can herniated disc cause pain, groin area

Degenerative disc disease occurs when discs in the spine become damaged or wear down with age. You can find a pain doctor in your area by clicking the button below or looking for one in your area by using the tips here: http://paindoctor.com/pain-management-doctors/. Herniated Disc Neck Make an appointment with your doctor if you experience groin and lower back pain. The pain may be sharp or burning, and may also worsen when standing or walking. Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Other nerves and structures in the area may also be impinged (compressed), leading to similar symptoms. Thoracic Herniated Disc Diagnosis. Rest and reduce pressure on the nerve until the pain subsides. Do not hesitate or wait for it to clear up. Ultimately, determining the cause of the groin pain and appropriate treatment is best discussed with a medical professional. He completed a Physical Medicine & Rehabilitation residency at The Ohio State University (96) after graduating from Georgetown Medical School (92). Boris Terebuh, MD is delighted to be a Discseel provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Arthritis in the low back has similar symptoms and can cause pain in the back and sometimes into the buttocks. Pearl is Board Certified in Regenerative Medicine,Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists. Immediately, the pain began resolving, and she was pain free and off her medications within several weeks. If you want to interview abdominal pain erectile dysfunction something about the pharmaceutical factory, of course there is no reason to refuse. The pressure a bulging disc places on nerves in the spinal column can produce the same symptoms as above (pain, tingling, pins and needles, etc.). If groin pain is accompanied by pain in the middle or lower back, it could be due to a herniated disc, pinched nerves, arthritis, spinal stenosis, or pinched nerves. You should consult your physician if youre experiencing groin or lower back pain. We use cookies to ensure that we give you the best experience on our website. Believe it or not, it is possible to have a herniated disc without experiencing any symptoms. Apply a cold pack to reduce swelling or a hot pack to relax muscles. Lying flat on your back, bring your feet together, pressing the soles and letting the knees drop toward the floor (gently) until you feel the stretch. Groin pain is one the most painful areas in the body. A herniated disc can cause sciatic pain that worsens over time as the condition worsens. This is especially true if you have had recent spine surgery. Tingling and Numbness. However, 4.1% of patients with lower-level (L4-L5 or L5-S1) lumbar disc herniation also complained of groin pain. In addition to muscle innervation, the L5-S1 nerve root also serves the role of sensory innervation in the lower extremities. She is also the Medical Director ofComplete Spine and Pain Care an interventional integrated Pain Management practice,both located in Framingham, Massachusetts. Treatment for L4 L5 S1-related groin pain may include rest, physical therapy, pain management, or even surgery depending on the severity of the condition. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the Gold Humanism Honor Society.. He is the founder and medical director of Southwest Spine & Sports (99). Dr. Wolff is highly motivated to help his patients for personal reasons as well. Dr. Tolman was also selected and trained as one of 15 physicians nationwide to offer the Discseel Procedure. Do daily stretches to relieve pressure on your groin nerves. So where and when will you notice your herniated disc? Dr. Foxx has been in private practice since 2004. Herniated disc groin pain is a possible consequence of an upper lumbar disc pathology. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. The pain may be caused by the narrowing of the lumbar spine, which can compress the nerve roots in the lower back and cause pain in the abdomen, groin, and leg. He has extensive experience with intradiscal therapies and is honored to be selected as one of the few physicians in the country trained in the Discseel Procedure. Herniated Disc Diagnosis It provides sensation to the lower leg, feet, and toes in addition to proprioceptive feedback to the muscles of the leg and hip. In some cases, a more serious underlying condition, such as a tumor or cancer, may be the cause of the pain and should be checked out if any symptoms persist. How do you relieve groin pain from sciatica? from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.Watch Dr Pearl give an introduction to The Boston Stem Cell CenterDr. Other spine issues may cause low back pain and referred pain in your groin. