Greetings Dr. Damien,

Thanks for your response.

I have had 2 Wikipedia reference-linkMRIs at this point now. The first MRI of the adducter muscle looked fine. The second MRI of the lower spine also looked good. No referred pain.

My case was taken to a sports medicine conference. It was suggested I had bone edema where the pubic bone attaches to the origin of the adducter. Perhaps a variant of pubis osteitis.

Looking at my training log this began from an acute incident where I did deep lunges strength training last March or a chronic injury from overuse. Running lots of road races and doing a half marathon in April.

I currently still feel very stiff in the morning in the left groin area. I have not "tested" it running. I have not attempted running for 2 months. I am focusing on core strength and swimming (front crawl and flutter kick only). I was biking for many months, but it was suggested I stop even though there is not pain when biking/spinning. It is sore if I squeeze my legs together, walk a long distance, etc.

Most recently I was injected with platelets (PRP therapy). It's been 10 days since the injection. Symptoms remain. I heard PRP may take 3-6 injections for any effect. I will return for another injection in 3 weeks if there is no progress.

In a week I will get another evaluation with another PT. This is the first diagnosis that sort of makes sense.

To answer your question, no pain in the hip flexon, extension. (If I do leg lifts lying on my side to build up hip flexors I feel it more on my groin as I twist over onto my other side to repeat exercise.) I feel it as I squeeze a ball together between my knees. I also feel some pain as I cross over in an IT band stretch.

You mentioned the morning pain could be an indication of arthritis, but MRIs and X-ray show no such evidence. Still curious about the morning pain. Not sure if we are on to the right track w/diagnosis, therapy. Any suggestions would help.

Thanks again for your input. I am trying my best to stay optimistic about returning to being an active father and running coach next fall.