Can lower abdominal pain indicate tendinitis?

Question

Hi doctor,

While a high repetition of high leg raises for lower abs exercise, I experienced minor pain in my lower abs near the groin area, which worsened after playing football. It will continue and gradually diminish over the next two weeks. Next, I consulted two doctors who treated my groin. Finally, I went to a doctor, who advised me to have an ultrasound. According to the results, the rectus abdominis muscle has normal muscle fibers, but the edematous tendon and attachment indicate tendinitis.

In addition, some reactive lymph nodes were discovered in the right groin. I have been out of sports for nine months due to an injury. I am currently conducting physiotherapy sessions but have not seen any real progress. Please advise, as I am desperate to return to playing sports.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

You have had that injury for a long time and have not seen any improvement. I recommend you get a pelvic MRI (magnetic resonance imaging) because a condition called osteitis pubis needs to be ruled out.

I want to know what kind of training you do. How painful is the pain, and what triggers it? Does the pain continue or increase with activity? If sudden activity triggers the pain, how long does it take to settle? Are there any functional activity limitations? It is recommended that you apply ice for 15 minutes to that area every three hours for the time being. After that, stop running and any other activities that cause you pain. Please answer all these questions for better evaluation and assessment.

I hope this helps.

Thank you.