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute. Loss of sensation in the lower legs and feet may also occur as a result of nerve damage. The L5-S1 nerve root is an integral component of the lumbar spine and has an important function in the control of movement and sensation in the lower extremities. Video: Can Herniated Discs Heal on Their Own? Occasionally, you may notice a flattening of the lower back if twinges of back pain have unconsciously altered your posture, but other than that, a herniated disc will not necessarily have signs or symptoms in the vertebrae. As anesthesiologist constantly dealing with the relief of pain and total care of surgical patients, Dr. Yasuyuki Nonaka has always been aware of the fact that chronic pain can not only seriously affect the patients daily activities and quality of life, but often go beyond just the physical and impact patients mental health. If you have groin pain and suspect your spine may be to blame, schedule an appointment at Saratoga Spine today. Most often, a herniated disc does not feel like anything at the site of the herniation. WebHerniated Disc. Well talk about the possible relationship between pain in these areas and discuss any injuries or conditions that could cause it. All suspected cauda equina symptoms should be reported to a qualified doctor or local emergency room immediately for evaluation. The majority of people who experience groin pain attributed to an L4 L5 S1 spinal issue tend to report pain that radiates from their lower lumbar spine, down their buttocks, and into their groin area. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Your physician will likely check for spinal conditions or injuries if you have groin and back pain. Head straight to the emergency room. He then completed a four-year residency in Physical Medicine and Rehabilitation at the University Medical Center of Loma Linda in California and went on to complete an advanced Interventional Pain and Spine fellowship. The groin is innervated by the genitofemoral and ilioinguinal nerves; degeneration of the spinal canal can cause referred pain to the The pain may be localized in the lower back or radiate down the leg and be felt in the hips and buttocks. One example of referred painis the pain that radiates down the left arm when someone is having a heart attack. This can cause a forward slump in your shoulders, placing tremendous stress on your lumbar and cervical vertebrae. No distribution, syndication or reproduction of any content allowed. This can cause pain, inflammation, and even more serious complications. Copyright 2020 Dr. Kevin Pauza All right reserved. His true passion is to treat his patients like his family and friends. Somewhere between five and 10% of patients experience disc reherniation. Diskectomy is the surgical removal of the damaged portion of a herniated disk in the spine. 12 Herniated Disc Symptoms You Should Know, on 12 Herniated Disc Symptoms You Should Know, 12 Yoga For Sciatica Poses To Find Pain Relief, Living With Occipital Neuralgia: Your Guide, The Best Ways to Sleep with Occipital Neuralgia, Your Guide To Physical Therapy For Occipital Neuralgia. Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). Follow us to stay up to date on our groundbreaking procedures, news, speaking engagements and upcoming appearances. It may be this change that sends you to the doctor. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. What are the symptoms of a herniated disc at L5 S1? Herniated discs can place tremendous pressure on the nerves surrounding the spine. Hold for 30 seconds and repeat 3 times. Degenerative Disc Disease The American Board of Regenerative Medicine. Summary of background data: Patients feel low back pain originating from discogenic disease. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. In 2010, Dr. Foxx founded Premier Anesthesiology & Pain in Overland Park, KS. Leg Pain and or Weakness. In some cases, more aggressive treatment such as injections, nerve ablation, and steroid injections may be recommended. Thoracic back pain may be exacerbated when coughing or sneezing. He graduated from Kansas University School of Medicine in 2000. A herniated disc occurs when some or all of the inner layer of the intervertebral disc ruptures through a weakened point in the outer layer. In addition to sciatica, this type of herniated disc can lead to weakness when standing on the toes. If youre experiencing back or groin pain, your physician may examine the spine to determine if there are any injuries or conditions. Obtain Long Term Pain Relief. Kidney stones, for example, can cause severe pain in the lower back, side, or groin. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians. This produces the pain known as sciatica, which can be felt in the hip. The most common levels for a herniated disc are L4-5 and L5-S1. Herniated Disc If a herniated disk presses on any of the nerves that lead to the groin, the individual may feel pain in the groin as a result of a disc problem in their back. spy wednesday images pitt law grade distribution can herniated disc cause pain, groin area. In many cases, numbness and dysfunction are manifest in the groin and anus and it is usual for patients to lose control of the bladder or bowels. WebGroin numbness thats accompanied by other symptoms is unlikely to be the result from just sitting too long. The best thing that you can do is get the pain checked out and the cause addressed as soon as you can. The nerves that enervate the hands are compressed by the vertebrae in the cervical spine, resulting in numbness. The first step in treating groin problems is to diagnose the exact cause. How can you tell if your bearded dragon is too hot? The leg pain that is often felt with an L4-L5 disc problem in conjunction with or separate from lower back pain is often categorized as sciatica. She then received her M.D. When a disc herniates, small pieces of