Pain in right groin

by Maureen
(Gold Coast, Queensland, Australia)

I have had a chronic aching pain in my right groin coming from my lower back, for some time, mainly when I sit down or lie in bed overnight. When I first stand up and get out of bed, I have noticeably weakness in my right leg. Also have hip aching when lying for very long on the right side.

The other night not long after going to bed I experienced acute very severe intermittent stabbing pain that felt like a hot iron or an electric shock being stabbed in the inner side of my right ankle just below the ankle bone. It lasted for about 15 minutes but eventually settled. At the same time although I'd only just gone to bed, I had the groin pain. Don't know if the pain in my ankle is connected, but I had never had that ankle pain before and hope I never have it again!

Hello Maureen,
You make no mention of having a professional examination. You don't mess with pain in the groin. There are many possible causes, from really serious to degenerative arthritis, to referred pain from the spine, or sacroiliac joint.

The general rule of thumb for any pain is, if you know it's not getting better, see a professional.

The femoral nerve supplies the groin area, the anterior thigh and the inner lower leg. So your ankle pain could be referred from your back, or something quite distinct in the ankle itself. Only a thorough examination will make the distinction.

Type superior cluneal nerves into the search function at chiropractic help. They supply the buttock and groin.

Here's a little test for you to do. Lie on your back and pull your knee to the chest. Compare sides. Now rotate the hip, using the knee as a lever. Do it gently. Does it hurt, and where? Is it stiff?

I fancy an xray may be necessary, but deciding what part to xray is dependent on a thorough clinical examination.

Hernias occur in the groin too. Any lumps or bumps? Do you feel well? Weight loss?

As you can see it's complex, and I really can't give you an adequate answer on the web without examining you.

I hope this contributes. Let me know what comes of it all.

Dr B

Comments for Pain in right groin

Average Rating starstarstarstarstar

Click here to add your own comments

Jun 07, 2015
I know what you mean
by: Garry Anderson

Hi Maureen:

I know what you mean, except my problem is on the left side. Does not matter which side. How did this first appear? In my case, I was sitting cross-legged for about one hour, then I could not stand up. I fixed that with deep tissue massage. The second time it occurred, I was nicely relaxing in my recliner chair. I have been trying various things for 2-1/2 years now, and I have figured out what is going on, but have not completely fixed my problem.

In my case, the big muscle in the groin area, called the Psoas Muscle, has gone into contraction, like a cramp. It is pulling down on the spine causing nerve-root pinch. The pinched nerves cause muscle weakness in the leg and knee joint, but also everywhere else in the body to a lesser degree. The pain in other muscles is caused from the compromised nerve signals coming from the spine, which affects the entire body.

The shooting pain down my leg is from the Sciatic nerve were it goes near the Piriformis muscle, which has also gone in contraction from the Psoas cramp. So, the chain reaction is: Psoas knot, pinched nerve roots in spine, knots in Piriformis, pinced Sciatic nerve.

The most effective treatment I am using is to hang upside down, like a bat, on my Inversion Table (Ironman ATIS 4000 and Gravity 1000 models) for 10 minutes every morning and 10 minutes every evening. I combine that with 2 hours of walking each day (6 kilometers) and one 60-minute deep tissue massage of the affected muscles every week. This daily routing has virtually eliminated all the pain. Eventually, when the Psoas knot releases, I will be back to normal. At least I can function normally now while continuing to work on the Psoas release.

As a no-cost test, you may like to find a store which sells Inversion Tables and make a visit to that store. Ask if you can try the inversion for 10 minutes. When you get off, notice if there is any improvement. If so, you are on the right track. If not, let me know and I will discuss with you.

Keep in touch,

Garry Anderson.

There's a lot of virtue in inversion traction, just make sure there's someone else in the house when you first do it. Can get stuck upside down for hours!
Also, not when you're in acute pain.

Dr B

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Femoral nerve.

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.