Pulling in the bar

Pulling in the bar / symptoms
Pulling in the groin occurs in the area of ​​the transition between the abdomen and the thigh and is often a very uncomfortable feeling. Depending on the cause, it may, for example, be unilaterally or bilaterally, only in stressful situations or chronic, and of differing severity. In many cases, a hernia is responsible for the complaints, which occurs in about 90 percent of cases in men. In addition, there are many other reasons for having a groin, which can affect women equally. These include, but are not limited to, joint wear, hip or bone disease, varicose veins, urinary tract infections, or a sports injury such as a muscle strain. To avoid complications and health risks, e.g. to avoid a trapped break, should always be consulted to clarify the symptoms as a precautionary doctor.


  • definition
  • Causes of pulling in the bar
  • Braid on the right side
  • Pull in the left bar
  • Pulling in the bar at the man
  • Drawing pain in the groin in women
  • Parasitic in pregnancy
  • therapy
  • Naturopathy for the treatment of pulling in the groin area


As a pull in the bar (lat. "Inguen") are usually referred to unpleasant, painful discomfort in the area of ​​the transition from the stomach to the thigh. The inguinal region is bounded above by the two iliac crests, down through the upper edge of the pelvis and towards the middle by the straight abdominal muscle. In this area is about 4-6 cm long inguinal canal, in which, among other things, lymph nodes, blood vessels, in the man of the spermatic cord (Funiculus spermaticus) and in the female the mother ligament (ligamentum teres uteri) are. The sensitive internal structures are protected from injury by surrounding muscles, ligaments and connective tissue. Nevertheless, in the area of ​​the inguinal canal, there are natural "weak spots", which can lead to a gap ("hernia") and a hernia can develop under heavy pressure (for example, heavy lifting, carrying, coughing or during pregnancy).

Causes of pain in the groin. (Image: p6m5 - fotolia)

Causes of pulling in the bar

For the complaints come various causes such. irritation, inflammation or a pinched nerve. For example, lymph node swelling in the area of ​​the groin is possible, which often occurs as the result of an acute infection, such as a cold (flu-like infection) or inflammation of the urinary tract. In addition, one or more thickened bumps under the skin may indicate, inter alia, an abscess or an injury to the foot, for example inflammation of the toenail by an ingrown toenail may be possible here. In question, moreover, e.g. an overbone in the hip joint (ganglion) or an infection such as the so-called "cat scratch disease" (bartonellosis), which is transmitted from the animal to humans and vice versa (zoonosis).

Even in the early stage of the venereal disease syphilis (lues) are swollen lymph nodes in the groin characteristic, also inflammatory rheumatic diseases may be the cause. It is also possible that the lymphatic system itself is affected by a disease. Here, for example, the relatively rare Hodgkin's disease is considered, which is a malignant or malignant lymphoma, which is colloquially often referred to as "lymphoma cancer". In addition, e.g. rheumatic diseases are the trigger, whereby the swelling of the lymph nodes here usually occurs in several areas of the body.

Cingivitis is also frequently caused by a urinary stone, joint wear (arthrosis), as well as hip or bone diseases such as osteoarthritis. causes a femoral head necrosis or osteoporosis (bone loss). Especially with athletes such. Footballers, cross-country skiers or tennis players often experience symptoms of muscle strain, overstretching or pubic bone inflammation. Similarly, muscle or tendon overload during strength or endurance sports (e.g., joggers) can quickly lead to pain and discomfort. Other possibilities include changes in the vessels (e.g., varicose veins, venous insufficiency, blood clots) or bursitis of the hip joint, which may be e.g. can result from a permanent overload of the joint in sport or profession, injuries of the bursae or a metabolic diseases such as gout.

Braid on the right side

The background can also be diseases of the abdomen. For right-sided complaints, for example, an appendicitis or appendicitis may be considered here, although not the appendix itself but the so-called "appendix" (appendix) is affected. In appendicitis, dull stinging, tearing and / or oppressive abdominal pains often occur, which in the further course typically migrate to the right side, but are sometimes also perceived on the left side. The symptoms usually increase when a convulsion occurs due to coughing, sneezing, jumping, etc., in addition to other signs of illness such as mild fever, nausea and vomiting, loss of appetite or excessive sweating (especially at night).

