Our son plays college football. For about eight months he has walked with a limp because of the sharp pains just below his abdomen in the groin area. He wakes up at night in agony when he rolls over in bed. He can't get comfortable in any sitting position. The doctors can't find anything on X-ray or CT scan. What could possibly be wrong?

The most common cause of persistent groin pain in athletes is a sports hernia. The sudden twisting and turning at high speeds is a contributing factor. A weakness in the abdominal fascia separates from a tendon that is shared by two muscles in the area.

Other possible causes of chronic groin pain must be ruled out. Appendicitis is possible but unlikely. Nerve entrapment and stress fractures of the pelvis or spine are also possible. Tendonitis at the point of tendon insertion into the bone is another cause of groin pain.

Dr. William Meyers from Philadelphia is a sports hernia specialist. He is the chairman of the department of Surgery at the Drexel School of Medicine. Dr. Meyers is a well-known liver surgeon who also studied new ways to treat athletic groin pain. Many professional athletes have been treated by Dr. Meyers for this problem.

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