If you have pain in the upper thighs and groin.
If you want to know the cause of pain in the groin and upper thigh in women.
If you are a woman who has pain in the upper thigh or groin and this issue has caused you concern and you want to know what is the cause of your groin pain.
We recommend that you read on. In this article, we intend to talk more about groin and upper thigh pain in women.
Why do women get groin pain? What is the cause of this pain?
What are the clinical manifestations of people with groin pain?
What can be done to reduce and treat high hip pain?
By reading the following article, we will help you find the answers to the above questions. In order to better understand the causes and treatments of groin pain in women, we need to first give a brief description of the groin area.
Groin and its specifications
Doctors believe that the groin is a complex part of the body that starts at the bottom of the abdomen or the lowest point of the abdomen and continues to the top of the thighs.
The groin is in contact with the large neural muscle network and blood vessels.
The bones, muscles, nerves, and blood vessels that are intricately located in the groin can each cause groin or upper thigh pain due to injury.
In humans, the groin is said to be the communication area that sits on either side of the pelvis between the abdomen and the thigh on either side of the body.
In the following, we will introduce the groin muscles, nerves and arteries adjacent to the groin:
- Groin muscles:
The three muscles are located in this area and attach to the top of a part of the bone called the pubis and then go down into the groin. These muscles are called adductor muscles, as the name implies, and their role is to bring the thighs closer together.
- Nerves around the groin:
The main nerve that runs around the hip or groin is said to be a nerve called the sciatic nerve. This nerve moves just behind and close to the human hip.
The femoral nerve passes in front of the hip joint. The quadriceps muscle in the front of the thigh is innervated by the femoral nerve.
The next nerve is the obturator nerve, which passes through the surface inside the hip joint and very close to the groin.
The activity of the groin muscles as well as the sensation of the groin skin is from the Obturator nerve.
Another nerve called the femoral sensory nerve passes through the front of the pelvic floor muscles and is responsible for providing sensation to the front of your groin.
These are the nerves that are present around the groin.
- Groin vessels:
The femoral artery, is the main blood supply to the femur.
If you are a woman who has pain in the groin or upper thighs, we recommend that you read more
In the following, we will deal with various factors that cause groin pain in women and how to treat them.
What is groin pain and its accompanying symptoms?
Groin pain is said to often get worse with movement and may be accompanied by other symptoms and manifestations.
These symptoms are as follows:
- Swelling around the thighs
- Swelling in the pelvic area
- Inability to do exercise and physical activity
- Sensitivity to touch
- Pelvic pain
- Difficulty walking
The muscles in the groin area put a lot of pressure on almost all of the exercise and physical activity, so we must say that these muscles are always exposed to strain and injury. The groin pain may be sharp and vague.
What are the causes of groin pain in women?
We said that there are a lot of muscles in the groin area. These muscles are involved in almost all the activities that you do with your legs. Excessive function of these muscles makes them relatively risky for injury. In people who do a lot of physical activity, these injuries are more common in athletes and runners. Non-athlete people who put a lot of pressure on their body may also experience groin pain due to musculoskeletal problems.
The pelvic joint is also very close to the muscles and nerves, so joint problems and Nerve and vascular problems in this area may cause groin pain. In women, problems with the urinary system and genital tract are also associated with pain in the upper thighs and groin.
Classification of causes of groin pain in women
In the following, we tried to express an appropriate classification for the causes of groin pain in women:
- The first reason:
The most common cause of groin pain is muscle strain located in this area.
- The second reason:
Damage to tendons:
It can be said that one of the most common injuries associated with groin pain is stretching and inflammation of the tendons.
- The third reason:
Sometimes if the muscles in this area become spasmodic and cramped, you will feel severe pain in this area.
- The fourth reason:
Pressure on the nerve:
As mentioned, important nerves pass through the vicinity of the pelvic joint, which is almost adjacent to the groin. Direct pressure on these nerves can cause severe and excruciating pain that is irritating and sometimes shoots into other areas.
- The fifth reason:
One of the causes of groin pain is broken bones
- The sixth reason:
Inflammation of the joints or arthritis:
Arthritis of the hip can lead to discomfort and pain in the groin and upper thigh in women.
- Seventh reason:
Bursitis is one of the most common causes of groin pain in women. Bursae are sacs containing thin-walled fluid that, like tiny cushions, act as shock absorbers and pressure regulators between bones, muscles, and tendons near the joint.