the disc may irritate a nerve root and cause pain that radiates to the groin. Sciatic pain can occur anywhere along the length of the sciatic nerve. SI joint discomfort can be caused when the ligaments become stiffer, the cartilage is damaged or misaligned. Nerve ablation is a procedure in which radio waves are used to destroy nerves that are contributing to the pain. She completed her training at Loyola University in Chicago, Illinois in July of 2005. Referred pain can also be felt radiating down the arm in the event of a heart attack. Pain from the lower back can radiate down through the buttock region, into the pelvis and even down the back of the leg. Some patients with herniated disc experience this as a major symptom. There are several risk factors for herniated discs. The human spine consists of 33 vertebrae divided among five regions. Herniated Disc Lower Back If you are experiencing lower back pain that is radiating to your pelvic area, it is important to see your doctor to receive an accurate diagnosis, as there are a variety of treatments available. Surgery may also be recommended in cases where other treatments are not effective. For herniations theorized to be causing foraminal stenosis at other levels, the pain is likely to be unrelated, which is not surprising, since most herniated discs are asymptomatic to begin with. These intervertebral discs cushion each vertebrae and help them move smoothly in your spine. Pain Doctor was created with one mission in mind: help and educate people about their pain conditions, treatment options and find a doctor who can help end their pain issues. The treatment options are varied and effective treatments can only be developed after a diagnosis. Herniated Disc FAQ This theory is supported by the incredibly poor curative statistics for herniated disc treatments used to resolve groin pain, particularly in the middle and lower lumbar levels. If you have groin pain you may not have associated it with a problem in your back. Lower back pain that radiates to the groin can be caused by a variety of conditions, including herniated or bulging discs, facet arthropathy, sacroiliac joint dysfunction, and degenerative changes in the spine. He has had his own experience with regenerative therapies and their benefits. It is important to seek medical care if you have back pain that extends into the groin, as this can be an indication of a serious condition. Thus, it is possible that patients feel referred Finally, degenerative changes to the spine such as degenerative disc disease, spondylolisthesis, or spinal stenosis can be a cause of lower back pain that radiates to the groin. The treatment for L5-S1 is typically determined according to the severity of symptoms and the underlying cause. Your doctor can determine if your back is causing your groin pain through careful analysis of your symptoms, physical exams and test results. Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies. The intervertebral disc bulges out between vertebrae but retains its integrity (and jelly-like fluid, too). The beginning of your obturator nerve (nerve root) is in your lumbar plexus. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: pain is inevitable but suffering is optional. Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. The feeling of pins and needles is similar to the prickly feeling you might experience when a limb falls asleep and begins to wake up, only this prickly feeling lasts longer. It's part of your peripheral nervous system. Lower back pain costs the U.S. an estimated $100 billion dollars annually in both direct medical costs and indirect costs (e.g., lost wages and productivity). Groin pain is most often blamed on herniations at L4/L5 and L5/S1 which is not always consistent with the symptoms expected, since the nerves involved at those levels do not innervate the groin. Physical therapy can help improve your chances of a positive result and less ongoing pain. 2020 Discseel Procedure. -Swelling or tenderness in the area where the herniation occurs. Back Pain While Driving: Causes and Treatment, Your Rights & Protection Against Surprise Medical BIlls, Right to Receive a Good Faith Estimate of Expected Charges. If the disc herniates into the spinal cord area, the thoracic herniated disk may also present with myelopathy (spinal cord dysfunction). Spinal stenosis is a narrowing of the spaces in the spine and can cause a variety of symptoms. However, this association, while statistically significant, is not strong. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'remodelormove_com-mobile-leaderboard-1','ezslot_26',168,'0','0'])};__ez_fad_position('div-gpt-ad-remodelormove_com-mobile-leaderboard-1-0');if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'remodelormove_com-mobile-leaderboard-1','ezslot_27',168,'0','1'])};__ez_fad_position('div-gpt-ad-remodelormove_com-mobile-leaderboard-1-0_1');.mobile-leaderboard-1-multi-168{border:none!important;display:block!important;float:none!important;line-height:0;margin-bottom:15px!important;margin-left:auto!important;margin-right:auto!important;margin-top:15px!important;max-width:100%!important;min-height:250px;min-width:250px;padding:0;text-align:center!important}In cases where more non-invasive methods are not effective, or the injury is severe, surgery may be the best option. This website is provided as a gift by The Cure Back Pain Network. Disc issues occur when the discs located between the vertebrae of the spine become damaged or deteriorate due to age-related factors. Recognizing herniated disc symptoms can make a world of difference in treating this pain and getting back to your life. