Brief Outline of Osteitis Pubis
Osteitis pubis is an inflammation of the pubic symphysis and the surrounding muscles. This is a chronic problem that often results from a muscle imbalance, repetitive stresses, or an untreated injury to the nones or musculature of the area. Soccer players, hockey players, sprinters and other athletes who are involved in running, kicking or rapid lateral movement are more susceptible to this type of injury.
Anatomy and physiology
The pelvis, more specifically the pubic symphysis, a fibrocartilage disc, is involved in this injury. No instability of the pubic symphysis occurs, but there is tenderness over the area. The adductor muscles of the hips and the hip flexors are also involved. Repetitive stresses on this area or a change in the angle of stress, from a major trauma, can lead to a change in the structure of the pubic symphysis. This causes a shift in the pull of the muscles attached there.
Cause of Injury
Repetitive stresses on the pubic symphysis from running, kicking, etc. Unresolved trauma to this area resulting in abnormal forces on the pubic symphysis.
Signs and symptoms
Adductor or lower abdomen pain that localises to the pubic area. Pain increases with running, kicking, or pushing off to change direction.
Complications if left unattended
Untreated osteitis pubis will lead to increased pain and disability. The increased pain may lead to awkward form during certain activities that could lead to other injuries.
- Anti-inflammatory medicine
Rehabilitation and prevention
Restoring flexibility to the entire hip girdle is important when the pain subsides. Gradual involvement in the athletic activities is also important. Stop an activity if it causes pain. Strengthening the adductor muscles and the hip flexors also prepares this areas to handle the stresses more efficiently. Proper warm-up techniques before running, kicking or other direct impact activities are important as well.
When treated properly, there are seldom any long-term effects. Full range of motion and strength should return. If pain and limited mobility linger, the injury should be re-evaluated.