Inflammation of the lining of these sacs is called bursitis
Pelvic bursitis is common in people who exercise.
Among the common types of bursitis that are associated with groin pain in women, we should mention the following two cases:
Trochanteric bursitis is one of the most common causes of groin pain that causes pain in the outer pelvis.
If your groin pain interferes with your daily activities and does not improve after three days, you should see a doctor, but most cases will improve within a few weeks without treatment.
This bursitis is sometimes called pelvic bursitis and causes pain in the pelvic area and sometimes spreads pain outside the thigh area. In these cases, it is necessary to avoid activities that lead to pain aggravation.
In addition to rest and taking NSAIDs and physiotherapy, steroid injections may be needed.
- The eighth reason:
Urinary and genital causes:
As we know, the bladder is located above the groin. One of the most common causes of groin pain is urinary tract infections. Cystitis or inflammation and infection of the bladder wall is one of the cases that is associated with high pain and discomfort in the thighs and groin in women.
- The ninth reason:
Urinary stones Kidney stones and urinary tract stones:
Concentration and accumulation and hardening of salts and minerals occurs. Kidney stones usually do not cause pain until they move, but as soon as the stones move inside the kidney or ureter, pain begins.
It is very common for kidney pain to spread to the groin. In these cases, women with groin pain often have the following symptoms:
- Frequent urination
- Discoloration of urine (pink, red, black and brown urine)
- Painful urination
- Nausea and vomiting
- Severe pain in the back and sides
- The tenth reason:
In medicine, the term hernia is used for any part of the body that leaves its original location and enters another area. Sometimes a dislocated organ is a part of the intestine that protrudes through the muscles of the anterior abdominal wall, creating a painful bulge that will be exacerbated by bending or coughing.
In the following, we will briefly explain the two relatively more common types of hernias
Femoral hernias are more common in women than men.
A femoral hernia occurs when part of the intestine or adipose tissue protrudes and enters the femoral canal.
The femoral canal is the part that is located in the upper groin and inside the thighs.
This hernia is more common in men, during which internal tissues such as part of the intestines and abdominal fat protrude and put pressure on the groin muscles. It is said that women may develop a latent type of inguinal hernia. The target should be examined with laparoscopy.
- Eleventh reason:
If you have pain that extends from the groin to the side, or if the pain in your groin and upper thighs shoots into the lower ribs and pelvis, you should consider ovarian cysts.
Doctors say that most ovarian cysts will not have any signs or symptoms, but if the ovarian cyst is asymptomatic, you will usually have symptoms in the lower abdomen where the ovary is involved.
Some of the symptoms of ovarian cysts are:
- Feeling pressured
- feeling pain
Did you know that if a cyst ruptures, it will cause severe pain that suddenly affects the lower abdomen, pelvis, and groin on the same side?
- The twelfth cause:
Groin abscess is caused by a skin infection in the groin area. Most of these abscesses are of bacterial origin.
In cases where there is an abscess, it is necessary to see a doctor immediately to drain the abscess and start antibiotic treatment and other measures.
Pelvic fractures and fractures of one-fourth of the femur are the most common causes of upper thigh and groin pain.
Surgical procedures are determined by the type of fracture and the severity of the injury
In these cases, quick referral is necessary to initiate action because the complications of these fractures can be very dangerous.
Doctors try to control and treat fractures in this area with a combination of physiotherapy surgery and medication.
- The thirteenth cause:
Doctors call skin and subcutaneous tissue infections, cellulite. The most common cause of cellulite is streptococci (group A).
This bacterium usually enters your body through cuts and damage to the skin’s physical barrier.
Cellulite requires seeing a doctor and starting antibiotic treatment.
- The fourteenth reason:
The pubis is located between the left and right pubis bones above the external genitalia and facing the bladder. Sometimes this joint becomes inflamed without infection. This condition is called Pubis osteitis.
Pain in the groin is common with pubic Pubis osteitis.
The following are the symptoms and manifestations of Pubis osteitis:
- There may be a mild fever.
- There is sharp pain in the groin that is exacerbated by climbing stairs, coughing and sneezing.
- There may be difficulty walking and the person may walk crookedly.
