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This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 12 references cited in this article that you can view at the bottom of the page.
This article has been viewed 71,406 times.
Inner thigh pain caused by a groin injury is usually mild to severe, and can happen to anyone at any age. It is caused by a tear or rupture of one of the five muscle groups that run along the inner thigh, which is the muscles whose upper part connects to the pelvis and the lower end rests just above the knee. Treatment requires patience, rest, over-the-counter medications, and a slow return to activity. Severe cases and slow recovery require medical attention.
Steps
Instant pain relief
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Cold compress. Apply ice to the injured area as soon as possible to limit swelling, stop bleeding under the skin, and avoid bruising. [1] X Research Source
- Apply cold every two or three hours, for 15 minutes each, for the first 24-72 hours after your injury. [2] X Research Source
- Avoid applying ice directly to the skin. Use ice packs, bagged ice chips, or bags of frozen seeds like peas wrapped in a cloth or towel. [3] X Research Sources
- Continue cold compressing for several days after the injury, and when active again, apply it three to four times daily or immediately after light activity. [4] X Research Sources
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Rest. How long you have to stop moving will depend on the extent of your groin injury. [5] X Research Sources
- Mild to moderate groin injuries require a minimum of 2-4 weeks of rest. More severe injuries require a minimum of 6-8 weeks or longer to fully recover. [6] X Research Sources
- Stop being physically active for at least 5-7 days to allow the injury to begin to heal. Assess pain levels at that time to determine a route to return to sport. [7] X Research Sources
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Compression of the injured groin muscle. Compression helps minimize swelling and stabilize injured muscles. [8] X Research Sources
- Splints specifically designed for the groin area are especially helpful. This device is manufactured to fit the groin area without being too tight to avoid disrupting blood circulation to the groin. Splints are sold at most drugstores.
- You can also use elastic bandages, but care must be taken to avoid wrapping too tightly. [9] X Research Source
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Elevate the injured area. This helps prevent swelling and stimulates better blood circulation. [10] X Research Source
- Use a towel or blanket or pillow to prop the injured leg as often as possible. Try to elevate the injured area higher than the hip. [11] X Research Source
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Alternate between cold and hot compresses. For several days after your injury, if you have time, you can apply heat between cold compresses. [12] X Research Source
- Heat can reduce pain and discomfort caused by an injury. [13] X Research Source
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Use over-the-counter anti-inflammatory drugs. Medicines that help reduce inflammation and pain are ibuprofen, naproxen, and aspirin. [14] X Research Source
- Over-the-counter acetaminophen can help control pain, but it has no anti-inflammatory effect.
- Follow the directions on the product label or your doctor’s instructions.
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Differentiate the symptoms of a groin injury from other causes. A groin strain or groin injury can present similar symptoms to other conditions such as an inguinal hernia. [15] X Source of Research You must make sure that your condition is a groin strain, not another cause.
- Common symptoms of a muscle strain or groin injury include a feeling of tightness or cramping, sudden pain or sharp pain, and pain only when the muscle there relaxes. [16] X Research Source
- Severe trauma can cause severe pain with ordinary walking. [17] X Research Source
- An inguinal hernia usually presents with pain in the lower abdomen and groin, pain when coughing and sneezing, and persistent groin pain that becomes worse with movement. [18] X Research Sources
- Stretch marks in the femur or pubic bone can cause pain in the groin and radiate to the buttocks. [19] X Source of Study You often experience pain at night, pain to touch and swelling, and symptoms that do not improve with rest, cold, compression, or elevation. [20] X Research Source
- You should seek medical attention for other causes if testicle pain, numbness, tingling, worsening swelling, urinary tract symptoms, and fever are present.
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Perform a flexion to identify a groin injury. If your symptoms are mild and you’re not sure what injury you have, an exercise can be performed to determine if it’s a groin injury. [21] X Research Source
- To perform the adductor exercise that helps identify a groin injury, place a light object like a medical ball between your legs, and try to squeeze the ball by gently bringing your legs together. If this move causes pain, you most likely have a groin strain. [22] X Research Source
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Seek medical attention if you have a dull ache. Dull and worsening pain when you move or exercise could be a sign of an inguinal hernia, not a groin injury. [23] X Research Sources
- Another sign of an inguinal hernia is swelling in the lower abdomen or upper groin. An inguinal hernia occurs when a portion of the muscle along the abdominal wall weakens and causes part of the small intestine to leak downward. [24] X Research Source
- Inguinal hernias must be treated medically. [25] X Research Sources
Seek medical care
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See your doctor to determine the extent of the injury. There are five muscle groups that help in the leg movement called adductor muscles. [26] X Research Sources
- Closed motion means turning the leg inward towards the center of the body. The most common people with adductor injuries are athletes who have to run, kick, sprint, change positions suddenly, or use force to perform a passing movement such as kicking a soccer ball. [27] X Research Source
- The five adductor muscle groups are named comb, short adductor, long adductor, gluteal adductor, and large adductor. [28] X Research Sources
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Ask your doctor to explain the extent of your injury. Hip injuries are graded according to the severity of the injury. [29] X Research Sources
- Grade 1 is a minor injury caused by overstretching one or more of the five muscles mentioned above, causing a very small tear in the muscle fiber. [30] X Research Source
- Grade 2 is the most common type of injury caused by a partial tear of muscle tissue. [31] X Research Source
- Grade 3 injuries are the most severe, causing more pain, due to a complete tear or rupture of one or more of the five muscles. [32] X Research Source
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Estimated recovery time. Rest time to recover depends on the extent of the injury. [33] X Research Source In many cases, it takes up to 6-8 weeks or longer for the muscle tissue to heal completely. [34] X Research Source
- You must rest for the length of time recommended by your doctor to avoid re-injury.
