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Brian asked...

I have unexplained groin pain and am desperate to get at least a diagnosis and ideally a cure. My symptoms are a bilateral prickly sensation in both groins, inner thighs and buttock area near my anus. The pain occurs when driving a car, riding a bike or seated on certain surfaces. For example sitting on a toilet seat does not cause the pain, sitting atop a five bar gate does. If I'm driving the pain can get severe, but when I stop and walk about I get instant and complete relief. I do not get groin pain (or buttock or thigh pain) when walking - ever. The following has been tried: US scan right side (negative for hernia) Hip scan (normal wear and tear only), lower back scan (no overt contact with nerves, some compression of the theca, some discs are dehydrated). There are many mechanisms for referred pain, but the direct link with upward pressure on my groin/buttock area might suggest something else. What should I ask my doctor to try?

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The Answer

I do understand how upsetting it can be to have a symptom without any explanation for them. The prickly sensation that you describe does sound like a nerve is being compressed, presumably a nerve is being trapped but only when you sit in a certain position. I wonder if it would be worth seeing a specialist (neurologist) about it next to get a second opinion and find out if there are any other tests that need to be done. You should feel reassured that the scans have not shown anything serious up, and also that the symptoms are stable (not worsening) and episodic (they come and go).

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