- Fifteenth reason:
Groin and upper thigh pain in pregnant women:
Groin pain during pregnancy can have different causes. Here are some of the causes of groin pain in pregnant women.
Enlargement of the uterus:
Increasing the size of the uterus may cause pain in the abdomen, pelvis and groin
Fetal head pressure on parts of the pelvis, especially in late pregnancy, is accompanied by intermittent and persistent groin discomfort.
Uterine ligament problems:
These ligaments that attach the uterus to the groin may be associated with groin pain during pregnancy.
When should we see a doctor?
If you have groin and upper thigh pain, you should see a doctor in the following cases.
If you have pain in the groin and upper thighs
If you think this pain is persistent or unusual
you should see a doctor and start treatment with appropriate measures.
In the following cases, you need to see a doctor:
- If you have symptoms of kidney stones and urinary stones
- If you see a bulge in your pelvis and groin that could be a sign of a hernia
- If you have symptoms or manifestations of UTI or urinary tract infection
Know that you must see a doctor for evaluation
If left untreated, a urinary tract infection can spread the infectious agent and involve the kidneys or pyelonephritis, which can be very dangerous.
In the above cases, (the suspicion of kidney stones or urinary tract infection or hernia (, you should see a doctor as soon as possible, but if you have any of the following conditions, you should go to the emergency room without wasting time.
If you have severe groin pain that has started suddenly.
If you have groin pain that comes with one or more of the following, it can be manifestations of ovarian cyst rupture:
- increase of heart rate
- fast breathing
When you see a doctor with groin and upper thigh pain, providing a detailed history and accurate description of your symptoms and manifestations will guide your doctor to make a correct diagnosis.
For example, stating how long it has been since your onset of pain, what factors are exacerbating the pain, and what factors are reducing the pain, as well as the accompanying symptoms.
Physicians usually keep a list of differential diagnoses in mind by examining the above, and depending on the situation and your circumstances, use clinical examination and sometimes paraclinical methods such as tests and imaging studies.
- Request a lab test:
Blood cell count, urine analysis and culture
A simple photo of the abdomen in a standing position is one of the items that may be requested.
From the clinical examinations, the following can be mentioned:
In people with pelvic joint problems, performing examination maneuvers in which the hip joint flexes or bends and rotates is uncomfortable.
The types of radiology modalities that are commonly used in the study of groin pain are as follows:
- Simple x-ray image:
It will be the most common type of radiological study that can assess the bone and joint structure of the pelvis. X-rays are also used to check for signs of pelvic arthritis and cartilage damage.
Abdominal and pelvic ultrasound may be used if kidney or urinary tract stones are suspected.
It is also used to evaluate pyramidal inguinal ultrasound
However, CT scans may be needed to check for urinary tract stones. CT scans and abdominal and pelvic ultrasounds may be recommended to check for internal abdominal and pelvic problems associated with groin pain.
MRI is also used to examine the soft tissues around the pelvic joint, such as muscles and ligaments, tendons, and so on.
How is groin and upper thigh pain treated in women?
Once the correct diagnosis is made, it will be easier to provide a prescription:
- Lifestyle changes:
Most causes of groin pain can be treated with simple strategies at home.
For example, if you have muscle strain or suffer from groin pain as a result of a sports injury, your doctor may recommend the following:
You should rest for at least one to two weeks to recover
- Ice packs for painful areas:
3) Close the area with an elastic band that can reduce swelling and pain.
If there is pelvic osteoarthritis, your doctor will give you instructions to stop your movements and harmful activities.
Most painkillers such as acetaminophen, given as an OTC, as well as anti-inflammatory and analgesic drugs of the acid group are sufficient to reduce groin pain.
With these drugs, the pain caused by muscle strain is arthritis and you can reduce nerve compression.
Stronger painkillers such as opioids should be prescribed by a doctor in very severe cases, such as after kidney stones or hip fractures or hip joint infections.
Corticosteroids are sometimes injected into these areas to reduce groin pain.
Antibiotics are prescribed if there are infections.
One of the main treatments for groin pain that is of musculoskeletal origin is physiotherapy
Along with exercises that help increase the strength of the pelvic floor muscles and around the thighs and increase the range of motion and flexibility
Conditions that cause groin pain may be so severe that they require surgery.
Emergency surgery may usually be needed if you have a joint infection.