Osteitis Pubis

Osteitis Pubis can initially present as basic ‘soreness’ high up in the groin and ‘niggle’ along for weeks. Symptoms may include:

• 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

Since almost all everyday movements use the pelvis, this injury greatly limits the range of activity the affected person can perform. This limitation is especially evident while walking. People experiencing osteitis pubis will often change the way they walk to alleviate their pain causing the person to walk in a waddling gait. A waddling gait is an additional health risk since this manner of walking for a prolonged period can cause extra pressure on your lower back muscles and other injuries in the body.

Osteitis Pubis is thought to be generated from acceleration and deceleration sports that combine kicking and involves strong body contact. Athletes in intense sports who experience recurring and unrestrained pressure to the pubic symphysis (cartilage between the left and right Superior Ramus of the hip bone) are highly prone to this injury, especially soccer, hockey, rugby, and American football athletes.

It can also occur in people who overload and overuse the abdominal muscles. Other sports where athletes have been diagnosed with this condition are tennis and long-distance running.

This injury may also 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.

Because of the long-term effects and other problems it can cause in your body, it is important receive proper treatment for this injury. Delaying a proper diagnosis and treatment plan can extend recovery time in complicated ways if left untreated.

We recommend the following:

• 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
• Hip / gluteal / low grad core stability exercises to strengthen the back, hip and pelvic muscles. These must be specific and careful instruction for both the correct dosage and how much movement
• A painful Osteitis does not respond to increased load either with walking or exercises with heavy resistance
• Walking with a limp is not advised and you must consult a Professional immediately