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Revisit if the situation does not improve. If you feel your symptoms worsen or don’t see significant improvement after a reasonable period of rest, it’s likely that you have pain for another reason. [35] X Research Source
- Follow-up visits as indicated to assess for persistent discomfort and to look for other causes. [36] X Research Source
- Monitor pain levels. If there is little or no improvement, or the pain is worse a few days after the injury, you should seek medical attention. [37] X Trusted Source Mayo Clinic Go to Source
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Seek medical attention if you find a lump. You should see your doctor if you notice a lump or swelling in or near your testicle. [38] X Trusted Source Mayo Clinic Go to Source
- You should also seek medical attention if you feel pain along your lower abdomen and radiate to your sides, or if the pain radiates down into your groin area. [39] X Trusted Source Mayo Clinic Go to Source
Prevent injury from recurring
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Review the symptoms. Review the severity of your symptoms to see when you can resume exercise. [40] X Research Source Returning to sport while you’re still in pain can cause the injury to reoccur. [41] X Research Source
- Avoid activity if you are still in pain. Do not walk briskly or jog if you are in pain. [42] X Research Source
- After the pain is gone, you can return to sports but must be very slow to avoid injury. [43] X Research Source
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Reduce the intensity of movement if you feel pain. When you start being active again, it’s important to pay attention to your physical cues and respect your limits. Notice the pain that goes beyond normal “fatigue” with exercise, and see that as a sign that your activity needs to be stopped. [44] X Research Source You want to challenge yourself when it comes to training, but you shouldn’t push yourself to the point of causing your injury to reoccur.
- If you feel pain while playing sports, reduce the intensity or duration of the game, and work out more slowly to gradually increase the intensity. [45] X Source of Research This is annoying, but it can be even more frustrating if you have to take time off completely because of a recurring injury.
- Persistent pain can be a sign of a possible return of the injury, or a warning sign of another potential injury. Reduce the intensity or duration of the exercise until the pain subsides. You should see a doctor if the pain does not go away. [46] X Research Source
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Imitate sports movements. Slowly imitate the movements you will have to perform to be able to actively participate in the sport. [47] X Research Sources
- Move slowly but carefully, avoiding heavy lifting or collisions to see if you still have pain before you actually return to the sport. [48]X Research Source
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Work with a coach. A coach who is knowledgeable about your sport will not only help you recover to 100%, but can also guide you through the right warm-ups and stretches to avoid future injuries. .
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Warm up and stretch. The main cause of groin injuries is not doing the right warm-up and stretching exercises before a workout. [49] X Research Source
- Stretching helps relax the adductor to bring it into a ready state, and a sufficiently long warm-up will help better blood flow to the adductor and ensure the adductor works well under pressure. [50] X Research Source
- Massage can also help blood circulation and warm joints.
- Perform a simple stretch that targets the groin area before and after a workout or sport. Sit on the floor with your back slightly against the wall. Squeeze the soles of the feet together and pull the feet toward the groin. Slowly and gently move your knees to the floor. Hold this position for 20 seconds and then repeat. [51] X Research Source
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Continue applying cold and heat. Weeks after you resume activity, you should continue to cool the injured area after exercise, along with compression and rest. [52] X Research Source
- Continue to apply heat after exercise to eliminate residual pain. [53] X Research Sources
Advice
- Avoid anticipated risks. Running on rough ground like the beach is a major cause of groin injuries.
- People who don’t play sports can also get a groin injury, regardless of age. Older adults with hip arthritis are also more susceptible to hip pain or injury. Talk to your doctor if you have muscle pain along the inner side of your upper thigh.
- Consider swimming during your recovery if the pain is not very severe. Your body weight is supported by the water, so you can gently move your legs to begin to restore muscle mobility.
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This article was co-written by Luba Lee, FNP-BC, MS. Luba Lee is a licensed family physician practicing in Tennessee. She received her MSN from the University of Tennessee in 2006.
There are 12 references cited in this article that you can view at the bottom of the page.
This article has been viewed 71,406 times.
Inner thigh pain caused by a groin injury is usually mild to severe, and can happen to anyone at any age. It is caused by a tear or rupture of one of the five muscle groups that run along the inner thigh, which is the muscles whose upper part connects to the pelvis and the lower end rests just above the knee. Treatment requires patience, rest, over-the-counter medications, and a slow return to activity. Severe cases and slow recovery require medical attention.
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