Causes

The possible causes of a pain that extends from the groin to the thigh are very diverse and different. It can be either an irritation of a nerve or a pulled muscle. Hip arthrosis or deep vein thrombosis of the leg should also be considered.In general, all pain associated with sensitive failures or muscle weakness should be clarified quickly.

The same applies to pain that suddenly appears very violent or does not improve over a long period of time. The orthopedist is the doctor who can best distinguish between the various causes. Hip joint arthrosis, also known as coxarthrosis, is a non-inflammatory joint disease in which the joint cartilage is degraded over many years of increased stress.

Hip arthrosis is mainly manifested by pain in the groin and limited mobility in the hip joint of the affected leg. The pain persists mainly under load and improves at rest. Therapeutically, more joint-gentle sports should be performed to strengthen the muscles and reduce risk factors such as obesity.

As a last resort, an artificial hip joint can be installed. Pulling pain in the groin area, which radiates into the scrotum or, in women, into the labia, can be an indication of an inguinal hernia. An inguinal hernia is a bulging of the peritoneum due to a weakness of the abdominal wall.

The peritoneal cavity contains parts of abdominal organs, usually parts of the intestines. These can be compressed by the narrow opening of the abdominal wall, so that the blood supply of the organs can be threatened. If this is the case, an operation is necessary to ensure that the organs are not undersupplied.

A hernia is very common and affects men in 80% of cases. It is typically characterized by a swelling in the groin area, accompanied by pulling pain. Adductor strain is also known as inguinal strain and describes an excessive stretching of the muscle tendons of a certain muscle group, the adductors, in the area of their origin at the hip.

This muscle group is located on the inside of the thigh and is primarily responsible for moving the leg towards the middle of the body. Tension of the muscle tendons is caused by a sudden excessive spreading of the leg. The groin strain in footballers often results from a sliding movement.

The strain is most noticeable through pain in the groin area and when the thigh is moved towards or away from the middle of the body. There may also be swelling in the area of the tendon attachment. If there is pain under pressure on one leg and the affected extremity also appears swollen and slightly bluish in color compared to the other leg, a possible deep vein thrombosis must also be considered.

Further symptoms can be a The deep leg veins are responsible for the return transport of blood to the heart. If one of the veins is blocked by a clot, the blood accumulates in the leg and a painful swelling occurs. If the clot breaks loose and travels through the heart to the lungs, a life-threatening pulmonary embolism may occur.

Therefore, a doctor should be consulted whenever there is any sign of a thrombosis. One risk factor is prolonged immobilization of the legs or, in rare cases, the arms after surgery or even after a long-haul flight. Women who smoke and take the contraceptive pill also have a higher risk of developing thrombosis.

Overheating,
A feeling of heaviness in the leg
And be prominent superficial veins.

The femoral nerve, called the femoral nerve, is responsible for the sensitivity of the front of the thigh and parts of the lower leg as well as for the motor supply of the knee extensors and important hip flexors. Irritation of this nerve is manifested by pain from the groin down along the front of the thigh. The femoral nerve runs below the groin ligament down to the leg.

Because of this position, it can easily be subjected to pressure loads below the inguinal ligament. Irritation can be caused by close contact with swollen inguinal lymph nodes. In addition, the nerve can be compressed by bruises or, in women, by a uterus enlarged by myomas.

Pressure injuries to the femoral nerve can also occur during surgery for the insertion of an artificial hip joint if the access route is from the front thigh. Pelvic inflammatory disease is a non-infectious inflammation of the pubic bone, which is particularly common in competitive athletes. It is mainly seen in sports such as tennis, soccer or other running sports.The constant overloading causes pain when walking and climbing stairs.

The pain caused by the inflammation can extend from the thigh to the groin, and sometimes even into the abdomen. In the case of pubic inflammation, it is essential to take a break from sports. It is also advisable to take painkillers, such as NSAIDs (non-steroidal anti-inflammatory drugs), which also act against the inflammation.

A torn muscle fiber of the rectus femoris muscle, which is part of the anterior four-part thigh muscle, can also cause pain in the thigh and groin. The muscle travels from the anterior, lower iliac spine to a point on the tibia located below the patella. A rupture of the muscle fibre often occurs during sports that can be associated with direct violent impacts on the muscle, such as football, handball, but also during sports such as tennis, where sudden acceleration and deceleration forces are involved.

If the torn muscle fibre is located in the area of the upper starting point of the muscle (near the iliac spines), sudden pain in the thigh as well as pain in the groin can occur. In addition, a bruise (haematoma) and a dent in the muscle typical of a torn muscle fiber may be noticeable. An abscess is an accumulation of pus in tissue caused by bacteria.

The pus accumulation is surrounded by a capsule. An abscess can develop in the groin, for example, when bacteria enter a small wound via the skin, such as after shaving. An infected hip prosthesis can also cause the accumulation of pus.

An abscess in the groin can be caused by bacterial diseases of the kidneys and intestines. The bacteria enter the groin via the bloodstream, settle and grow there. In addition to the pain caused by movement and pressure, but which can also be felt at rest, reddening and overheating of the skin at the affected area can occur.

Further symptoms are fever or a weakened general condition of the affected person. If pain occurs in the groin and thigh when jogging, this is usually the result of overloading the muscles, ligaments, tendons or even the hip joint capsule located in this area. A hernia, in which intestine enters the inguinal canal through a weak abdominal wall, can also cause pain in the groin and thigh when jogging. If the hip joint is beginning to suffer from arthritis, pain can also occur when jogging. If the pain persists for a longer period of time – even after a rest period – a medical examination of the symptoms should be performed.