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Referred pain is usually felt in the low back area and tends to radiate into the groin, buttock and upper thigh. The pain often moves around, and rarely radiates below the knee. This type of low back pain is not as common as axial low back pain or radicular pain (sciatica).
Most of the time when a serious problem is causing groin pain, you will have other symptoms. It is important to look for other signs of illness when you have groin pain but no known injury. Most hernias have other symptoms besides groin pain, though pain may be an early sign of an inguinal hernia. Spine problems in the back near the lower ribs can pinch the nerves that travel through the groin area and cause groin and thigh pain. 2  Spine problems include a herniated disc or lumbar narrowing (stenosis).