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Groin pain in men: causes and treatment

by Alivia Nyhan
Published: Last Updated on

The groin in men is a crossroads of multiple systems and devices, which is why pain in that area can be due to so many different causes, ranging from muscle or nerve diseases, infections, inflammation and even tumors. That is why visiting a professional may be so necessary.

In this FastlyHealarticle, the possible causes of groin pain in men will be detailed , as well as the most appropriate treatment for each of them.

Groin pain from muscle, tendon, or ligament strain

This is the most frequent cause of pain in the groin in a man, generally, it appears due to exaggerated effort, a bad movement, repetitive activity or without adequate warm-up. There is intense pain that can appear from one moment to another or increase.

A particular case is that of pubalgia , which occurs especially in those who play soccer and is produced by striking with the inside of the foot (the ball) or by accelerating and decelerating abruptly.


The most important thing is to achieve a proper diagnosis in order to be able to do a correct treatment. Therefore, it is advisable to go to a professional. He will indicate painkillers, rest, depending on the type of injury he will indicate local cold or heat and a good recovery job with physiotherapy.

Male groin pain due to inflammation of the sciatic nerve

Although the most common presentation of a sciatic nerve problem is pain in the lower back area, which radiates to the back of the leg and even to the calf and foot on the same side, sometimes it can be that a groin pain is due to sciatic inflammation .


It is very necessary to identify if there is any injury that is causing the pain, in which case the treatment will be aimed both at calming the discomfort and at solving the cause. Pain relievers and rest may be indicated and, after the acute moment, it is advisable for a physiotherapist to teach you to strengthen the muscles in the area through exercises, stretches and changes in posture to avoid future relapses. Sometimes, infiltration with corticosteroids and, in very few cases, surgery is necessary.

Pyramidal syndrome

It is a problem in the pyramidal muscle that is located near the gluteus. It can cause pain in the lower back (similar to that caused by a sciatic nerve problem), but it can also cause pain in the groin and hip area . This pain worsens when you try to cross your leg. A problem in this area can be caused by poor posture when faced with physical activity, especially in people between 40 and 50 years old.


Treatment for pyramidal syndrome consists of rest, analgesia, stretching, and exercises that help improve the contracted muscle. Sometimes an infiltration may be necessary to relieve symptoms.

Hip fracture

A hip fracture can cause groin pain and inability to walk.

An avulsion fracture can occur in young athletes when a small portion of bone that was attached to the tendon that was pulled is detached by great effort.

Another type of fracture is due to overload , in this case, due to excessive physical activity an injury to the bone can occur, which if it is in the hip can cause groin pain.


In this case, it consists of painkillers, rest and walking with crutches when allowed by the specialist. Sometimes surgery is necessary to repair the damaged area.

Groin pain due to avascular necrosis of the hip

It is due to the lack of blood reaching the hip bone , it usually happens in people between 30 and 50 years old who consume a lot of alcohol or who are medicated with corticosteroids for long periods of time.

It can cause pain in the groin, thighs, or buttocks that is mild at first, but can get worse over time.


The most important thing is to prevent the loss of bone mass, which must be done by correcting eating habits, improving rest and adapting activity. Medication for pain, cholesterol, osteoporosis, among others, may be recommended, all depending on the case. There are times when surgical treatment may be necessary.

Inguinal hernia

An inguinal hernia is a fairly common problem, in which, due to defects in the abdominal muscles, a space can be created through which abdominal content comes out through that hole. Then, you will feel a lump in that area that usually appears with exertion (cough, defecation) and disappears with pressure. Most of the time it is not complicated, but sometimes it can worsen the picture if a jam in the hernia occurs. In that case, a lot of pain will appear that will force you to go to a health center immediately.


The treatment of an inguinal hernia is surgical, it is a frequent procedure. If the hernia is small and you want to avoid surgery, you can try to lose weight, not smoke, correct problems such as constipation, and do physical exercise to improve the abdominal wall.

