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

Back to Information Sheets