Appendicitis can have a variety of causes, but it can often be attributed to obstruction of the appendix, which may be caused by thickened stools ("fecal stones"), scarring or foreign bodies (such as fruit cores). As a result, secretions accumulate in the appendix of the appendix, up to ten centimeters in length, in which bacteria originating from the colon can optimally multiply and finally trigger inflammation. In addition, in rare cases, appendicitis may also be caused by a bacterial infection (e.g., with enterococci or coliforms) or may be associated with inflammatory bowel disease such as Crohn's disease and ulcerative colitis.

Pull in the left bar

If the pulling mainly on the left side, for example, there may be a so-called "diverticulitis", which is an inflammation of protuberances in the intestinal wall (diverticulum). Intestinal diverticula are generally found in the colon, especially in older people ("diverticulosis"), which usually cause no discomfort and are therefore often not recognized at all. In about 20 percent of the cases, however, the protuberances in the wall of the intestine become inflamed, with it being impossible to predict who and when this development will occur. However, it is often suspected to be associated with a lack of exercise and a low-fiber diet, resulting in a firm, hard bowel movement or constipation. As a result, there is an increased internal pressure in the intestine, which in combination with the weakening connective tissue in old age causes the mucous membrane to evert outwards. If fecal matter now collects in the protuberances, an inflammation can quickly develop which can be confined to the diverticulum but can also spread to the surrounding intestine.

Diverticulitis is similar in its symptomatology to appendicitis, whereby the pain typically occurs on the left and not on the right side ("left appendicitis"). Those affected often report a sudden onset and / or dull sensation in the left lower abdomen, which radiates into the groin and back. In addition, many patients suffer from urinary symptoms and bowel movements in the form of diarrhea or constipation, as well as frequent fever, bloating, nausea and vomiting. If the inflammation remains undetected or untreated, there is a risk of serious complications such as abscess in the abdomen, inflammation of the peritoneum (peritonitis) or intestinal obstruction (ileus).

Pulling in the bar at the man

One of the most common reasons is the so-called "inguinal hernia" (medical "inguinal hernia"), which occurs mostly in adulthood, but sometimes also in babies and children and affects men much more often than women. Inguinal hernia occurs when fat or parts of the intestine (fracture contents) push through the hernia and bulge outward. A distinction is made between a congenital and an acquired inguinal hernia. While the former results from incomplete internal occlusion of the abdominal wall during infantile development, the second case usually occurs only at a higher age, e.g. as a result of connective tissue weakness. If there is a weak spot in the abdominal wall, the risk of a fracture increases with increasing pressure in the abdomen, which is e.g. chronic obstruction (e.g., in chronic obstructive pulmonary disease), constipation, pregnancy, obesity, or carrying heavy loads

The leaked fabric parts create a typical, soft "bump" in the area of ​​the groin, which can move and in many cases can be pushed inwards. In addition, there is often a pulling or pressure sensation as well as slight abdominal pain, which can intensify under pressure (by lifting, coughing, sneezing, during bowel movements, etc.) and can radiate into the scrotum or in women's labia. Apart from that feel affected mostly relatively fit and not restricted, often occur no complaints.

This is different when the guts are trapped (incarceration). In this case, there are usually very pronounced symptoms such as severe groin pain, fever and nausea and vomiting. Incarceration is an absolute emergency that requires immediate surgery to prevent dangerous complications such as bowel obstruction or peritonitis. Accordingly, a doctor should be consulted immediately if a bump is detected in the groin.

In addition, pulling in the groin may be caused by diseases of the genital organs, e.g. An epididymitis (epididymitis) or varicose veins in the testicular area (varicocele) are caused. In addition, certain cancers such as testicular cancer are considered, as well as a prostatitis (prostatitis), of which about 50 percent of all men are affected more or less during their lifetime. The symptoms can be very different depending on the form and severity, but often there are pain and discomfort when urinating and a reduced amount of urine with a strong urge to urinate. In addition, many suffer from pain in bowel movements, an unpleasant pressure in the area of ​​the perineum and a pulling in the groin and pelvic pain, which often radiate to the back and the genitalia. Partly affected men also suffer from erectile dysfunction, pain during ejaculation, blood in the sperm and a loss of libido.

Drawing pain in the groin in women

In women, behind the complaints often hide relatively harmless causes such as menstrual pain, which are among the most common problems during menstruation and especially in cycles occur in which ovulation was not suppressed (by birth control pills, spiral, etc.). These are typically characterized by a convulsive pulling and / or a dull, squeezing pain in the area of ​​the abdomen, the groin and the back, which can occur in very different expression. These are accompanied by many sufferers by a general malaise, circulatory insufficiency and fatigue as well as nausea, diarrhea and headache.

