Confused between Infection or Injury

[chronic_pain]

I'm  a male, having a constant dull aching pain my groin region for the last 2 years.    The constant left groin pain radiates all the way down to the left feet.    The pain also radiates to testes and penis, which hurts a lot and causing lot inconvenience to me.    Several diagnosis by different specialists, many medications, but the pain doesn't seem to go.

When I visited Orthopedics,   2 MRIs -  Clear and Normal.   No Neuropathy, MS, etc.. No nerve impingement, other than the L5-S1 disc bulge.

But during a ultrasound, it revealed a very mild swelling (adenopathy) in the left inguinal region.   Perhaps this could be the reason for the pain.

The urologists ruled out of any infection or diseases after several tests.      They ruled out Epididymitis, Prostatitis, etc..  

As there is mild swelling, I really doubt it is not CPPS as well.

I think if it is an infection, we get symptoms of fever, chills, etc.. But I never had any of those for several years.
I'm perfectly healthy other than this constant nagging pain in the groin.     Morever, can any infection stay persistent in the groin without cleaning up?   Wont it manifest?   Since I din't have those, this is making me think it is not an infection?

If not can this be an injury due to excessive running, and not healing for years?

Someone please let me know what this could be.     I'm really baffled, and this pain changed my life a lot.

[solace21]

Hi,

Needless to say that your case is complex enough to elude diagnosis by expert doctors and sophisticated diagnostic tools. Here is a link that discusses a similar case of groin and scrotal pain due to L5-S1 disc bulge and how to confirm its diagnosis :

http://www.etoims.com/global/pdf/scientific_publications/LS_Root_Pain_as_Groin_Pain.pdf

May be you should discuss this paper with your doctors and get their views.

However, in your case, it could as well be a combinational effect of the swelling in the groin area and L5-S1 bulge. Any idea, what that swelling is, is it a lymph node?, in that case, it could as well be a consequence of the anal fissures, since I understand, lymph nodes serving various pelvic organs including the anus is located in the groin area. May be at the time of diagnosis the size of the swelling was less and whenever there is an infection of the anus, it grows in size and applies tension on the groin muscles which in turn produces pain in all connected organs. In this case, treatment of the fissure should be helpful. Have you  discussed with your doctors about the possible connection of anal fissures with the groin pain?

If it is not lymph nodes, considering your heavy running history, the groin pain may be an aftermath of a muscle injury in the groin area. The disc bulge may also be related to the same sports activity.  In that case, a good sports medicine specialist should be able to help you.

Sorry for the confusing  statements, but that is all I could think of.

Solace

[remar]

There is a possibility that it's being caused by the lumbar disc bulging. This sounds like an easy thing but, have you considered seeing a Chiropractor? They may not adjust you because of the bulging discs but may be able to help alleviate the pain some other way.

[chronic_pain]

I also have anal fissure which started few months before all this groin pain started.    Could this be the cause?