If you are concerned about lower back pain, giving out in the groin, consult a doctor to determine the cause of the syndrome. Various factors can provoke the phenomenon: inflammatory foci and infection, degenerative tissue changes and other pathologies of internal organs. Only on the basis of a pain sensation to understand what provoked it is almost unrealistic. A thorough study using modern tools is necessary, as well as testing organic liquids in the laboratory. We will analyze some possible factors initiating soreness.
Where to begin?
To understand where the back pain coming from the groin came from, you should consult a qualified doctor. At the appointment, the doctor will clarify the nature of the sensations, the area of localization, and features of the condition. This will allow the specialist to suggest a primary diagnosis, on the basis of which research activities are selected. With severe soreness and the active spread of sensations to the inguinal region, the patient may find a degenerative disease or inflammatory focus. More often, they form in the spine. Perhaps affected internal organs. However, in some, pain is formed against the background of excessive physical exertion.
Sometimes back pain, giving in the groin, disturb those who work too hard. Labor activity can cause severe discomfort with different nuances of sensations. A person who is forced to carry heavy objects due to his work is prone to severe pain. More often, these are activated when moving. If you interrupt and rest, gradually the sensations weaken, can completely disappear.
Damage and pathology
Sometimes lower back pain, giving in the groin, is caused by a person’s injury. A distinctive feature of the sensations is exacerbation with increased load on the back, spinal column. Usually the syndrome is very acute, but there is no strength to endure it. In the perineum, the tissues can swell, and the skin turns red. For some, the pain is constant for a long time - a day or a longer period. Relief can be achieved only by the use of painkillers. The victim constantly unconsciously takes up a forced posture in which the symptoms are somewhat weakened.
If the pain pulls, perhaps the cause is osteochondrosis. This is more likely if the disease has spread to the lower parts of the spinal column. A distinctive feature is the thinning of cartilaginous tissues, a decrease in their density. These components of the musculoskeletal system cannot fully cope with their intended functions, which provokes pain. Overweight can cause osteochondrosis. There is a likelihood of prolonged and uniform loads. The risks of developing the disease are higher if the person does not move much.
Pathologies: there are different
Arthrosis can provoke discomfort. This occurs more often in women than in men. Risk group - people over 45 years of age. Damage to one joint or several. Diagnosis is difficult due to the similarity of symptoms with many other diseases. With arthrosis, aches in the gluteal area are usually felt, any loads are accompanied by pain.
Sometimes the pain becomes a symptom of the need to treat a lumbar intervertebral hernia. A distinctive feature is the activation of pain at the time of increased load on the lumbar region of the spinal column. Those suffering from this pathology describe the syndrome by shooting. Gradually, soreness descends into the lower abdomen and covers the perineum.
Another possible disease that may indicate discomfort is necrosis of the femoral head. More often the disease develops in men. Risk group - people aged 30 to 50 years. As a rule, soreness comes suddenly, it is felt very sharp. You can achieve relief by taking analgesics. With necrotic processes, only very strong painkillers help.
What to look for?
It is known that pain can be disturbing due to diseases of the intestinal tract. There is a likelihood of developing a pronounced syndrome spreading to the perineum, with inflammation of the appendix, intestinal obstruction, malignant processes. Some feel sick and vomit, while others have bloating. Possible upset stool.
In men, lower back pain in the groin may indicate problems in the functioning of the reproductive system. About 15% of all males are victims of varicocele. This disease is formed due to a violation of the venous outflow of blood. The pathology is localized near the spermatic cords, while the soreness extends to the inguinal region, lumbar spine, and scrotum. Many testicles hurt, and the syndrome is often asymmetric, localized only on the left.
In men: what other problems are there?
In men, back pain, giving in the groin, can be a signal of the oncological process that has engulfed the prostate. Soreness accompanies a continuously developing process, which proceeds chronically. It is more often felt in the later stages, when the pathology affected the urinary system, kidneys. Pain from case to case varies both in character and in strength. When the bladder is empty, burning is noted, sexual strength weakens, and the intimate act itself is accompanied by unpleasant sensations. Often the patient has a stomach ache.
