What is Osteitis Pubis?
What is Osteitis Pubis?
Osteitis Pubis is an inflammatory condition of the pubic symphysis and surrounding structures, causing pain in the abdomen and groin and often an overlooked cause of hip pain.
Whether you're an athlete, an active individual, or someone experiencing pelvic discomfort, understanding osteitis pubis can help you manage symptoms and seek effective treatment.
This condition is most commonly seen in athletes involved in activities that require repetitive movements, such as running, kicking, or sudden changes in direction. It is common in runners, rugby and soccer players. However, it can also affect non-athletes, especially those who have undergone childbirth or have other underlying conditions.
Signs & Symptoms of Osteitis Pubis
The symptoms of osteitis pubis vary from person to person but typically include:
- Pain in the Pelvic Region: This is the hallmark symptom. The pain is often felt in the lower abdomen, groin, or pubic area and may worsen with activities such as running, kicking, or twisting movements.
- Tenderness at the Pubic Bone: Pressing on the pubic bone or pelvic area may elicit pain and discomfort.
- Difficulty with Movement: The pain can limit your range of motion, particularly when performing activities that require the use of the hips, groin, or lower abdomen.
- Increased pain with activities such as turning, walking, coughing, sneezing, walking up or down stairs and lying on the side.
Diagnosis and Treatment of Osteitis Pubis
If you’re experiencing persistent pain in the pelvic region, it’s important to seek professional help to get a proper diagnosis. An Osteopath or general practitioner can perform a physical examination and may order imaging tests like X-rays or MRIs to confirm the condition.
Treatment options for osteitis pubis typically focus on reducing inflammation, managing pain, and restoring movement:
1. Rest and Activity Modification: Resting the affected area and avoiding activities that exacerbate the pain is essential for healing. You may need to reduce high-impact exercises or sports temporarily.
2. Osteopathy: Osteopathy focuses on addressing musculoskeletal issues through hands-on techniques. At Tugun Osteopathy, our Osteopaths can use gentle, targeted techniques to relieve pressure on the pubic symphysis, improve blood flow, and promote healing. Osteopathy also aims to correct alignment issues that may contribute to the condition, such as correcting any pelvic torsions and decreasing the load placed on the pubic symphysis.
3. Exercise Rehab: A exercise program can help strengthen the muscles around the pelvis, improve flexibility, and restore proper posture. This can reduce the strain on the pubic joint and prevent future flare-ups.
4. Anti-inflammatory Medications: Over-the-counter medications, such as ibuprofen, may be recommended to reduce inflammation and alleviate pain. However, these should be used under the guidance of a healthcare professional.
5. Heat: Applying ice or heat to the affected area can help alleviate pain and inflammation. Ice is typically used during the acute phase to reduce swelling, while heat may help relax tense muscles once the initial inflammation has subsided.
6. Gradual Return to Activity: Once the pain subsides and the strength and mobility are restored, you can gradually return to physical activity. It’s important to follow a structured rehabilitation plan to avoid re-injury.
Preventing Osteitis Pubis
While it may not always be possible to prevent osteitis pubis, certain steps can reduce the risk:
- Proper Warm-up and Stretching: Before engaging in physical activities, make sure to warm up and stretch your muscles to prepare your body for the demands of exercise.
- Strengthen Core and Pelvic Muscles: A strong core and pelvic region help maintain stability and support for the pubic symphysis, reducing the risk of strain.
- Avoid Overuse: Incorporating rest days and cross-training into your routine can help avoid repetitive strain on the pelvis.
- Correct Posture and Alignment: Practicing good posture and working with an osteopath to ensure proper body alignment can help prevent imbalances that contribute to osteitis pubis.
Osteitis pubis can be a painful and limiting condition, but with the right care, it is manageable. If you are experiencing pelvic or groin pain, don’t hesitate to seek professional treatment. At Tugun Osteopathy our experienced osteopaths are here to guide you through a comprehensive treatment plan to relieve pain, restore function, and help you return to doing the things you enjoy.
If you have any questions or would like to book an appointment, please contact us today!