Groin pain while running

I’ve been dealing with groin pain while running for about four months now, and I was wondering if anyone else has dealt with a similar injury.

It started about one year ago, and it would be a nagging lower abdominal pain right at the start of a run, for about 4-5 minutes, and then it would go away. Later in runs, the discomfort would come back, and it felt like it drifted down to my testes. I finally learned I had kidney stones earlier this year, and I had surgery to remove one that was stuck. Up until that point, I was having a fantastic triathlon season with great times and feeling totally healthy. But I had to have the surgery due to recurring bouts of extreme pain, as kidney stones do. I figured that would do it for my lower ab pain after surgery, but no, it came right back, and now it’s different and worse.

After the surgery, since I was sitting on the couch for about one month not exercising much, when I finally started running slowly again, I had adductor pain. I went for PT, and the recommended motion was to do hyper extensions of my lower back to release some nerve impingement in my lumbar region. That seemed to help initially, but the pain is still there. And now it’s worse yet in a new way.

The best way to describe it without being too graphic, is to say that after any run of length 5 miles or greater, my rectum hurts. It feels like the muscles connecting the top of my hamstrings to my glutes and in that lower region just feel sore. After I shower, and I’m stepping over the edge of the bathtub, it is difficult to lift my legs. When I go to dry my feet, it’s hard to even lift my feet to dry. Meanwhile, I still have the sensation in my lower gut, just below my belly button, which is reminiscent of the original pain from last year. Basically, my whole core feels jacked, from lower belly to adductors to rectum to even a sort of general tiredness in my upper quads.

For what it’s worth, I generally race about 12 times per year, and I do Ironman racing. I was aiming for Louisville and Cozumel this year, but that went out the window. Point being, I’m familiar with soreness and tiredness during training, and this is nothing like I’ve experienced in previous years. Something is wrong. My urologist, who performed the kidney stone surgery, checked me out 2 weeks post surgery and said whatever I was experiencing was non-neurological. I went to an orthopedist, and he gave me a scrip for PT. But he had nothing to recommend with regard to the rectal area pain/discomfort I feel after running. My PT also said that was outside his expertise, although he felt that as my adductors improved, my general core should stabilize in terms of the pain I’m feeling, since all of this may be somehow referred from my lower spine.

Okay, enough detail. Has anyone ever dealt with pain like this from running before?

It might be worth looking into osteitis pubis or a stress reaction/fracture of the pubic bone.

I have OP, and while my symptoms aren’t identical to yours, they are similar.

I went to a sports doc and he ordered a bone scan which confirmed it. I have a friend who had it too, but it didn’t show up on a bone scan but did on an MRI.

It definitely isn’t something you want to mess around with. I’m at the point where I can stand on one leg without thinking much about it, but I’m still no where near being able to run.

Good luck with this.

Sounds like possible sports hernia which I think is fairly common… Do you have pain in your stomach when rolling over in bed or when you sneeze?

Sounds very like a stress reaction. I am recovering from one in my femoral head. Showed up on MRI but only after it being read by 2 separate docs.
My pain started as a pulling sensation around my lower back, glutes, and radiating to groin. I couldn’t put socks on, stand on one leg, extreme pain when running.
I am lucky I stopped and sought help as the recovery from a stress fracture of the femoral head is not something you want to deal with.
I stopped running for 12 weeks, did IM Florida recently. Run was a horror show as I had no run fitness but 12 weeks of no running sorted it for me. I now am going to take it easy for a further 6 weeks as slight groin pain returned after Florida.
Good luck

I went through this also.
It was first diagnosed as OP, at the tail end of the 2010 season with a lot of running. I could barely swing my legs in to bed.
I had a platelet rich plasma shot right after a key marathon in october and then lots of PT while resting from all tri training. so, took about a month off.
this seemed to help. the PT was critical.
the pain came back gradually as I resumed training around xmas. a different doc disagreed with the OP diagnosis and instead said it was adductor tendinitis.
I think he was right. I did more PT (3x per week) and got regular very deep tissue work (1-2 x per week) on the adductors and hip flexors thoughout the winter.
I trained for the Boston Marathon and swam 3x per week and by march/april 2011 I was good to go.
basically, through overuse and excessive training the hip flexors and adductors get progressively shorter and pull on your entire pelvic region as you run.
this casues the pain.
I also recall a few twinges of the rectum pain you described.
I have raced a lot since then and I focus more than I used to on stretching and regular preventative PT.