Acute groin pain is usually relatively straightforward to diagnose. Chronic groin pain however, is a more common presentation and can be caused by a number of factors. This symptom occurs frequently in sports involving twisting and turning such as football or netball. There are a number of bursae contained within the groin and many of these are susceptible to overuse and inflammatory change.

In patients with groin pain it is vital to localise the area of abnormality. There are many reasons for possible groin pain arising from:

Adductor (inner thigh) muscles - chronic muscle strain or tendinopathy occur.

Hip joint - labral tear, synovitis, trochanteric bursitis or a stress fracture of the neck of femur.

Pubic bones - osteitis pubis or stress fracture of the pubic ramus.

Abdominal muscles - strain of the hip flexors, appendicitis, or an inguinal hernia.

Refered pain - lower thoracic spine, the lumbar spine or the sacroiliac joint.

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