Pain may indicate a cyst formed in the seminal canal. In this case, funicocele is diagnosed. A cyst is a dense shell, inside of which is a liquid. The funicocele is indicated by severe pain in one side of the perineum - on the right or left. The patient's scrotum swells, in some swelling spreads to the leg from the same half of the body.
Diseases: may overtake the fair sex
In women, lower back pain, giving in the groin, can be initiated by inflammatory processes localized in the pelvis. At the same time, it is not possible to clearly determine the point of the syndrome. The patient notes that there is pain in the lower back, and the lower abdomen hurts spilled completely. Sensations become especially strong if a person has recently become too cold. The condition is accompanied by fever, fever, chills, malaise. As a rule, general weakness is observed. Often you can see specific vaginal discharge of an unhealthy shade, structure, volume.
Pain in the lower abdomen is closer to the groin if a woman is sick with cystitis. For many of our compatriots, this pathological process develops in a chronic form, slightly worries for a long time, but almost does not attract attention to itself. If an exacerbation begins, the condition may deteriorate sharply. Relapse can be suspected if the soreness is localized in the lumbar region, spreads to the perineum, is accompanied by frequent urges to the toilet, but emptying the bladder does not give a feeling of relief, it bothers with unpleasant sensations. Many women note that even with an empty bladder, there is a urge to urinate. The discharge becomes an unhealthy shade, the smell changes.
Women's diseases: what else are there?
Pain in the lower back, giving in the groin and leg, may indicate the formation of cysts in the ovary. In many ways, ovarian apoplexy in the right half of the body is similar in its manifestations to inflammation of the appendix. The patient is sick and vomits. Measurements show a sharp decrease in pressure, a woman feels severe pain. The manifestations are similar in the case of a left ovarian cyst, the only difference is that with this localization there is no danger of confusing the disease with appendicitis.
Sometimes pain is an indicator of trochanteritis. The term refers to the formation of inflammatory foci in the femoral tendons. Risk group - women in menopause. At this time, the concentration of sex hormones in the circulatory system is significantly reduced, which leads to various violations of biochemistry. With trochanteritis, pain can spread to the inner thighs.
First aid
If there are very severe back pain, giving in the groin where to go, it is difficult to navigate - in this state, the mind is clouded. If the pain is severe, it is difficult to endure, it is necessary to call an ambulance team. Upon arrival, the doctor will examine the person and prescribe medications to help relieve the condition, or decide to urgently transport the needy to the hospital, where they will be helped. If the pain is not so severe, the person believes that he is able to get to the clinic on his own, it is necessary to take measures for temporary pain relief, so as not to suffer, waiting for the line for an appointment. Antispasmodics are best in this situation. The classic pharmaceutical product is No-Shpa. You can take "Papapverin" or "Drotaverin."
There are fever back pain accompanied by a fever, giving in the groin. What to do with this syndrome, the doctor will tell you, to whom the person turned for help. To slightly alleviate the condition while waiting for the advice of a doctor, you can use an antipyretic. Pretty reliable and safe medicines in pharmacies are sold under the names "Nurofen", "Ibuprofen." If the temperature is less than 38 degrees, antipyretics are strictly prohibited. You can neither cool the sick area nor warm it up if the doctor did not give such recommendations. If possible, complete calm and bed rest are necessary.
Who will help?
For lower back pain, giving in the groin, treatment should be chosen by a qualified doctor. Men should get an appointment with an andrologist, women should contact a gynecologist. In some cases, they will redirect to a surgeon, a neurologist. You can make an appointment with the therapist. The doctor will evaluate the patient’s condition and analyze the symptoms, determine which specialist will help to accurately diagnose the disease and choose the right course of correction. When a highly qualified doctor examines the patient, he will choose the current methods for examining the condition. Based on the results, they will diagnose and prescribe procedures and drugs.
What plays a role?
To understand what are the causes of back pain, giving in the groin, at the reception, the doctor will ask you to describe the features of the phenomena. For the diagnosis plays a role, what is the pain and whether it changes as the condition progresses. Be sure to check your body temperature. The patient is questioned for fever, chills, hot flashes. The doctor will ask you to accurately determine the site of localization of sensations, as well as to recall whether the patient was sick, whether there was vomiting. To clarify the diagnosis, it is important to know if there were bleeding, fever, problems with emptying the bladder. When examining a woman, it is necessary to clarify the cyclical nature of monthly bleeding, to clarify the fact of a possible conception.
