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I am a 40 year old male who is a personal trainer and have been active my whole life. I am 5’10 175 pounds.
When I was around 22 so about 15 years ago I started getting a lot of groin pain that radiated down to the testicle. At the time I was taking Propecia for my hair so looking back I do not know if that contributed or was the cause. I was also doing a lot of running at the time as well. I believe I had hip impingement as well.
After being bounced around for a year of going to doctor to doctor looking for solutions I was convinced it had to be some sort of hernia. Even though there was no bulge and no doctor could find one. However a surgeon said he might have felt something and agreed to operate since I was running around in circles. He did operate and said he found a small hernia, however looking back I am not sure if he actually found one and somewhat question it.
The surgery did take away the testicle pain and groin pain. I don’t know if it was from the surgery or from all the down time the surgery caused me to take off.
The groin pain eventually would come back and I have been dealing with it for many years now. At least 5 years. It is something that I figured I would just have to live the rest of my life with and I was fine with that. However things would get much worse.
About a year and half ago I was training hard and dieting. I would get a lot of groin pain but would just train through it and it would come and go. I was also doing a lot of unilateral leg work. My legs seemed to get really stiff, but I would train through it. My hip would bother me when I would try to stand up from sitting, I would slowly have to stand up and eventually get going. Once I would walk around it was fine. I also hurt my low back when I was squatting around this time. So now Im thinking I have a hip problem, a groin problem that may or may not be caused by my hip, and a back problem. These were fine and I could live with but things even got worse.
This is where things get bad…
Around this time I was deadlifting one day and felt a pain in my perineum. I was worried as I didn’t know what muscle or what could have caused this. A week later I was squatting and felt the same sensation. Around this time I was playing floor hockey and felt a sharp perineum pain that almost brought me to my knees.
After the first injury to the perineum I started getting bladder issues. I now leak after going to the bathroom, I leak a bit with certain movements, I sometimes don’t feel empty after bathroom, sometimes I feel have to go when I don’t, and urethra irritation.
Also after this I sometime feel ball in rectum and feel weird with certain movements in rectal/perineal area. A year after all of this started I could barely walk for some reason the sports doc said it was either a labral tear or SI joint issues. This resolved on its own. Sometimes now I get pins and needles from the waste down when i stand or sit. This has absolutely affected my quality of life and put me in depression.
I have been tested for prostatitis, had a cystoscopy have been seen by many doctors and urologists with no answer. My family doctor from day 1 said it is a pelvic floor issue or damage from those deadlifts or years of lifting. I do believe all of my urinary symptoms are from something structural based on the events. Maybe neurological from spine or MS. I do not know if it is from direct damage to pelvic floor, if pelvic floor dysfunction due to hip impingement, labral tear, a disc issue when I hurt my back (MRI said torn disc but nothing pushing on nerves). Maybe its Perineal Nerve Entrapment. I also feel maybe something gave way like a prolapse or something.
I have read that problems/damage to hip can cause pelvic floor/bladder problems/perineum problems.
List of Symptoms:
rectal pain sometimes
when exertion can feel in rectum/perineum
hip pain sometimes
back pain sometimes
drip after pee
bladder issues worse at night
when nervous feel like could easily pee myself
intermittent pins and needles from waste down. Seems to be worse at night after standing
I sometimes get really cold and shake for some reason like a blood sugar problem but no diabetes.
bladder issues seem to get worse after i do lower body things like lift things up or leg exercises. Which i try to avoid now.
I can feel posterior chain movements un perineum
When i ride recumbent bike and exert it bothers my bladder and can feel leaking/letting go sometimes. Exertion for upper body like incline press seems fine. Chinups sometimes bother.
List of Tests
digital rectal exam
MRI of pelvis and low back ( MRI said mild to moderate bulge with annular tear of L5-S1 causing no neural compression)
MRI of hip looked good but was not done with contrast and power of 1.5 T.
Treatments so far:
pelvic floor physiotherapy
Hip labral tear/impingement
Perineal Nerve Entrapment
Pelvic floor dysfunction/damage
Prolapse of some kind
Doctors I have seen:
Sports Med Doc
I am at the end of the rope with this and really don’t know where to go to figure out what is causing this. I feel I need to get evaluated by a Neurologist to rule out anything with nerves.
I am at the point of going to Mayo/Cleveland Clinic for some sort of answer.
I am also very close to going to see Doctor Myers and Doctor Coleman in Philadelphia as they are the best when it comes to the groin and hip. If the problems come from the hip or groin/pelvic floor then they will have the best answers for me.
Coming from Canada this will be out of pocket and these guys are not cheap especially if surgery is involved. At this point I really feel like I am running out of options and I know I cannot continue living like this.
Any help is appreciated.
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