Groin Pain (non-traumatic)

Red Flags

If these signs are present, referral to a physician is necessary.
    • Cauda Equnia syndrome, characterized by:
      • Low back pain with or without sciatica
      • Loss of sensation in the lower extremities
      • Bowel and/or bladder changes (decreased anal sphincter tone, urinary retention, overflow incontinence)
      • Perineal pain or loss of sensation (saddle anesthesia)
      • Muscle weakness and atrophy
    • Personal or family history of cancer
    • Recent (last 6 weeks) infection (e.g., mononucleosis, upper respiratory infection [URI], urinary tract infection [UTI], bacterial infection such as  streptococcal or staphylococcal; viral infection such as measles, hepatitis), especially when followed by neurologic symptoms 1 to 3 weeks later (Guillain-Barré syndrome), joint pain, or back pain
    • Recurrent colds/flu with a cyclical pattern (i.e., the client reports that s/he just cannot shake this cold or the flu; it keeps coming back over and over)
    • Recent history of trauma such as motor vehicle accident or fall (fracture; any age) or minor trauma in older adult with osteopenia/osteoporosis
    • History of immunosuppression (e.g., steroids, organ transplant, HIV)
    • History of injection drug use (infection)
    • Weight loss
    • Fever
    • Bleeding in the urine
    • Lump in the groin area
    • Unexplained fatigue

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