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Osteitis Pubis

What is Osteitis Pubis?

Osteitis Pubis refers to changes that can occur in the front of the pelvis, or the pubic bone. Loosely it can be phrased as the ‘Shin Splints’ of the Pelvis. Thought to be generated from acceleration and deceleration sports that combine kicking, it can also occur through overload and overuse of the abdominal muscles. Osteitis Pubis may involve changes or damage within the adductor (groin tendons) that attach to the pubic bone and is commonly associated with Hip pathology or previous lower back problems. Osteitis Pubis requires a thorough assessment to define all the contributing causes so the correct rehabilitation program can be performed.

How long will it last?

Osteitis Pubis can initially present as basic ‘soreness’ high up in the groin and ‘niggle’ along for weeks. If undiagnosed can eventually lead to changes within the bone and surrounding soft tissues and this may take up to 9 months to resolve. Early detection and diagnosis is imperative so modification of your sport or training can be commenced.  

Symptoms

The signs & symptoms of Osteitis Pubis are:

  • A dull aching pain high up in the groin or lower abdominal region.
  • Pain on weight bearing and bringing the leg forward.
  • Stiffness /pain in the groin after prolonged sitting (driving/couch/slouching).
  • Difficulty with turning or sideways movements.
  • Loss of power with lifting the leg forward.

Suggestions for managing Osteitis Pubis

  • Commencing a good pain management plan immediately and ceasing aggravating activity. Pain generated from Osteitis Pubis will have less chance of responding to a progressive exercise program and therefore delay your return to sport and activity. You may be initially referred to a Sports Physician to assess the full degree of your Osteitis Pubis (and eliminate other contributing factors) to develop a specific pain management plan with specific time frames.
  • Hip / Gluteal / Low Grade Core stability exercises to strengthen the back, hip and pelvic muscles. These need specific and careful instruction for both the correct dosage and how much movement.  We recommend an individual assessment of how to perform the correct strengthening exercise. You will be progressed based on achieving good quality function around your pelvis based on your level of strength and absence of pain.
  • A painful Osteitis does not respond to increased load either with walking or exercises with heavy resistance. You will be given guidelines for what your Osteitis can tolerate for the best long term outcome.
  • Walking with a limp is not advised and you must consult a Professional Immediately.

Professional treatment options

Contact us now for immediate advice regarding Osteitis Pubis.