Focused history questions and physical exam maneuvers are especially import
ant with groin pain because symptoms can arise from any of numerous causes,
sports related or not. Questions for the patient should attempt to rule ou
t systemic symptoms and clarify the pain pattern. Some of the most possible
causes of groin pain include stress fracture of the femoral neck or pubic
ramus, Legg-Calve-Perthes disease, slipped capital femoral epiphysis, aceta
bular labral tears, iliopectineal bursitis, avulsion fracture, osteitis pub
is, strain of the thigh muscles or rectus abdominis, inguinal hernia, ilioi
nguinal neuralgia, and the 'sports hernia'. Depending on the diagnosis, con
servative treatment is often effective.