In addition to the discomfort during the period, there may also be a pull in the groin before or during the ice jump, which takes place in the middle of the menstrual cycle or about 14 days before the beginning of the next menstrual period. The Eissprungschmerzen are often described by those affected as stinging or pulling, can either last for a short time or even for hours and vary from woman to woman. However, it is typical that the symptoms, which usually only occur on one side, are also possible, among other things, pelvic pain, sensitive breasts or nausea.

Another possible cause is the so-called "endometriosis", which is a relatively common benign female disease. Characteristic here is that the uterine lining (endometrium) also grows outside the uterine cavity. In principle, each organ can be affected, but often the lower abdominal or pelvic area, the ovaries and the fallopian tubes are affected. Since the "dislocated" tissue as well as the "normal" mucosa on the menstrual cycle is involved, the symptoms also occur cycle-dependent, but the severity of the symptoms may be quite different. Typical signs of endometriosis are, above all, increased menstrual pain, menstrual disorders and infertility, and, depending on the location of the endometriosis, e.g. also low back pain, pain during intercourse or blood in the urine. In addition, about every second woman experiences little or no restrictions, as a result of which the disease is often discovered by accident or not at all.

Acute ovarian and ovarian inflammation (pelvic inflammatory disease) is also considered as a reason when symptoms such as sudden onset of severe pain and / or a pull in the lower abdomen and groin, fever, diarrhea, urinary symptoms or discharge from the vagina occur. In addition, an ovarian cyst is conceivable in women, which occurs due to the hormonal changes primarily in young women following puberty, as well as before menopause.

Parasitic in pregnancy

Many women experience unpleasant groin sensations during pregnancy, but in most cases this is a natural response to physical changes at this stage. Decisive here are the hormonal changes, which lead to a relaxation of muscle and connective tissue in the pelvic floor area to make room for the growing child and enlarge the birth canal. In addition, as the uterus progressively expands and shifts, the mother ligament also expands in the inguinal canal, which can lead to back and pelvic pain as well as severe pulling in the groin. Most of the complaints occur especially when walking or climbing stairs, since the burden on the pelvic area is particularly high here.

In addition to the naturally occurring loosening of the connective tissue, a hernia may also be the reason for the discomfort. Although this usually affects men primarily, especially in pregnant women there is also an increased risk due to the increased pressure in the abdominal cavity and the relaxed abdominal muscles. During the birth, the risk of a hernia is increased again, as the pressure in the abdominal cavity increases considerably as a result of the pressure. If a hernia occurs during pregnancy, however, it is usually not operated on to avoid risks to the mother and child. An exception, of course, is a trapped fracture, which is a medical emergency that must be promptly treated surgically.


There are a variety of options for the treatment of the symptoms due to the many possible causes. Accordingly, the specific treatment steps depend on the individual case, whereby the doctor can often already make diagnoses in the case of awnings with the aid of the medical history and a first physical examination. It gives him questions such as "Since when do you have pain?", "When or in which situations do these occur?" Or "Do you have any other symptoms, such as pain?" Fever, nausea or swelling in the groin area? ". Accordingly, patients should definitely report to their doctor in detail and also mention allegedly unimportant "trifles" in connection with the pulling sensation, so as not to leave undiscovered. In addition to the history and thorough palpation, ultrasound, x-ray or computed tomography may be used, as well as e.g. If there is a suspicion of a cancer, blood and bone marrow tests should be indicated.

Acupuncture as a treatment for pain.

Depending on the clinical picture, various therapeutic procedures and measures are available, the symptoms appear suddenly and in very strong form, and sometimes the call of the emergency physician is necessary in order to avoid life-threatening consequential damage (such as a trapped inguinal hernia). If the symptoms are based on a "normal" inguinal hernia, surgical treatment is usually also carried out, as a hernia only rarely returns on its own and there is a constant risk of entrapment of well-worn abdominal organs. Here, depending on the age of the patient and the location and severity of the fracture, various procedures can be considered, which can be performed either openly (for example the inguinal hernia surgery according to Bassini or Lichtenstein) or minimally invasive (for example by means of transabdominal grafting (TAPP).

If a urinary tract infection or an epididymitis is the trigger for the symptoms, in most cases antibiotics are prescribed for a bacterial infection. In the second case, analgesic and anti-inflammatory drugs may be helpful, and cooling the testicle often provides beneficial support during the healing process. If there is a urinary stone disease, most of the (smaller) stones will naturally be drained off by sufficient fluid through the draining urinary tract, whereby expulsion can be assisted by anticonvulsant and analgesic medications. Fixed or larger stones, however, are usually removed endoscopically or surgically or smashed by extracorporeal shockwave lithotripsy (ESWL) so that they can leave the body on their own.

