What a pain in the...groin!

By Joseph F. Scordino | May 16, 2014
Dr. Joseph Scordino

She wasn’t born this way, but even Lady Gaga experienced groin pain — typically a symptom of hip disease such as arthritis of the hip — or, in her case, a hip labral tear. Groin pain is a common health complaint.

According to a literature review appearing in the September 2013 issue of the Journal of the American Academy of Orthopaedic Surgeons, one in four people develop hip arthritis — damage to the surfaces in the hip joint — before the age of 85 that contributes to groin pain.

Contributing factors to the development of hip arthritis and, subsequently, groin pain may include one or more of the following:

— a sports-related injury;

— prior surgery to the hip;

— infection of bone or soft tissue;

— a defect present at birth;

— problems with growth and development, and

— traumatic occupational and recreational history, bone fractures or a history of trauma.

The specific symptoms, and the timing/onset of those symptoms, can help your doctor recommend the appropriate tests, imaging or referrals to diagnose and treat the cause of the pain.

Young athletes participating in activities such as endurance sports, soccer, power lifting, ice hockey, and basketball are at an increased risk of developing hip osteoarthritis (OA), the “wear and tear” arthritis because of frequent, high stresses at the joint surface. In addition to hip arthritis, female athletes participating in endurance sports also are more likely to sustain hip and pelvic stress fractures than male athletes.

I recently have treated several patients who have developed the sudden onset of groin pain which after a thorough medical evaluation revealed a labral tear of the hip.

A detailed medical history and examination by a physician can help diagnose and manage the source of groin pain. Groin pain can occur from multiple sources and there is much overlap between the back and the hip. At first glance, the diagnosis is not always obvious. Sometimes obtaining the correct diagnosis requires multiple visits and referrals.

For more information, please call Pen Bay Orthopaedics at 593-5454. We’re glad to assist you.

Dr. Joseph F. Scordino is an orthopaedic surgeon and member of the American Academy of Orthopaedic Surgeons.

Comments (1)
Posted by: Martha Johnston-Nash | May 16, 2014 20:49

I didn't realize that. My mother experienced groin pain occasionally, but has not had it since hip replacement (by Dr. Scordino, who did a magnificent job!).  Thanks for taking time to get out this important info.

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