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers Compensation Board. Throwing up undigested food a few hours after a meal. WebLoss of bladder or bowel control, a rare herniated disc symptom that may indicate a more serious problem called cauda equina syndrome (when something is pressing against the nerves at the lower end of your spinal cord) Lower back pain. Degenerative disc disease can occur when the discs between the vertebrae thin and become less able to cushion the vertebrae and absorb shocks, leading to compression of the nerves of the spine and radiating pain. He is excited to share the benefits of intradiscal fibrin with his patients. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. A native of France, he obtained his bachelors degree and his Doctor of Medicine Diploma from the University of Vermont. These pressured nerves then become irritated and send pain signals to other body parts, including the groin. Pain can range from barely noticeable to excruciating. Yes, a herniated disc in the lower back can cause groin pain. Herniated Disc Surgery Muscle weakness or spasms in the lower back. Disclaimer: All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. This pain may be felt in the SI joints , which are located in the lower back, or may radiate down to the groin or upper thigh.2. If you are experiencing pain in the lower back, sides, or groin and think it may be related to your kidneys, it is important to speak with a medical professional to determine the cause and get appropriate treatment. Herniated Disc Symptoms The afferent nerve responsible for groin discomfort was the sinuvertebral nerves that innervates posterior annulus Fibrosus, the posterior longitudinal and dura. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He has been at the forefront of his field for years and offers the most advanced, cutting-edge interventional treatments in the field of pain management. The nerves that send signals to the groin travel to the spinal column on their way to the brain. Your doctor will be able to diagnose if your back causes your groin problems by carefully analyzing your symptoms, performing physical exams and testing the results. Groin pain can be caused by many things, including: Groin pain is usually caused by acute injuries. She has a special interest in sports medicine, pain and spine. We will discuss how pain can occur in both these areas as well as any conditions or injuries that might cause it. Choosing a Surgeon 250., Naples, Florida 34102, 2490 W. 26th Ave. Suite A-10., Denver, Colorado 80211, @Mile-High-Sports-and-Rehabilitation-Medicine, 51 N. 5th Ave, Suite 301., Arcadia, California 91006, 13575 W. Indian School Road, Litchfield Park, AZ 85340, Active Life Physical Medicine & Pain Center, 1-1-35 Nishiawaji, Higashiyodogawa-ku, saka-shi, saka-fu 533-0031, 145 Inverness Dr E Suite 250 Englewood, CO 80112, 1390 S. Potomac St. Suite 100 Aurora, CO 80012, 4126 Southwest Freeway Suite# 1300 Houston, TX 770275, 9913 N 95th St., Scottsdale, Arizona 85258, Abstract: Safety and Efficacy of Fibrin for Chronic Low Back Pain, Intra-annular Fibrin to Diagnose and Treat Disc Pathology Excerpt, Watch Dr Pearl give an introduction to The Boston Stem Cell Center, Fellowship: Interventional Spine, University of Pennsylvania, Residency: PM&R, University of Pennsylvania, Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons, Medical Doctorate: Pennsylvania State University College of Medicine, Bachelor of Arts: Biology, Lehigh University, Bachelor of Arts: Psychology, Lehigh University, New York State Medical and Surgical License, Florida State Medical and Surgical License, Lehigh University Four-year Academic Scholarship, Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni), North American Spine Society, Outstanding Paper of the Year, 2003, President-Elect, International Spine Intervention Society, Founding Partner, Texas Spine and Joint Hospital, Commencement Speaker: Penn State University College of Medicine, Founding Chairman, Standards Committee, International Spine Intervention Society, Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation, Appointed Spine Advisor, Japanese Prime Minister, Appointed Spine Advisor, Allied Royal Families, Founding Partner & Principal, Texas Spine & Joint Hospital. Some of these nerves travel Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery. WebNo, this isnt pain that your nerves recommended to you. He is board-certified by the American Board of Anesthesiology and is dedicated to staying on top of technological advances and cutting-edge techniques that help determine the origin of pain, to more effectively develop treatment strategy. The L5 spinal nerve root meets with the L4, S1, S2 and S3 nerves to create the sciatic nerve. He has been involved in clinical research, studying the benefits of biologics, and has spent the last ten years concentrating on regenerative medicine. If a bulging disc is caught early, it may be possible to treat it before the condition worsens. His guiding principle is integrity doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Background: Groin pain can be induced by high-level (L1-L2 or L2-L3) lumbar disc herniation. 