Tingling groin pain, what is the cause? Neurosurgeon Byung Woo Kim

Groin pain is one of the main symptoms of a visit to the hospital. There can be a variety of causes, including spinal joint disease, urogenital disease, inguinal hernia, and venous and vascular disease. Patients who come to the hospital with groin pain describe their symptoms as "stiffness," "numbness," "pulling," "throbbing," "groin pain," and "hip pain." This type of groin pain is mainly caused by abnormalities in the joints of the spine and hips.

As shown in the picture above, if the hip asymmetry on CT scan is severe enough to be outside the normal range, it is likely to be caused by preceding inflammation or damage to the hip joint. The main clinical manifestations are the development of pain and a decrease in range of motion. It's hard to cross your legs or cross your legs. And you walk with a limp.

At this time, there is a 'Patrick test' that you can do on your own before you are diagnosed at the hospital. It is a test that allows you to know the range of motion of the hip joint, and the test process is as follows.

If you feel pain or no movement in the bend area during the test, you may have hip arthritis or joint symptoms.

On the other hand, there are cases where the CT scan shows that the joint surface is clear and no problems are observed during the Patrick test. You have a thickened disc, anterior dislocation* and stenosis. It is usually associated with degenerative diseases. In this case, there is a 'diagnostic block' in which the injection treatment is carried out by changing the area little by little. It is a treatment that is carried out when several diseases exist together, and it is a method of treating the cause one by one. Injections are also performed in the painful area and around the hip joint.

It is a treatment method that narrows down the cause by examining whether the patient's symptoms match the patient's symptoms while undergoing treatment, such as diagnostic nerve blocks, or using techniques such as catheters to stimulate the affected area and check whether the stimulation is appropriate for the patient's symptoms.

*Anterior dislocation: A condition in which the upper vertebrae are pushed toward the belly rather than the lower vertebrae, causing back pain and numbness in the legs.