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The hip and groin comprise pelvic bones, joints, muscles and tendons. These structures surround important pelvic organs such as the uterus, ovaries, bladder and bowel. In addition, important nerves pass through pelvic muscles adding to complexity. So, there are many structures in the hip and groin that can cause pain.
What is the most common cause of groin pain in the sporting population?
Most cases are due to a condition called pubic overload. This condition is also known as osteitis pubis or athletic pubalgia. Abnormal or excessive forces on the bones, joint and tendons surrounding the pubic joint lead to bone or tendon swelling resulting in groin pain. The location of the swelling determines were the pain is felt; for example, swelling of the adductor tendon causes adductor pain whereas swelling of the abdominal muscles produces pain in the abdomen. Other features include pain that moves to the other side and pain that gets worse with coughing or sports.