Discussions By Condition: I cannot get a diagnosis.

Chronic groin pain that travels down leg

Posted In: I cannot get a diagnosis. 32 Replies
  • Posted By: mccombke
  • December 2, 2008
  • 04:25 PM

Hello I am 22 years old and am experiencing severe pain in my groin that travels down the front of my thigh and cramps up my knee. If I turn a certain way or make a sudden movement I get a split second severe pain in my groin. This developed out of no where, there is no real injury that caused this. I have been taking 2 Naproxen’s (anti-inflammatory) a day for over a year now. With out my medication I am in unbearable pain. It is not a burning sensation it is an achy tightening pain that debilitates me. I have been to my family physician and he diagnosed me with a hip flexor strain and wrote me a script for physical therapy. I went there for about 3 months and didn’t get any positive results. I went back to my family physician and demanded an MRI and x-rays. The results came back normal. I then was referred to an orthopedic surgeon. He said my symptoms sound like I have sacral joint dysfunction. I went to another physical therapist where he said my right hip was pushed forward and inward. He used self correction techniques where I am supposed to get instant relief. That didn't work! PLEASE HELP!!!!!!

Reply Flag this Discussion

32 Replies:

  • Have you been checked for hernia or a herniated disk?
    acsproul 10 Replies
    • December 3, 2008
    • 08:08 PM
    • 0
    Flag this Response
  • No I haven't. Is this something I should get checked?
    mccombke 2 Replies
    • December 4, 2008
    • 01:32 AM
    • 0
    Flag this Response
  • most often a doctor can make a diagnosis of a herniated disk by physical examination. My muscle strength, reflexes and sensations are all good. Plus I did get an MRI and nothing came back abnormal. Can it still be a herniated disk?
    mccombke 2 Replies
    • December 4, 2008
    • 01:38 AM
    • 0
    Flag this Response
  • I am having a very similar situation. My pain began in September in my right groin/bikini line area. It is stabbing and radiates to my upper thigh and at times my calf. My pain can also be burning. Sometimes my ankle and foot are affected. I cannot lie on my right side or on my back without causing pain. I cannot stand up for longer than 10min. or my leg/groin area begins to ache and stab and burn. I've also had an x-ray and mri of my back and hip which only shows a mild bulging disc. The orthopedic basically dismissed me saying that this was not causing my pain. I also had a CT scan of my abdomen and pelvis which showed nothing. I am in excruciating pain on a daily basis and was given muscle relaxers and vicodin to help control the pain. I can't really stay on these meds because I have 2 children to take care of. I am waiting for an appt. to see the neurologist, but I am feeling very hopeless and exhausted. I have a chiropractor friend who said some adjustments of the hip may help, but I'm afraid of being in more pain.
    chronicpain 4 Replies
    • December 12, 2008
    • 03:35 PM
    • 1
    Flag this Response
  • Hi, I cane across this thread when searching my pains, they are shooting pains in my groin area, that travel down my leg, they sometimes stop at the knee and sometimes continus down to my ankle, sometimes I'm not sure if the pain is from my knee area and radiating upwards, it;s really weird. I have had an ultrasound scan which showed nothing, there are no hernias, pain killers have little to no effect, I have been backwards and forwards to my GP, I even saw a consultant privately at one point, who sent me to a gynecologist, who found nothing wrong, my GP, now thinks it;s a type of carpel tunnel syndrome which you can apparently get in your legs ? my problems started exactly one week after coming out of hospital after an operation to remove a melanoma from my upper arm and have a sentinal node biopsy to stage the disease, I'm assured by several professionals that there is no connection, anyone any ideas, or experiencing the same ?
    Anonymous 42,789 Replies
    • February 2, 2009
    • 08:05 PM
    • 0
    Flag this Response
  • Another thing to look at - the lymph for legs and abdomen flows into the groin area. If this gets blocked up, it can be painful (maybe you're also sitting a lot which could restrict the flow?). When you mentioned "achiing" that was a good indicator - it can be an aching/throbbing, sometimes almost a knumb feeling. Here are 4 things you can do to help clear the lymph. Take omega 3 - check with your doctor if on medication, but normally it doesn't interfere. Typically women would take 4 flax oil caps/day, 2 with breakfast, 2 with dinner - Spectrum and Twin Labs are good brands depending where you live. (Men take fish oil, preferable salmon). This helps to clean up the lymphatic sytsem.Use a skin brushing mitt and lightly (and comfortably) massage the groin area first (you want to "unplug the drain" first), and gradually move down towards the knee always massaging up towards the groin.avoid mucous causing foods, the worst being cow's milk products such as cheese, even yoghurt (normally sheep and goat cheeses/yoghurt are digested well). Do you eat a lot of that?Drink a lot of water to help flush it out - at least 2 litres/day of a good bottled water such as Vittel or Fiji brand.. depending where you live. Chemical load from tap water can add to lymph problems.
    Kinesiologist 62 Replies
