Osteitis pubis in athletes
Osteitis pubis is an inflammatory condition that affects the symphysis pubis (the joint between the pubic bones). It is generally thought to be the result of repetitive stress on the symphysis pubis and the tendons which attach to it.
Osteitis pubis commonly occurs as an overuse injury in weight-bearing sports such as running and football.
Symptoms of osteitis pubis
Osteitis pubis usually causes pain in the groin and inner thigh area. The pain is related to exercise, and is frequently made worse by certain activities, such as pivoting or kicking across the body.
Usually the pain comes on gradually, and its onset is often associated with an increase in training.
Osteitis pubis diagnosis
If you suspect that you have osteitis pubis you should seek medical attention so that an accurate diagnosis can be made. Sometimes groin pain may be due to another more serious condition, so it is important to have it investigated.
The diagnosis of osteitis pubis first involves your doctor taking a history of the symptoms and performing a clinical examination.
X-rays may show some abnormalities but they can also be normal, especially early on in the disorder. A bone scan or magnetic resonance imaging (MRI) scan can confirm the inflammation at the symphysis pubis.
Treatment of osteitis pubis
In the acute (short-term) stage, treatment may include the use of ice and an anti-inflammatory medicine to help reduce the inflammation. It will also usually involve rest from activities that produce the pain, and possibly may include groin strap bracing.
The mainstay of treatment is physiotherapy and exercise rehabilitation of the muscles of the groin and lower abdomen. Your doctor will advise you as to the appropriate treatment in your case.
Time out from sport will vary depending on the severity of the injury, but may range from 3 months to 12 months. Women generally take longer to recover than men. Very rarely, surgery may be required if the usual treatment is not effective.
Last Reviewed: 01 February 2012
- Hiti CJ, Stevens KJ, Jamati MK, Garza D, Matheson GO. Athletic osteitis pubis. Sports Medicine 2011; 41 (5): 361-76. Abstract available at: http://adisonline.com/sportsmedicine/Abstract/2011/41050/Athletic_Osteitis_Pubis.2.aspx
