always occur with severe hip arthritis: hip pain

Symptoms that never occur with severe hip arthritis: mild hip 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 hernia requiring a doctor's examination

A groin hernia, or inguinal hernia, is the protrusion of an organ or other tissue – usually a loop of intestine – through a tear or weakness in the lower abdominal muscles. It can be easily felt beneath the skin, especially when the person is standing upright.

A groin hernia is most often found in men doing any kind of heavy lifting, though women can also be affected.

Symptoms include aching, burning groin pain with a sense of heaviness. The pain may be severe, especially on exertion. There may be an abdominal bulge that disappears when the patient lies on his/her back.

It is important to have a suspected inguinal hernia examined by a medical provider for possible treatment. A hernia can become strangulated, which means that its blood supply is cut off. A strangulated hernia is a medical emergency.

Diagnosis is made through patient history, physical examination, and sometimes ultrasound.

Treatment usually involves surgical repair of the hernia, although a small hernia may simply be monitored for any change.

Rarity: Rare

Top Symptoms: nausea, nausea or vomiting, fever, groin pain, groin lump

Urgency: Emergency medical service

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.

Rarity: Rare

Top Symptoms: thigh numbness, groin numbness, testicle numbness, sharp testicle or scrotum pain, sharp groin pain

Urgency: Primary care doctor

Indirect hernia

Hernias occur when an organ protrudes through part of the abdominal/pelvic wall that normally contains it. Indirect hernias are located near the groin and occur when abdominal contents, such as the intestines, pass through an opening into a channel called the inguinal canal.

Symptoms include a bulge in the groin that may become more prominent when coughing or standing. It is usually located near the scrotum in men but may be more difficult to pinpoint in women. The bulge itself is usually painless; however, there may also be a heaviness or discomfort in the groin, as well as abdominal pain, fever, nausea, and vomiting if the hernia becomes strangulated.

Treatment may first involve clinical observation for a period of time followed by surgery in order to fully resolve the hernia.

Rarity: Common

Top Symptoms: groin pain, groin lump, mild groin pain, moderate groin pain, painful lump in one side of the groin

Urgency: Primary care doctor

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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.

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.

The diagnosis is made through physical examination and X-rays. Early treatment can help to manage the symptoms, prevent complications, and improve quality of life. Treatment involves non-steroidal anti-inflammatory drugs; new forms of biologic medications; physical therapy; and, in some cases, surgery to repair damaged joints.

Rarity: Rare

Top Symptoms: fatigue, back pain, trouble sleeping, joint pain, hip pain

Symptoms that always occur with ankylosing spondylitis: back pain

Urgency: Primary care doctor

Hip dislocation

Hip dislocation is relatively rare and means that the ball-shaped head of the femur, or thighbone, has been forced out of its socket in the pelvic bone.

In some cases hip dislocation can result from congenital abnormality or as a complication of hip replacement surgery, but it is most often caused by trauma. Car accidents, sports injuries, or falls from a height are usually involved.

Symptoms include pain; inability to walk or move the leg; and the knee turned inward with the foot pointed towards the other leg.

This injury is considered a medical emergency. Because hip dislocations are usually caused by trauma, broken bones and soft tissue damage are likely to be present even if not immediately obvious. Avascular necrosis, or death of bone tissue in the hip joint due to a cutoff in the blood supply, is a possible complication.

Diagnosis is made through physical examination and imaging, such as x-ray, CT scan, and/or MRI.

Treatment involves replacing the joint back in the socket and treating any other injuries, and may require surgery.

Rarity: Rare

Top Symptoms: hip pain, moderate hip pain, dull, achy hip pain, thigh pain, groin pain

Symptoms that always occur with hip dislocation: hip pain

Urgency: Hospital emergency room

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.

Symptoms include chronic, persistent pain on the outside of the hip that(

Treatment largely involves managing the symptoms through weight loss, physical therapy, and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, corticosteroid injections into the hip work well to relieve pain, and surgery can sometimes help.

Rarity: Uncommon

Top Symptoms: lower back pain, pain in the outside of the hip, moderate hip pain, groin pain, limping

Symptoms that always occur with greater trochanteric pain syndrome: pain in the outside of the hip

Urgency: Primary care doctor

Abdominal aortic aneurism

The aorta is the main blood vessel to everything below the neck. Weaknesses can happen within the wall of the aorta, which balloons out due to the pressure of the blood pushing against it.

Rarity: Rare

Top Symptoms: lower back pain, side pain, general abdominal pain, abdominal pain that shoots to the back, abdominal bump

Urgency: Hospital emergency room

Ectopic pregnancy

Ectopic pregnancy is a fairly common condition (one to two percent of all pregnancies). An ectopic pregnancy is one that occurs outside the uterus, which is the normal site of fetal development.

The hallmark symptoms of an ectopic pregnancy include severe abdominal pain, vaginal bleeding, and missing a period.

Ectopic pregnancy is treated surgically or with medicine, depending on the location, age, and size of the pregnancy. The most important complication of ectopic pregnancy is uncontrollable bleeding in the mother, which can be fatal if untreated. In almost all cases, ectopic pregnancy is fatal to the fetus.

Rarity: Uncommon

Top Symptoms: abdominal pain (stomach ache), nausea or vomiting, vaginal bleeding, pelvis pain, moderate abdominal pain

Symptoms that never occur with ectopic pregnancy: disapearance of periods for over a year

Urgency: Hospital emergency room

Questions Your Doctor May Ask About Severe Groin Pain

To diagnose this condition, your doctor would likely ask the following questions:

  • Do your symptoms get worse when you exercise?
  • Does coughing cause other symptoms to worsen or appear?
  • Were you lifting weights or straining yourself right before your symptoms started?
  • Did anyone in your family have a hernia?

The above questions are also covered by our A.I. Health Assistant.

If you've answered yes to one or more of these questions

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Severe Groin Pain Symptom Checker Statistics

People who have experienced severe groin pain have also experienced:

  • 15% Lower Back Pain
  • 4% Deep, Throbbing Hip Pain
  • 4% Hip Pain

People who have experienced severe groin pain were most often matched with:

  • 50% Groin Hernia Requiring A Doctor'S Examination
  • 28% Groin Hernia
  • 21% Severe Hip Arthritis

People who have experienced severe groin pain had symptoms persist for:

  • 32% Over a month
  • 27% Less than a week
  • 18% Less than a day

Source: Aggregated and anonymized results from visits to the Buoy AI health assistant (check it out by clicking on “Take Quiz”).

Severe Groin Pain Symptom Checker

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