If the cause is signs of wear and disease of the bones, the therapy must be coordinated with the attending (specialist) physician. In hip osteoarthritis, for example, in addition to medicines, various non-drug treatments such as e.g. Lightweight, joint-sparing (!) movement (for example, swimming, aqua-gymnastics), heat treatments, massages or orthopedic aids such as insoles or crutches proven. In addition, there is the possibility of an operative conversion of the joint (osteotomy) in some patients, in severe cases, joint replacement may be indicated.

If the painful pulling in the groin is caused by injuries, e.g. triggered a muscle strain or a torn muscle, the therapy depends on how strong it is pronounced. Accordingly, in the case of straining, non-operative measures such as e.g. sedentary tape dressings or a stimulation current treatment, while in more serious injuries, surgery is often necessary. In addition, for the healing process of a muscle injury, a corresponding primary care is important, which should correspond to the so-called "PECH scheme". Here it is necessary to stop the movement immediately after the accident (break), to cool the injured area (ice), to apply an elastic compression bandage (compression) and to lay the affected body part up (high-rise) to prevent further swelling and bleeding.

Naturopathy for the treatment of pulling in the groin area

In many cases, parallel or alternative home remedies and naturopathic procedures offer to alleviate the discomfort. If these are due to overloads, muscle tension or a so-called "athlete's band", e.g. Supportive to a possible break from exercise and the administration of anti-inflammatory analgesics often physiotherapeutic measures for stretching and strengthening of the muscles performed. In addition, there are a number of other physical therapy methods such as cold and / or heat applications (heating pads, fango packs, etc.) or various variants of hydrotherapy. Other options are laser treatments or so-called transcutaneous electrical nerve stimulation (TENS), in which the symptoms are treated by means of a compatible low-frequency stimulation current. It is not uncommon for acupuncture and herbal remedies to be used instead of classical pain medicines in the alternative medical field, e.g. in the form of the homeopathic remedy Traumeel or Zeel.

Heat associated with "gynecological problems" such as control or ovulation pain has been shown to be very effective. Here, for external use, e.g. A warm bath or cherry stone pillow, a hot water bottle or a peat wrap will help to relieve cramps and tension. In addition, a soothing tea from the inside can favor the relief of the discomfort, it is recommended, for example. Leaves of mugwort, lady's mantle, chamomile or melissa, as well as the anticonvulsant herb yarrow. Another popular remedy in the field of herbal medicine is the so-called "chaste tree" (Vitex agnus castus), as it has a balancing effect on the hormone balance and thus can contribute to the improvement of the symptoms.

If dragging in the bar is e.g. caused by an abscess or boil under the skin, in most cases there is a weakened immune system. Accordingly, a well-balanced diet of fruits, vegetables, wholemeal and dairy products, lean meats and fish is recommended to strengthen the defense, with more emphasis on quality rather than quantity. In addition to this is a regular, moderate physical activity such as. Swimming or cycling are important, as well as the avoidance of stress, which is considered a veritable "defense killer". Therefore, especially in case of strong tension and a feeling of inner imbalance, strategies for stress reduction should be developed, for example, in order to better deal with occupational demands and pressure. Relaxation techniques such as autogenic training, yoga or the progressive muscle relaxation according to Jacobson often provide a soothing help to reduce internal tensions and thereby strengthen the physical and mental health.

For example, in the case of pus accumulation in the groin area, chamomile compress can assist in the treatment of conventional lice by releasing valuable essential oils through the heat. For this purpose, pour two teaspoons of chamomile flowers with 150 ml of boiling water and allow to rest for about five minutes. Then a compress is carefully soaked in the infusion and placed on the abscess for two hours, the whole being covered with a dry cloth. Alternatively, saltwater or healing clay envelopes, as well as quark wrap, can also help against inflammation and swelling which is relatively uncomplicated, e.g. made from simple skimmed quark and a cotton or tea towel.

Homeopathy also offers agents such as Myristica sebifera (tallow nut tree) or Hepar sulfuris, if the abscess is severely reddened, swollen and already festering, Mercurius solubilis is also often recommended. As further home remedies against boils, various Schüssler salts, such as e.g. Calcium fluorine (# 1), Silicea (# 11), or Calcium sulfuricum (# 12), and the appropriate agent should always be carefully determined by an experienced naturopath or alternative medical practitioner. (No)