- Athletic pubalgia
- Pelvic sprain
- Osteitis pubis
- S33.8XXA Sprain of other parts of lumbar spine and pelvis,
- Pubalgia-osteitis pubis is a collective term that refers
to disorders causing chronic pubic pain.
- Pubalgia-osteitis pubis includes osteitis pubis and athletic
pubalgia, which are overuse conditions involving stress to the pubic
- All conditions result in abnormal stress to the pubic bone,
pubic tubercle, or pubic symphysis.
- Symptoms due to increased mechanical stress in the pubic region
due to abnormalities or stress from osseous, ligamentous, or muscular
- Symptoms typically reduce with light activity but worsen with
- Diagnosed primarily through signs and symptoms, and exclusion
of other pathologies typical to the region.
- Clustering of special tests/signs and symptoms is
most accurate, as there are no confirmatory special tests.
- Injury typically due to chronic, repetitive stress to the
pubic region during exertional sports
- Often result of repetitive stress such as kicking, sprinting,
or twisting at high speeds during sports
- Stresses from hip adductor insertion or rectus abdominus precipitate
- Weight-bearing forces with athletic activity result in stress
to pubic symphysis.
- Palpation of pubic tubercles, inferior pubic rami, rectus
abdominus and adductor tendons elicit pain.
- Differential diagnosis from other orthopedic (pubic, spine)
or medical (intra-abdominal pathology, hernia) pathologies that
may warrant a more immediate surgical or medical intervention is essential.
- Pubalgia-osteitis pubis is collective term and often refers
to several possible conditions.
- Caused by repeated trauma from exertional activities that
over-stress the pubic bone or tendons that insert upon it, and shearing
of the pubic symphysis
- Diagnosis often made through exclusion of other pathologies.
- Full history of symptoms, medical history screening, and differential
pelvic/lower abdominal orthopedic and medical screening
examination will ensure appropriate diagnosis.
- Common in participants in exertional sports or distance
- Lower abdominal pain or anterior pelvic pain with exertion,
responds to rest
- Lower abdominal pain or anterior pelvic pain with sit-ups,
kicking, running, sprinting, or squats
- Tenderness over the pubic tubercles
- Possible tenderness over the proximal insertions of the adductor
tendons or insertion of the rectus abdominus.
- Possible pain and ROM limitation with passive hip flexion
- Possible weakness of lower abdominals or any components of
- Pain/limitation with running
- Pain/limitation with squatting into or rising from
- Pain/limitation with getting up from floor
- Pain/limitation with sitting up from supine positions
- Limited hip ROM
- Increased tone or shortening of iliopsoas, rectus abdominus,
or hip adductors
- Participation in exertional sports ...
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