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Questions and answers about sports

What is the next step if physical therapy isnt helping my groin problem?

6 min read

Asked by: Wilbert Perez

How do I know if my groin pain is serious?

Seek immediate medical attention if you have:

  1. Groin pain associated with back, abdomen or chest pain.
  2. Sudden, severe testicle pain.
  3. Testicle pain and swelling accompanied by nausea, vomiting, fever, chills or blood in the urine.


Why does my groin keep hurting?

Summary. Groin pain can have many potential causes, including muscle strain, inguinal hernia, and kidney stones. Many causes are related to hip injuries or osteoarthritis. Less commonly, the pain may be related to nerves or have testicular origins.

Why is my groin hurting when I walk?

Groin pain when walking is often caused by strained muscles, ligaments, or tendons in your lower abdominal area. Cartilage tears, hip impingement, an inguinal hernia, and osteoarthritis are also common culprits. If your groin pain is caused by muscle strain, rest and ice therapy can help the injury to heal.

Should I walk with groin pain?

Rest the area by avoiding walking or any activity that causes pain. Crutches may be recommended to reduce further strain on the muscles when walking. Apply ice packs to the area for 15 to 20 minutes every 2 hours. Compress the area with an elastic bandage wrap.

Do groin injuries ever heal?

With rest and proper treatment, most groin strains heal on their own in about 4–8 weeks. More severe groin strains can take longer. It is very important to let the strain heal fully and get the doctor’s OK before going back to activities.

What can I do for severe groin pain?

Take an over-the-counter pain reliever such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others). Place an ice pack or bag of frozen peas, wrapped in a protective layer such as a towel, on the sore area for 20 to 30 minutes two to four times a day.

Does a hip MRI show the groin?

Magnetic resonance imaging (MRI) of the hip is the gold standard for the diagnosis of sports-related hip and groin injuries in the setting of negative radiographs.

How long does a groin strain take to heal?

If you have a bad strain, you may walk with a limp while it heals. Rest and other home care can help the muscle heal. Healing can take up to 3 weeks or more. Your doctor may want to see you again in 2 to 3 weeks.

What nerve causes groin pain?

Ilioinguinal nerve pain



This nerve can be damaged or pinched after hernia surgery. Generally, people experience sharp, throbbing, or burning pain in the inguinal or inner groin. It can be confused with osteitis pubis.

Why won’t my groin pain go away?

Some of the more common possibilities include muscle pull (adductor group), tendonosis (adductor group), SI (sacroiliac) joint dysfunction, osteoarthritis of the hip, labral tear in the hip joint, sports hernia, inguinal hernia, osteitis pubis, and nerve entrapments.

Can a groin strain last for months?

Groin strains are not usually severe, but they may take a long time to heal depending on the degree of injury. Severe grade 3 groin strains can take over 4 months to heal. With appropriate care and treatment, your symptoms will get better over time. Speak with your doctor about a treatment plan for your groin strain.

Does a torn groin require surgery?

Recovery/Treatment: A mild groin strain might require three weeks of rest. A more serious strain could take up to six weeks. A complete tear would require surgery and up to three months’ recovery. Your doctor might also request an MRI to confirm a mild-grade strain.

What kind of doctor should I see for a groin injury?

Make an urgent appointment with your family doctor or urologist. With the right medication, you’ll feel much better within a few days. If the symptoms don’t get better or if they return, see your doctor promptly. There are a few other, less common causes of pain or swelling in a testicle.

What does a torn groin feel like?

Signs of a severe groin strain include: Difficulty walking. Pain while sitting or at rest. Pain at night.

How do you know what grade your groin is?

Groin strain grades

  1. Grade 1 causes some pain and tenderness, but the stretch or muscle tear is minor.
  2. Grade 2 causes pain, tenderness, weakness, and sometimes bruising.
  3. Grade 3 is a severe tear of the muscle, causing bruising and a lot of pain.


Which groin muscle is most commonly injured?

The adductor longus, running from the pubic region of the pelvis down the inner thigh, is the most common location of injury.

Is Deep heat good for groin strain?

After the initial swelling and inflammation has subsided, some people like to apply therapeutic heat. This can help loosen up stiff muscles and increase range of motion. Massage is another popular method for reducing tension in the groin muscles while recovering from a pull or tear.

How do you rehab a pulled groin muscle?

To speed the healing, you can:

  1. Ice the inside of your thigh to reduce pain and swelling. Experts recommend doing it for 20 to 30 minutes every 3 to 4 hours for 2 to 3 days, or until the pain is gone.
  2. Compress your thigh using an elastic bandage or tape.
  3. Take anti-inflammatory painkillers.


How do you loosen a groin tendon?


After doing the foam rolling because the foam rolling will help shut down the adductors a little bit neurologically. And loosen up any knots which will make this stretch more effective.

What helps hip and groin pain?

At-home treatments for groin and hip pain

  1. Rest. Use the injured or painful area as little as possible for several weeks, allowing it to heal.
  2. NSAIDs. Try over-the-counter NSAIDs, such as naproxen or ibuprofen. …
  3. Ice. …
  4. Stretching.


What are the first signs of needing a hip replacement?

5 Signs You Might Need Hip Replacement Surgery

  • You experience pain when you walk. …
  • You are experiencing a limited range of motion in your hip joint. …
  • You are limping or experiencing limpness in one leg. …
  • You have swelling or tenderness in your hip. …
  • You have a feeling of instability in your hip joint.


Does groin pain mean hip problems?

Groin pain is often a sign of problems within the hip joint. Pain within the hip joint is most often, but not always, experienced in the groin. Pain over the outside of the hip is usually not caused by a hip joint problem and is more commonly related to hip bursitis or a pinched nerve in the back.

Does hip arthritis cause groin pain?

With hip arthritis, the pain is mainly felt in the groin, and occasionally in the outer thigh and upper buttock area. Pain can get worse after standing or walking for long periods of time or after a period of rest (waking up in the morning). Stiffness in the hip makes it difficult to move the hip or rotate the leg.

When is it too late to get a hip replacement?

Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. A modern artificial hip joint is designed to last for at least 15 years. Most people have a significant reduction in pain and improvement in their range of movement.

When does a hip need surgery for arthritis?

Your doctor might recommend hip replacement if: You have very bad pain, and other treatments have not helped. You have lost a large amount of cartilage. Your hip pain is keeping you from being active enough to keep up your strength, flexibility, balance, or endurance.