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Osteitis Pubis

  • What is it?
    • Degenerative condition of the symphysis pubis and surrounding bone
  • Who gets it?
    • Running sports
    • Accentuated with kicking and change of direction
  • Symptoms
    • Vague uni or bilateral groin pain
    • Gradually gets worse
    • Sit ups painful
  • Signs
    • Reduced hip ROM (predisposing factor)
    • Knee squeeze painful
    • Tender pubic bones
  • Investigations
    • MRI may be an initial and best choice
    • US to exclude other pathology
    • Flamingo XR to exclude pubic instability
  • Treatment
    • Relative rest which can be prolonged
    • Physio
      • Releases
      • Kinetic chain mechanics
      • Adductor exercises
    • Injections
    • Rarely surgery
  • Prognosis
    • Expect a prolonged recuperation period
    • If you continue to play you will need much more treatment and rehabilitatiation afterward and during the continuance of play

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