    • February 3, 2009
    • 07:23 AM
    • 0
    Flag this Response
  • chantoo,I've been back and forth to the doctors as well. I was also directed to see my gyn to see if maybe endometriosis was causing the problem. The gyn said it couldn't be since my pain subsides when I lie down. He referred me to a vascular surgeon who checked me for pelvic congestion. After going through this test ...it is negative:( I have had every test imaginable and the only thing the doctors can tell me for sure is it's coming from the si joint, but they don't know why the inflammation is there. I'm doing physical therapy, but a lot of times I'm in more pain from these sessions. My last resort is some kind of laproscopy to check for a hernia.
    chronicpain 4 Replies
    • February 3, 2009
    • 03:57 PM
    • 0
    Flag this Response
  • Mccombke: You sound a whole lot like me. I am a 21 yeard old female with what sounds like the same problem! I was surprised to see someone else actaully suffering from the same thing. You described it best when you said "achy tightening pain that debilitates me." I am going through the same thing. My pain started about four years ago, but for no apparent reason. I was never injured, it just started happening and has gotten progessively worse over the years. Is your pain intermittent? I may feel 100% and then all of a sudden be in excrutiating pain. I, like you, have had several MRI's and Xrays which all came back normal. One MRI did show mild arthirits in my lumbar spine, but the nuerologist insisted that this wasn't contributing to my pain because there were no nerve roots compressed. My pain is on bothe sides of my body. It feels like it is deep within my groin, buttocks and hips and then in radiates into the top of my thigh all the way to my knee. Sometimes though, I feel pain in my calf as well. Several different nerve medicines have not provided relief, and strong pain meds dont seem to help either. I'm desperate for answer so if you get any leads please share them with me as well. We're so young, we shouldn't be feeling like this. God Bless.
    cams_wife 2 Replies
    • February 3, 2009
    • 04:47 PM
    • 0
    Flag this Response
  • Chronic Pain: You said that your pain subsides when you lay down...There is a kidney disorder called "nephroptosis" or "wadering/floating kidney" which causes very similar attacks of pain. The catch is that the pain subsides when you lie down. What happens is that your kidney drops down into your pelvis when you stand, but when you lie down it returns to its normal position. It causes terrible pain because it twists, causing your ureters to kink up. I know that might sound crazy but maybe it is something you could look into. The urologist would just order and IVP (which is basically like a highlighted xray), but you would take some pictures lying down and some standing up. Anyways, hope that might help. God Bless.
    cams_wife 2 Replies
    • February 3, 2009
    • 04:57 PM
    • 0
    Flag this Response
  • There is a condition called May-Thurner syndrome. It is when the right iliac artery compresses the left iliac vein against the spine. This causes the blood to congest in the left leg because it can not normally pass the compression on its way back to the heart. It does not necessarily results in the pain at the compression site (if it does it gives a lower back pain); most often it causes pain or swelling or both in the left leg and/or buttock. (Sometimes the anatomical structures are different and this can happen on the right side). If you have a compression like this, after a while your circulatory system is trying to develop alternative veins. They are called collateral veins. Most often there are transpelvis collaterals (horizontal ones from left to right in pelvis), but some patients can develop them near the spine or even inside it. Then it can give pressure on nerves and give numbness and tingling sensation in legs. Another typical symptom is ambulating pain, the pain moves around depending on where the pressure is high at the moment. Also, the pain subsides when you lay down. This condition is vastly underdiagnosed. It is impossible to discover with ultrasound and even difficult to discover with venography (phlebography). The only certain way to discover it is by means of intravascular ultrasound (IVUS) where the probe is inside the vein. The best research has been done by Neglén and Raju in Jackson, Miss. The treatment is to put a stent inside the vein at the site of the compression. The typical patient is a young – middle-aged woman, previously healthy where the doctors have not found other explanation for the symptoms. If left untreated, there is a big risk of thrombosis either at the compression site in the left common iliac vein or in the left leg. Could this possibly help? The best of luck!
    Felsen 510 Replies
    • February 3, 2009
    • 08:00 PM
    • 0
    Flag this Response
  • Thanks for the info. I just had a venogram on Monday to check for pelvic vein insufficiency, but the results were negative:( I also had a venous insufficiency test done last week on both legs during a tilt table test which were negative. I am so frustrated. I've had so many tests and nothing is coming up. I do have sij dysfunction, but my doctor is saying this cannot be causing my groin pain.
    chronicpain 4 Replies
    • February 4, 2009
    • 05:00 PM
    • 0
    Flag this Response
  • Complications of Crohn’s Disease