2012 Jan 15;37(2):114-8. doi: 10.1097/BRS. Surgery for L5-S1 can involve a spinal fusion, laminectomy, laminoplasty, or microdiscectomy. Weakness and numbness in the feet and toes. Nerves of the lumbar spine L1 spinal nerve provides sensation to your groin and genital area and helps move your hip muscles. Depending on the level of the spine where the trauma occurred, there may be more localized or worse symptoms in the groin area. This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc). This is because the pain is typically located in the lower back and can radiate to the groin and buttock which is also common with hip problems, sciatica or even a pinched nerve. The presence of any of these warning signs is a sign that you may have a herniated disc. Alternative Medicine We are proud to help patients for over 15 years and do so without financial gain. Some of these nerves are sent to the groin. This numbness may persist even after the herniated disc is addressed. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. This is because the disc can put pressure on the sciatic nerve, which runs from the lower back through the buttocks and down the legs. L3 L4 pain can vary depending on the source of the problem. Continuing to use this site will imply acceptance of our privacy policy. This type of pain is often an indication of spinal stenosis or degenerative disc disease. WebThis results in a herniated disk, also known as a slipped disk or ruptured disk. Kidney injury, such as from a car accident, can cause immediate inflammation and swelling near the kidneys, which can be felt in the lower back, sides, and groin. A bulging disc can be just as painful as a herniated disc, though. Laminectomy Laminectomy can be used in some cases. This symptom of herniated disc may be accompanied by muscle spasms as well. What Causes Buttock Muscle Pain and How to Relieve it, Piriformis Syndrome: When the Symptoms Indicate a Medical Emergency, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Suffering from Lumbar Spinal Stenosis? It is difficult to determine if groin discomfort is due to problems with the spine and back. Member, Massachusetts Department of Industrial Accidents, Health Care Services Board, Member of the Association of Harvard College Class Secretaries and Treasurers, Past Member of the Board of Directors of the Harvard Alumni Association, Former Member of the Board of Trustees University of Massachusetts. Disclaimer :Disclaimer: All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Jogging Seems to Bother My Lower Back Should I stop? Can a pinched nerve in back cause groin pain? The nerves which send signals to your groin travel to your spinal column and then to the brain. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine. Pressure on the nerve can lead to pain in the low back, buttock, groin, or posterior thigh, and it can be a cause of sciatica, with pain, tingling, or numbness along the course of the sciatic nerve. How can I download nfs most wanted for Windows 7? This can be caused by numbness or tingling in the hands and forearms. Get Veritas Health Newsletters delivered to your inbox. In cases of severe central spinal stenosis or canal narrowing issues in the sacral spine, there can be serious health risks which may manifest themselves in the genitals and groin. Webcan herniated disc cause pain, groin area. Depending on the location of your disc herniation, pain can occur in the arms, legs, all areas of the back, hands, or neck. fc alliance soccer club knoxville * ALL of our patients matter to us. A herniated disc occurs most frequently in the lumbar spine, specifically between the L4 and L5 vertebrae. Mindbody Disc Pain WebIf a herniated disk presses on any of the nerves that lead to the groin, the individual may feel pain in the groin as a result of a disc problem in their back. He completed an interventional spine and musculoskeletal fellowship (97). WebMost of the time arthritis in the spine is mild and emergency evaluation and treatment is not needed. 1999-2023 Veritas Health, LLC. Herniated Disc Facts. In these cases, foraminal stenosis would have to be proven using advanced diagnostic imaging, like MRI. Numbness and pain can radiate down into the sole of the foot and the outside of the foot. This is because the pain is typically located in the lower back and can radiate to the groin and buttock which is also common with hip problems, sciatica or even a pinched nerve. It may vary in intensity depending on the level of activity and time of day. Many reasons can cause groin discomfort, including the following: Most cases of groin problems are caused by acute injuries. Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. Symptoms of L5 and S1 nerve impingement include; Most lower spine problems are caused by a herniated disk that presses on nerves in the spinal column. When the jelly-like inner layer leaks out through the outer layer, there is no cushion between the vertebrae. Conclusions: Elderly patients with L4-L5 protruding herniation of the anulus fibrosus were most likely to experience groin pain.

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