Groin strain vs. hernia pain: How to tell the difference

It can be hard to tell the difference between a groin strain (muscle or tendon tear) and an inguinal hernia (fat or intestine poking through a hole in the abdominal wall in the groin). Both conditions can cause a dull ache or burning pain in the groin. However, a groin strain usually gets better on its own; an inguinal hernia does not, and only gets bigger over time. With hernias a lump can often be felt under the skin; not so with groin strains. Treatment ranges from rest and ice (for a groin strain) to surgery (for a hernia).