    Recognize the risks associated with Crohn’s disease.

    8 Surprising Facts About Cholesterol

    Did you know that one in six US adults has high cholesterol?

  • Chronic pain, I am sorry to say this, but the venography of the pelvic veins and ultrasound on the tilt table doesn’t necessarily show the May-Thurner compression. The ultrasound doesn't definitely show it, and venography might show it if the right vein has been examined and you are lucky to have a lot of collaterals. You have not had the pain for very long time, so it might be very difficult to see. As I said, the only certain way to examine this is by the means of IVUS. First, can you see what the report says; is the right common iliac vein mentioned in it? Second, do you have the pictures at home on a disc? I’d be happy to take a look at them; this is only if you would like this. Are you in US?
    Felsen 510 Replies
    • February 4, 2009
    • 09:25 PM
    • 0
    Flag this Response
  • Felsen,I checked out the syndrome you mentioned and it says it affects the left leg. My pain is all right sided. I don't have my reports yet since I just had the test done this Monday. I know the venogram checked the gonadal veins, especially the left ovarian vein as well as the right and left iliac. I'm in the U.S. and the doctor I saw specializes in pelvic congestion. I don't have any reports, yet. Thanks for the info. though!
    chronicpain 4 Replies
    • February 4, 2009
    • 11:51 PM
    • 0
    Flag this Response
  • 30 % of the patients have it in the right leg due to individual anatomy. I am glad that your doctor is a specialist in this field and has looked at the iliac veins, too. But as I said venography doesn’t always show it. I must admit that patients suffering from May-Thurner syndrome usually have the pain in the back of the thigh and not in the front, so maybe it is something else. I hope they soon find out what is wrong. Best of luck! :)
    Felsen 510 Replies
    • February 5, 2009
    • 00:20 AM
    • 0
    Flag this Response
  • I am having a similar pain to what you all have described. Except my pain is worse when I'm sitting or lying down. It radiates from my right groin area around the joint to my lower right back and tailbone as well as shooting down my leg to my upper thigh. I have been experiencing this pain since Halloween. That weekend I drank a lot and suffered from what the docs thought was PID. Antibiotics go rid of many symptoms I had but these remain and get worse just before my period. I have scoliosis and though it might be a back problem but I also have some discofort after urinating from time to time and I feel that the pain is more likely to start if I drink alcohol or coffee... Any one have any ideas? I do not have insurance so I'm trying to get some ideas of what I should test for before a doc sends me in for ever test they have... it took 3 tests just for them to call it PID!? Any help would be greatly appreciated. Thanks
    Anonymous 42,789 Replies
    • February 1, 2010
    • 05:45 AM
    • 0
    Flag this Response
  • Hi - I can just suggest that pain after urination can indicate a yeast imbalance (almost always an issue with bladder or any kind of infection). In this case eliminate all sugars including alcohol, sweet fruits/juices etc. and focus on protein and veg. The groin has an abundance of lymph nodes which could also get blocked if you have taken a lot of toxins (such as too much alcohol) into the body. It can only help to try a clean cleansing diet of green veg., fish, lots of water, etc. (no coffee, alcohol or other sugars, junk food). Dairy is also mucous causing and can clog the lymph. Good luck.
    Kinesiologist 62 Replies
    • February 2, 2010
    • 02:28 AM
    • 0
    Flag this Response
  • Could be closer to a PID than you think. Herpes affects the dermatones which can go all the way down your leg. Given that it settles in the ganglion, all types of pains down the nerves or dermatones can exist. Try getting a blood test for herpes 2 specific and rule it out. Did you ever have any little bumps or anything and think it was nothing??? You don't need to have had an outbreak to have it. Did anyone ever tell you they had it?Expensive without insurance--$100...Your other symptom of urinary problem especially related to coffee/caffeine is also typical of herpes. It can cause all types of lower back problems/pain and inflamed nerves.
