Orthopedics-Online

Tendinitis in the groin

definition

Groin tendinitis is inflammation of the tendons that connect the muscles in the thigh or abdomen to the bone. Generally, between tendinitis (Tendonitis) and tendinitis (Tendovaginitis) can be distinguished. Often, athletes experience symptoms of tendinitis in the groin area. In order to avoid lengthy course of the disease, a doctor should be consulted for therapy planning.

causes

There are many causes of tendinitis in the groin. Are common Overloads of the muscles and the associated tendon responsible for the disease. Even an acute injury to a tendon can cause inflammation.
Athletes such as dancers, soccer players, runners and athletes are particularly at risk. In most cases, the tendon is the Hip flexors, the so-called Iliopsoas (Iliopsoas muscle) affected by the inflammation.

Symptoms

Are in the foreground of the symptoms Pain in the area of the groin, which occur especially when exposed to stress. Other characters can be a Redness, warming or swelling be the region.A temporary loss of function or a functional impairment of individual muscles and tendons are also among the symptoms of tendinitis in the groin.
Due to a more or less severe loss of function of the tendons, the leg can feel very weak when walking, which in some cases leads to a limp on the affected side.

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Pain from tendinitis in the groin

The main symptom of tendinitis in the groin is pain, which occurs particularly when the affected tendon is stressed. People suffering from such inflammation often describe the pain as stitch-like.
If you apply pressure to the groin with your hand, pain usually also occurs (Tenderness).
A Broadcast the pain in the hip area and in the thigh all the way to the knee is common. Sports and movements that require the muscles of the groin region to be stressed trigger particularly severe pain.

Pain radiating to thigh

The pain radiating to the hips or thighs is a phenomenon that can often be observed in the case of tendinitis in the groin. In the case of pain in the groin, hips and thighs, tendinitis in the groin should always be considered. The reason for the referred pain is one Irritation of the nerves in the affected area.
If the tendons of the groin are inflamed, the nerves that run along the groin and reach into the thigh are irritated. The pain in the thigh is therefore not caused by inflammation of the thigh region itself, but by nerve irritation.
If the tendon inflammation improves, the symptoms in the thigh also subside in most cases.
But it can also become a Tendinitis in the thigh which can have exactly the same causes as the tendinitis in the groin.

Do you suffer from unexplained thigh pain? You can also do our self-test "Thigh pain"

diagnosis

Prompt diagnosis of the disease is important for the successful treatment of tendinitis in the groin. Any complaints in the groin should therefore be clarified by a doctor at an early stage. The patient interview (anamnese) and the physical examination are at the beginning of the diagnosis. Sometimes it may be necessary to carry out an imaging examination. This serves both to diagnose tendinitis and to rule out bone fractures or injuries to other soft tissues and is therefore particularly useful after acute injuries.
In particular, the examination using an MRI, CT and an ultrasound examination can provide information here.

therapy

The individual treatment of tendinitis depends primarily on the patient's injury pattern. If it is an acute injury that occurs due to overstretching or overstressing the tendon, the area should be cooled, stored up, protected and, if necessary, a pressure bandage applied. In addition, pain relievers and anti-inflammatory drugs can relieve symptoms.
Chronic overloading of the groin tendons often requires lengthy therapy. Consistent protection of the groin, in particular, can help to achieve absolute freedom from symptoms. If there is an external injury and the skin is compromised, antibiotic therapy should be considered to protect against bacterial pathogens. Surgical repair of injured or even torn tendons may also be necessary in this case.

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Duration of tendinitis in the groin

A tendinitis of the groin is usually one tedious Illness. This can take anywhere from 2 weeks to several months until you are completely free of symptoms. The duration of the illness depends primarily on the underlying cause of the inflammation as well as the time until diagnosis and start of treatment. Consistent protection of the groin also has a positive effect on the healing time.

Adductor tendinitis

Adductor tendinitis is an inflammation of the adductor tendons that run from the pubic bone through the inner groin to the inner thigh.

This muscle group includes several muscles that primarily enable the thighs to move towards one another. Adductor tendinitis is very rare, but can occur as a result of irritation and overstretching, especially in certain sports.

The adductor tendons are particularly endangered in sports such as soccer or skiing, but also in dancers. If the legs are spread too far apart, a pulling pain occurs on the inner thigh, triggered by the overstretching of the adductors.

In the long term, frequent irritation of the tendons can lead to inflammatory processes, making all movements of the thighs painful. The most important therapeutic measure is to protect the tendons at an early stage and to take a long enough break from stressful sports.

Read more on this topic at: Tendonitis of the thigh

What is a soft groin?

The soft groin is also known as the "athlete's hernia". This is a rupture of part of the abdominal wall muscles caused by physical activity.

Those affected often suffer from congenital muscle defects in the abdominal wall and also practice strenuous sports. The soft groin is often diagnosed late because there is no hernial sac and no bulging of the groin typical of a hernia. On the other hand, the pain in the groin, which increases over time, is typical. In most cases, surgical therapy is required to heal the muscle defect.

Do you have groin pain? - Then you might be interested in the following articles:

Pain in the groin - these are the most common causes
Pain in the thigh and groin - what's behind it?

How do I tell the difference between tendinitis and an inguinal hernia?

Both clinical pictures are different diseases with different symptoms, causes and therapies.

Tendon inflammation can occur in several places on the groin, depending on the tendon that is inflamed. Typical signs of inflammation such as movement pain, redness, overheating and painful swelling often occur. The pain and restriction of movement can be localized on the affected tendon.

Would you like to find out more about tendinitis? - Then read our article: Tendinitis in the groin

In the case of an inguinal hernia, on the other hand, there is a very typical hernial sac, which is noticeable as a soft protrusion on the groin. In contrast to tendinitis, the hernial sac does not have to cause pain and can often be pushed back by external pressure. The inguinal hernia often occurs suddenly after a heavy load, for example lifting heavy loads. The inflammation, on the other hand, develops rather slowly and announces itself at an early stage with increasing pain.

Pubic cystitis

The pubic bone is one of three main components of the pelvic bone. The pubic branch protrudes downward from the pelvic ring towards the thigh and hip joint. It serves as the origin of many muscles that are significantly involved in movements in the hip joint.

Stress on the muscles can lead to irritation of the original tendons on the pubic branch and thus to inflammatory changes in this protruding bone. Male competitive athletes in particular are affected by this disease.

Sports with fast accelerations, sprints, changes of direction and jumps put the most strain on the pubic branch. The therapy is almost exclusively conservative. In order for the irritation to subside, you must first take a break. Thereafter, the affected muscle groups can be specifically trained through physiotherapy in order to prevent future irritation.