HomeAnswersPhysiotherapyabdominal painI have been suffering from lower abdominal pain and have not seen any progress with physiotherapy. What to do?

Can lower abdominal pain indicate tendinitis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Sreenivasa Rao

Medically reviewed by

iCliniq medical review team

Published At October 26, 2022
Reviewed AtJanuary 5, 2024

Patient's Query

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 (wrong diagnosis). 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.

Answered by Sreenivasa Rao

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? Is the pain continues or increases 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 3 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.

The Probable causes

Running.

Investigations to be done

Pelvic MRI (magnetic resonance imaging).

Differential diagnosis

Hip flexor strain, rectus abdominis strain, or tear.

Probable diagnosis

Osteitis pubis

Treatment plan

Rest, ice, and medication.

Preventive measures

Avoid running.

Regarding follow up

Follow-up after taking an MRI (magnetic resonance imaging).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Sreenivasa Rao
Sreenivasa Rao

Physiotherapy

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