    Monsterlove 2,921 Replies
    • February 2, 2010
    • 02:32 AM
    • 0
    Flag this Response
  • I originally posted this thread and wanted to update everyone on my status. This past summer I finally got a diagnosis. After seeing numerous doctors with no results I decided to do a little of my own researching. I looked up a doctor in my area that specializes in Pain Medicine/Physical Medicine and Rehabilitation. Finally, a doctor I found that actually wanted to solve my case! He had me get a MRI with contrast/dye. Before, I have only gotten a MRI without the contrast and it came back normal. This time the tests showed something. I was diagnosed with Osteoid Osteoma in my right femur. This is a benign bone lesion/tumor. Osteoid osteoma has a distinct clinical picture of dull pain that is worse at night and disappears within 20 to 30 minutes of treatment with non-steroidal anti-inflammatory medication. I recently had surgery where they drilled through my femur bone and heated the tip of the drill to burn my tumor. I have had AMAZING results and am completely pain free where before I had to take 2 Naproxen's a day! The recovery time after surgery was like 2 days! :) So please please please keep researching and getting second opinions if you can not find a diagnosis! It took me a little over two years of excruciating pain to finally get an answer.
    Anonymous 42,789 Replies
    • February 2, 2010
    • 03:20 AM
    • 0
    Flag this Response
  • No I haven't. Is this something I should get checked? you should also get checked for "Sports Hernia" (aka "Athletic Pubalgia" or "Gilmore Groin" most comonly called a Sports Hernia) its not a regualr ingunal hernia, its very rare, and a lot harder to diagnose and it can be a couple of dif things (for me, I had the right side of my rectus abdominus muscle torn off my pubic bone..and let me tell you...fricken. painful.) it can also be a legament torn off a bone. Google "Sports Hernia" and look at what you find, and try to see a sports physician or a reg ortho doc.
    Missa995 38 Replies
    • February 2, 2010
    • 07:18 PM
    • 0
    Flag this Response
  • I see that my response may be a bit late in the day looking at the date of posting. But I had chronic female groin pain. It was a real bolt out the blue pain that shot down my leg. It was worse when sitting or getting from lying to standing, once stood the pain disappeared. It came on suddenly nothing to suggest I had 'pulled a muscle'....I had to take to bed for the weekend and come Monday I was in agony trying to move about and went to my Doctor......luckily for me he had treated me since I was a child and knew I wasn't one to make a fuss over a bit of pain....he examined me and due to my flinching and tears welling up referred me straight over to the hospital.........due to my very obvious pain I was scheduled for a hernia examination and repair A.S.A.P.However, coming round from my operation I was advised I didn't have a hernia as first thought but I actually had a lymph node tumour.....it was the size of the surgeons fist and had grown between the two main nerves, hence the pain. They actually found two tumours, neither cancerous....although a long 6 week wait until I knew that. That was 6 years ago, and I have had one relapse and other unrelated lymph node tumours in other areas of my body. It was all quite a shock as I really did expect to be told I had just strained my groin. So I don't want to scare anyone but just suggest you persue hernia and lymph node tumour diagnosis'....for what its worth I was told as a female of 29 that wasn't particularly active that a hernia was very unlikely, but the symptoms fitted.........Im just glad that my doctor understood my level of pain and was sensible enough to acknowledge something was actually causing it and it wasn't my imagination. Good luck. Ems x
    Anonymous 42,789 Replies
    • August 31, 2010
    • 08:41 PM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.
Advertisement

Safe Sex With Hepatitis C

Prevent the spread of the hepatitis C virus.

Preventing Lung Infections

With COPD, it’s important to protect your lungs.

8 Health Dangers of Depression

Unmanaged depression can take a toll on your physical health.

Food Choices for Diabetes

What, when and how much you eat affects your blood sugar.

6 Exercises for Multiple Sclerosis

Ease your way into these stretching and strengthening moves,

Advertisement