What are the most common sources of hip and groin pain?
There are a variety of MSK conditions that result in pain in the hip and groin. Some of the most common ailments and injuries include hip arthritis, hip labral tears, and stress fractures. Typically, it is worth noting that hip pain is often dependent on your age and activity level. In addition, a variety of other factors play an important role in determining the cause, such as family and medical history.
Similarly, groin pain may be triggered by a variety of conditions. In general, people often refer to groin pain in sport as a groin pull or groin strain. These names suggest that the cause of pain is a muscle tear. However, while some causes of groin pain are due to a muscle tear, most longstanding groin pain is due to another cause. Specifically, the most common cause is pubic overload or osteitis pubis; but sports hernia, labral tears of the hip joint, and endometriosis should be considered. Finally, groin pain may also be “referred,” which means it originates from an entirely different location. For instance, the source may be a problem in the low back or joint between the sacrum and pelvis.
We discuss the possible causes of hip and groin pain further in a recent blog. This recent paper discusses how to simplify the causes of groin pain.
What treatments are available for hip and groin pain?
Dr Lorenzo Masci has a special interest in the diagnosis and management of hip and groin pain in central London.
Obviously, the first step in treating a patient is to diagnose the exact cause of the pain. We accomplish this step by conducting a thorough history and examination. Then, we will conduct the necessary scans and investigations. Standard X-ray, an MRI scan and MSK ultrasound can all be accomplished in one visit to our clinic. In general, imaging plays an important role in evaluating each case. Recently, Dr Masci has helped develop a one-stop MRI scan for groin pain at Onewelbeck.
Once a cause is found, the next step is to decide on a plan of management. Generally, treatment will include modifying sporting activity, prescribing pain-relieving tablets, and referring for rehabilitation to increase the strength of muscles around the hip and groin.
Finally, we use ultrasound-guided injections as an important treatment option for pain in the hip and groin. In certain ailments, injections may alleviate pain. These include cortisone, nerve blocks, and other injections. Dr Masci discusses specific injections for groin pain and hip pain in this blog. Furthermore, referrals to other consultants in hip surgery, hernia surgery or gynecology are seamless. Dr Masci works in a groin group at Onewelbeck and can refer you to other specialists if needed.
Specific hip and groin conditions: