A patient guide about groin pain

Groin pain is a common problem that affects men and women of all ages. It can range from a mild discomfort to severe pain that interferes with walking, exercise, sleep or work. While many cases are minor and settle with time, persistent or worsening groin pain should not be ignored.

As a consultant general, hepato-pancreatico-biliary (HPB) and hernia surgeon based in Manchester, I regularly assess and treat patients with groin pain at my private practice at Spire Manchester Hospital.

What causes groin pain?

There are several possible causes, and identifying the correct diagnosis is the key to effective treatment. One of the most common causes of groin pain is a hernia. A hernia occurs when tissue (often fat or bowel) pushes through a weakness in the abdominal wall. In the groin, the most common types are:

• Inguinal hernia – more common in men
• Femoral hernia – more common in women

Symptoms may include:

• A lump or swelling in the groin
• Aching or dragging discomfort
• Pain on coughing, lifting or straining
• A burning or sharp sensation

Not all hernias cause a visible lump, and some present only with pain.

Athletes and active individuals may develop:

• Adductor muscle strains
• Tendon inflammation
• So-called “sports hernia” (inguinal disruption)

These injuries often cause pain during movement, twisting, or exercise.

Occasionally, groin pain arises from irritation of nerves in the lower abdomen or pelvis. This may follow:

• Previous surgery
• Injury
• Entrapment of small nerves

Nerve pain is often sharp, burning, or associated with tingling.

Groin pain can also be related to:

• Hip joint problems
• Testicular conditions
• Gynaecological conditions
• Enlarged lymph nodes
• Less commonly, abdominal or pelvic pathology

A careful clinical assessment is essential to determine the true cause.

When should you seek specialist advice?

You should consider an assessment if you have:

• A lump in the groin
• Persistent pain lasting more than a few weeks
• Pain that is worsening
• Pain affecting work, sport or daily life
• Previous hernia surgery with ongoing discomfort

Early diagnosis can prevent complications and allow treatment before symptoms become more severe.

How I can help

At Spire Manchester Hospital, I offer:

• Thorough specialist assessment
• Ultrasound or imaging if required
• Clear explanation of the diagnosis
• Discussion of all treatment options
• Minimally invasive (keyhole) and open hernia repair
• Management of recurrent or complex hernias
• Treatment of chronic post-surgical groin pain

Spire Manchester Hospital is a modern, state-of-the-art private hospital with full critical care support, ensuring safety for both routine and higher-risk patients.

Why choose specialist hernia assessment?

Groin pain can be straightforward — but it can also be subtle and easily misdiagnosed. Seeing a surgeon with a specialist interest in abdominal wall and hernia surgery ensures:

• Accurate diagnosis
• Avoidance of unnecessary treatment
• Access to advanced surgical techniques if needed
• Personalised, consultant-delivered care

Take the next step

If you are experiencing groin pain, I would be pleased to see you for a consultation at Spire Manchester Hospital. Early assessment provides reassurance — and where treatment is required, we can develop a plan tailored specifically to you.