It is not always clear to the layman how to distinguish lower back pain from kidneys disturbing such a syndrome, since sensations are diffuse, they can radiate to neighboring tissues. Only by my own impression it is hardly possible to say what exactly provokes the syndrome. The doctor, in order to clarify the diagnosis, will take blood and urine samples to check and clarify the concentration of various uniform elements. It is necessary to direct the needy to an ultrasound examination - it will help determine the presence of diseases of the urinary, reproductive systems. Crops will be used to detect genital infections. In some cases, an X-ray of the spinal column, pelvic bone system is shown. Irrigoscopy is recommended; endoscopy is sometimes indicated. If osteoporosis is suspected, absorption densitometry is done.
Gastrointestinal tract
There is a possibility of the formation of pain due to appendicitis. In this case, the patient is in fever, vomiting. Sensations are sharp, less often - aching. Lack of skilled care is associated with mortal risks.
In addition to inflammation of the pelvic organs, there is a likelihood of the formation of such a focus in the intestinal tract. In this case, pain is first felt in the upper abdomen, gradually shifted to the lumbar region and covers the perineum. In the absence of adequate treatment, the likelihood of ulcers is high. Sometimes pain indicates intestinal infection. In this case, sensations cover the lower back, lower sector of the trunk, inguinal zone. When defecation, you can see the inclusion of mucous secretions, blood. In the absence of adequate treatment, sepsis is likely. If the pulling pain gave way to seizures and cramps, this is probably the initial stage of blood poisoning.
In some, pain indicates colitis. Despite the symptoms somewhat similar to the intervertebral hernia of the lumbar spine, the treatment in this case will be completely different, and only a qualified doctor can draw up a course. With colitis, bloating is a concern. Body temperature rises. At first, the pain is acute, but can turn into dull. This indicates the transformation of the pathology into a chronic form.
What else is possible?
There is a chance of a specific pain syndrome localized in the lumbar region, extending to the inguinal zone, if stones have formed in the bladder. In this case, discomfort appears from time to time, is described by patients as dull sensations. Less common is acute pain, indicating the movement of neoplasms.
There is a chance of cancer. Pain in this case is very different, and only a qualified doctor can clarify the condition. The loin and inguinal zone become foci of soreness during cancerous processes not only in the genitourinary system, but also in the gastrointestinal tract.
DOA of a hip joint is a little less often diagnosed. There is a chance of rheumatoid arthritis and stenosis. Some people have pain due to scoliosis. Perhaps the spread of severe discomfort to the lower back, lower torso with a stroke.
Coxarthrosis
DOA of the hip joint is not a very common pathology, and yet the probability of its development in a modern person is significantly higher than zero. Risk group - people over forty years of age. More often among patients with this diagnosis, women are found. There is a likelihood of a violation of the viability of one joint, possibly two at once. In bilateral pathology, pathological processes first develop in one part of the body, then spread to another. A typical manifestation of DOA is soreness localized in the perineum. From here the sensations extend to the femoral lateral plane, in front; some are given to the buttock, lower back. Occasionally, soreness extends even to the knee, but almost never - below. In a very small percentage of cases, the pain covers the middle of the lower leg. Such localization allows us to distinguish the disease from injuries and hernias.
Increased pain accompanies movement, an attempt to rise from a horizontal, sitting position. The most difficult are given the first few steps, then the sensations improve. With prolonged movement, the pain worsens again. In the sitting and lying positions, the pain weakens and disappears completely.
Can anyone help?
DOA treatment should be practiced under the supervision of an experienced doctor. In general, the therapeutic course is similar to that recommended for other cartilage diseases. Provide maximum peace to the affected area, since the progress of the condition in most cases is associated with excessive loads. The patient is prescribed painkillers and anti-inflammatory hormonal and non-hormonal drugs. They may be advised to inject medicines directly into the joint cavity - this ensures the blockade of the affected organ. To make the treatment as effective as possible, the course is supplemented with vitamins, minerals and other biologically active additives. Physiotherapy is recommended for patients. Regularly do exercises to increase the ability of tissues to cope with stress.
If the case is severe, neglected, the patient is likely to be referred for surgery.