What is Osteitic Pubis?
Osteitis pubis is an overuse injury causing groin pain as a result of inflammation of the pubic symphysis and surrounding structures. It is common in footballers, but can come about through participation in other sports.
It can also be caused by pregnancy, local trauma, post surgery and by rheumatological disorders.
The main cause of osteitis pubis is instability, particularly around the pelvic region and pubic symphysis. The instability means loads and stresses placed on the pubic symphysis are uneven, resulting in inflammation and local tissue damage. If the condition worsens, the patient will experience increasing painful symptoms as the pubis bones erode at the pubic symphysis.
Signs and Symptoms
Symptoms can include:
- Groin pain, commonly over the pubic symphysis
- Reduced flexibility in the hip and groin region
- Muscular pain, commonly the adductor muscles
- Pain with sport and physical activity
- Pain with general activities of daily living, including walking and using stairs
- Pain with sneeze or cough
- A localised clicking or popping sensation
Diagnosis can be made with a thorough physical examination, often followed by imaging including bone scans, plain X-Rays and MRI investigations. Once diagnosed, your physiotherapist will work closely with you to develop an appropriate exercise program as well as provide strategies and techniques for pain management.