A 46-year-old member asked:
injured r groin 8/11, loweri umbar mri, pelvic ct, r hip xray and mri neg no back/leg pain, history r ing hernia repair, no bulging, continued groin pain?
2 doctor answers
Dr. Hanriet Minasian answered
17 years experience Internal Medicine
Psoas muscle sprain?: If all the workup you mentioned was negative, and they were done with the appropriate contrast, you may have a psoas muscle sprain. Consider an osteopathic and/or chiropractic evaluation. Also may be scarring/ recurrence from/of your old hernia repair, which will not show up on imaging.
Answered on Feb 4, 2020
5
5 thanks
Dr. Frank Holmes answered
22 years experience Sports Medicine
Sports hernia: A fairly unrecognized cause of groin pain in athletic individuals is a sports hernia, also known as athletic pubalgia. This involves a partial tear of the end of the abdominal muscles (rectus femoris), conjoined tendon, transversalis fascia, etc. A sports hernia is clinical diagnosis, and often, no tests demonstrate it. Many also have advanced tendonitis of the adductors (groin tendons) as well.
Answered on Feb 7, 2012
1
1 thank
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The CT scan: may be helpful to dfetect hernia or re-hernia but do not forget the usefulness of a HANDS ON PHYSICAL EXAMINATION!
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