A case report illustrates that groin pain with coughing may indicate pectineus pain syndrome, suggesting a need for accurate diagnosis.
Key Points
To highlight the potential misdiagnosis of groin pain associated with coughing and identify pectineus myofascial pain syndrome as a differential diagnosis.
Case report of a 42-year-old male with chronic groin pain exacerbated by palpation.
Physical examination identified a hypersensitive trigger point in the pectineus muscle.
Dry needling treatment was applied over three sessions within two weeks.
Imaging studies (MRI) showed no abnormalities.
Pain pressure threshold improved from 1.8 kg/cm2 to 3.2 kg/cm2 after treatment.
Visual Analog Scale (VAS) score decreased from 7/10 to 2/10, indicating significant pain relief.