Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

Featured on Channel NewsAsia

Nerve Entrapment Causing Groin Pain

SYMPTOMS

Sharp, often radiating, pain in the groin, aggravated by stretching and exercise.

AETIOLOGY

This pain is caused by entrapment of one of the nerves that branch to the groin: for example, the inguinal nerve. Since the left and right groins of an individual can vary substantially, from an anatomical point of view, symptoms can vary as well.

CLINICAL FINDINGS

There is sometimes tenderness on palpation around the groin area but very few other clinical findings. If the affected nerve is found, Tinel’s sign is positive (radiating pain is felt).

INVESTIGATIONS

Most investigations are negative. MRI may in some cases show scar formations or neuromas that have caused the entrapment. Nerve conduction test may be valuable. Diagnostic blocking of the nerve with an injection of local anaesthetic may be useful to confirm the diagnosis.

TREATMENT

If the duration of symptoms is less than one month, try symptomatic physiotherapy with stretching and local anti-inflammatory treatment.

REFERRALS

Refer to Dr Kevin Yip (+65 9724 1219) senior consultant orthopaedic surgeon for symptomatic treatment. Refer to surgeon if non-operative treatment fails, for consideration of further investigations or surgical nerve release.

EXERCISE PRESCRIPTION

Maintain a normal training regime. There is no need to rest.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs.

DIFFERENTIAL DIAGNOSES

It is important to be aware that different conditions can cause these symptoms.

PROGNOSIS

Excellent-Good, but the duration of symptoms may be very long even after successful surgical release.

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