Groin Strain and Testicle Pain: What to Know

The inner-thigh adductor muscles attach near the pubic bone, close to structures that can make discomfort feel as though it is in the groin, scrotum, or lower abdomen. A strain is more suggestive when pain began after sprinting, kicking, changing direction, lifting, or another forceful movement and increases when the leg is squeezed inward.

A groin strain can cause local tenderness, pain with walking or running, and discomfort when the hip is moved or the thighs are brought together. Pain felt near a testicle is not proof that the testicle itself is injured, and testicle pain is not proof of a groin strain. Hernia, infection, urinary or kidney problems, and twisting of the testicle can also cause pain in this area. A clinician may examine the abdomen, groin, hips, and scrotum to separate these possibilities.

Stop the activity that triggered the pain and use relative rest. For a recent muscle injury, a wrapped cold pack may ease discomfort for short periods; keep it off the skin. Supportive underwear can reduce movement-related scrotal discomfort. Do not stretch forcefully, massage a painful lump, or return to sprinting while walking remains painful. A physiotherapist can guide gradual mobility and strengthening through [Exercise Therapy](/treatments/physiotherapy-and-rehabilitation/exercise-therapy/) and, for athletes, a [Sports Physiotherapy](/treatments/physiotherapy-and-rehabilitation/sports-physiotherapy/) assessment.

Seek emergency care for sudden or severe testicle pain, a testicle that appears higher or sits differently, marked swelling, nausea or vomiting, fever with scrotal pain, or pain after a significant injury. These symptoms can signal a problem that cannot be safely diagnosed as a strain at home. Arrange a medical review for persistent pain, a groin or scrotal lump, urinary symptoms, discharge, or symptoms that are not settling. If recovery is progressing, a [Return-to-Sport Programme](/treatments/physiotherapy-and-rehabilitation/return-to-sport-programme/) can help test strength and movement before full activity.

Ask: Could the pain be coming from the adductor muscles, hip, hernia, urinary tract, or testicle? What examination or scan is appropriate? Which activities should I pause, and what movement is safe? What warning signs mean I should return urgently?