What is the treatment for hip and groin pain?

Question

Hello doctor,

I have been suffering from right hip and groin pain for 10 months postpartum after the first baby. Delivery was normal, with second-degree tearing at times. Menstruation has been becoming more predictable in the past four months. My cycles are a bit longer, currently, at 30 days. The pain has been getting worse over the past three months. I did have right round ligament pain in pregnancy. Raised lymph nodes in the right groin were found to be reactive on a recent ultrasound. However, moderate free fluid was noted in the pelvis. I feel pain in my inner groin and hip lying flat and walking. It tends to burn at times. I am unsure about pelvic fluid, though. Please help.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Following are the possibilities of your query.

1. Pelvic Inflammatory Disease (PID): The presence of moderate free fluid in the pelvis and reactive lymph nodes in the groin could suggest an inflammatory or infectious process. PID can cause pelvic pain and may be more noticeable after menstruation.

2. Hip Joint or Labral Pathology: Issues such as hip labral tears, femoroacetabular impingement, or osteoarthritis can cause pain in the hip and groin area, especially when lying flat or walking.

There are other possibilities, like endometriosis, musculoskeletal pregnancy changes, or postpartum recovery issues. Please consult your gynecologist for this issue.

I hope this information will help you.

Thanks.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

During the examination, a small cyst and mild adenomyosis were observed. Although the adenomyosis is present, it is very negligible. I strongly recommend that you consult with your gynecologist to discuss treatment options for adenomyosis. Effective treatment can help alleviate your symptoms and provide relief. In response to your concerns about the ligaments in your hips, it is common for these ligaments to appear relaxed and exhibit changes on an MRI.

These changes are typically normal and are the reason they were noted in your MRI report. Please make an appointment with your gynecologist to address the adenomyosis and for further evaluation of your hip ligaments if necessary. This approach will ensure you receive comprehensive care and the appropriate treatment for your symptoms.

I hope this information will help you.

Thanks.