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Osteitis Pubis. March 22, 2011

Posted by Joanna Wilson in Uncategorized.
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1. Symphysis pubis

Osteitis Pubis is inflammation of the symphysis pubis. The symphysis pubis is the fibrous joint between the two halves of the pelvic bones where they join at the front of the body.  Injuries to this area are common in footballers or sports where kicking is prevalent, ice-skaters or dancers.

This injury can also be caused by minor or major trauma or pregnancy and symptoms can last from 6 months to 2 years depending on the severity of the inflammation.

Symptoms are pain, during or after exertion, in the symphysis pubis area, which may radiate up to the lower abdomen or down to the groin region.  The area may be tender to the touch.  In severe cases, the athlete may have a waddling gait.

As the symptoms could cover a number of muscular injuries, diagnosis of Osteitis pubis is made by the doctor using an x-ray or MRI.  This will reveal the sclerosis and bony changes of the pubis symphysis.

The most important treatment for this condition is rest.  Your doctor or physiotherapist will be able to advise you on the length of time to rest the injury for.  A physiotherapist will also recommend a rehabilitation program to increase strength and regain mobility.  Anti- inflammatory medication may also be prescribed to relieve symptoms.  Applying heat or ice may also give symptomatic relief.

In severe cases, crutches may be given to help mobility and a lumbar-sacral corset could be used to give the pelvis stability.  A physiotherapist may give you home exercises, i.e. pelvic tilts, to maintain strength and flexibility.  If resting has not relieved your symptoms, a corticosteroid injection may be recommended for symptom relief.  If symptoms have not been relived within 12 months, some doctors will recommend surgery, whereby a plate and screws are inserted to stabilise joint.

Prevention of this injury is preferable.  Avoid over training, especially in kicking activities.

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