Groin pain from bursitis

Bursitis is inflammation of the synovial bags , structures found within the joints. It can happen in the hip, with which pain may appear at the groin level, more marked when moving or pressing the area, you may notice the joint stiff and inflamed. It happens when there is constant and repetitive use of a joint.


To improve this problem, treatment consists of pain relievers, rest, ice, and sometimes also requires antibiotics or local injections with corticosteroids. Support may be necessary to reduce stress on the joint. Once the initial discomfort has passed, a physiotherapy treatment is necessary to prevent future relapses. Surgery may also be necessary.

Kidney stones can cause groin pain in men

The kidney stones are small stones formed in the kidney because of toxic accumulations (for lack of water and little food habits healthy). When they are eliminated from the kidney into the bladder and then into the urethra on their way, there can be great pain, which can sometimes extend from the abdomen or back to the groin.


At the time of great pain, pain relievers and substances are given to help clear the stone from the urinary tract. Long-term treatment includes increasing the amount of water ingested, changes in eating habits, and regular check-ups. Sometimes specific treatments may be necessary to destroy the stones.

Infections in the genital area

The inflammation caused by infections in the male genital area causes a lot of pain in the area near the groin. These infections include:

  • Epididymitis : it is the infection of the epidymis, the structure where semen is stored and transported. It can be associated with an infection in the testicles, in which case it is called epididymo-orchitis. There will be, in addition to pain, inflammation in the scrotal area, there may be blood in the semen or secretions from the penis, discomfort to urinate and even fever. It is treated with antibiotics (after taking samples) and if it is a sexually transmitted infection, the couple must also be treated. Rest, analgesia, local ice, and a testicular support are recommended.
  • Orchitis : it is an inflammation at the testicular level, of bacterial, viral or sometimes unknown cause. When it is bacterial, it is usually associated with epididymitis. The mumps virus can cause orchitis and it can be a serious case that sometimes gets complicated. Treatment will depend on the cause, but analgesia, local cold, rest and, if it were of bacterial origin, antibiotics are always indicated.
  • Prostatitis : inflammation of the prostate can cause pain in the pubic and groin area. Urinary symptoms such as difficulty urinating and burning are associated. Treatment consists of anti-inflammatories, prostatic anti-inflammatories, and rest.
  • Urinary tract infection : Although it is not as common in men, urinary infections usually cause pain in the lower abdomen, genital and groin. In addition, there is burning to urinate, difficulty in doing so, a feeling of not having urinated at all. Previous analysis, antibiotics and a urology consultation should be indicated.

Varicocele as a cause of groin pain in men

It is the dilation of the testicular veins , the cause is unknown. It may not cause discomfort or may cause mild to severe pain. It is one of the possible causes of male sterility, with low sperm production or quality. Depending on the case, it may not require treatment or surgery may be necessary.

In the following article, we explain in more detail the causes, grades, symptoms and treatment of varicocele .

Sudden and severe groin pain from testicular torsion

The torsion of a testicle causes the spermatic cord to twist , which causes great inguinal and scrotal pain and swelling due to the lack of blood reaching the testicle.

It is an emergency that usually requires surgery. If it has been more than 12 hours for surgical resolution, removal of the affected testicle may be necessary.

Groin pain in men due to hydrocele

A hydrocele is the accumulation of fluid within the scrotum , in the layers that surround the testicle. It is rare that it causes pain, but if necessary it is usually because the liquid is too much. It can be due to infections, epididymitis, tumors, inguinal hernia, for which a careful study is very important.

Treatment for hydrocele can range from waiting for its spontaneous resolution to surgery.

Tumors in the testicles can cause groin pain

It is very rare the testicular cancer , but it may be one of the possible causes of groin pain in men.

It can appear as an inflammation in one of the testicles, a feeling of heaviness, the presence of fluid in the scrotum, pain or discomfort in the testicular or inguinal area. A correct diagnosis must be made, with which an adequate treatment can be established, which may consist of surgery, chemotherapy or radiotherapy.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Groin pain in men: causes and treatment , we recommend that you enter our category of Bones, Joints and Muscles .

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