Cough-Induced Groin Pain: Misleading Symptom or Diagnostic Key for Differential Diagnosis.
Groin pain that worsens with coughing is most commonly attributed to intra-abdominal pressure changes associated with inguinal or femoral hernias. However, musculoskeletal (MSK) disorders can mimic hernia-related symptoms and are often overlooked, leading to misdiagnosis, unnecessary imaging, and de...
| Publicado en: | Clinical Medicine Insights: Arthritis & Musculoskeletal Disorders Vol. 19; pp. 1 - 4 |
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| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Sage Publications Inc.
2/3/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191375605&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191375605 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795441 B3KJ jtl: Clinical Medicine Insights: Arthritis & Musculoskeletal Disorders issn: 11795441 maglogo: Y pubinfo: dt: 2/3/2026 vid: 19 pid: 20732 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 191375605 191375605 191375605 10.1177/11795441261417711 191375605 ppf: 1 ppct: 3 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cough-Induced Groin Pain: Misleading Symptom or Diagnostic Key for Differential Diagnosis. aug: au: Yıldırım, Seçil Ayyıldız, Aylin Temel, Mustafa Hüseyin Bağcıer, Fatih Coşkun, Evrim affil: Department of Physical Medicine and Rehabilitation, Başakşehir Çam and Sakura City Hospital, İstanbul, Turkey sug: subj: Cough Complications Myofascial Pain Syndromes Diagnosis Myofascial Pain Syndromes Rehabilitation Ultrasonic Therapy Diagnosis, Differential Groin Pain Adult Male Groin Pain Etiology Palpation Q-Angle Adult: 19-44 years Male ab: Groin pain that worsens with coughing is most commonly attributed to intra-abdominal pressure changes associated with inguinal or femoral hernias. However, musculoskeletal (MSK) disorders can mimic hernia-related symptoms and are often overlooked, leading to misdiagnosis, unnecessary imaging, and delayed treatment. Recognition of these alternative causes is essential for accurate diagnosis and appropriate management. We report the case of a 42-year-old male office worker with chronic right-sided groin pain persisting for 6 months. The pain was localized without radiation, aggravated by palpation, but not influenced by coughing or the Valsalva maneuver. Imaging studies including MRI of the hip, lumbar spine, and pelvis were unremarkable. On physical examination, a hypersensitive trigger point was identified in the pectineus muscle, with a pain pressure threshold (PPT) of 1.8 kg/cm2 compared to 3.4 kg/cm2 on the unaffected side. A diagnosis of pectineus myofascial pain syndrome was made. Ultrasound-guided dry needling was applied in three sessions over 2 weeks, resulting in an improvement of PPT to 3.2 kg/cm2 and a reduction of the Visual Analog Scale (VAS) score from 7/10 to 2/10. This case emphasizes that not all groin pain provoked by coughing is hernia-related. Pectineus myofascial pain syndrome, although underrecognized, should be considered in the differential diagnosis. Early recognition of this condition can prevent unnecessary surgical referrals and facilitate timely effective treatment. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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