Osteitis pubis is commonly seen in association with pregnancy and in those who partake in sports or activities where there is repetitive running.
As a result, tissue can be damaged and inflammation occurs around the pelvis area where the pubic bones (symphysis) join. The two bones that make up the pelvis, also known as the hemipelvis, are joined by a band of cartilage in addition to several muscles each working to absorb impact and contract during particular activities. Excessive force or constant high repetition can cause damage to the pubic bones leading to inflammation of the pubic symphysis. This is osteitis pubis.
Symptoms of osteitis pubis
The resulting groin pain experienced by those who present with osteitis pubis can be sudden or develop gradually over time.
Symptoms typically fluctuate as movement and activity levels change but can result in acute levels of discomfort, rendering a patient unable to move.
Whilst pain is typically limited to the groin it can extend into the abdominal area in more severe cases. Where exertion is minimal, patients may only feel a mild sense of stiffness. A clinical diagnosis is required to confirm the presence of osteitis pubis so it is not misinterpreted as adductor tendonitis.
Difference between osteitis pubis and adductor tendonitis
Osteitis pubis is the inflammation of the pubic symphysis whilst adductor tendonitis is slightly different and is often misdiagnosed.
Adductor tendonitis is tissue damage and associated inflammation to the adductor tendon where it connects to the pelvis. The groin pain symptoms experienced are very similar in location and nature to osteitis pubis, however the treatment is vastly different.
Treatment for osteitis pubis and adductor tendonitis
Osteitis pubis is generally treated with physiotherapy and surgery is only considered if modifications to activity and other non-operative options are unsuccessful.
With a tendency to relapse most patients with osteitis pubis require ongoing treatment.
In contrast, those diagnosed with adductor tendonitis can typically recover in a much shorter period of time after being prescribed anti-inflammatory medication and in some cases a dose of steroid injections.
Whilst anti-inflammatory medication can most certainly assist in reducing the inflammation associated with osteitis pubis, on its own the condition will not resolve unless accompanied by suitable physiotherapy and rest.
HOW CAN I FIND OUT MORE?
Don’t put off a visit to the Adelaide Hip Centre.
Arrange a consultation if you are living with regular hip pain and common symptoms associated with osteoarthritis.
Sufficient rest and moderate activity adjustments are often recommended to avoid further damage and ongoing discomfort. However, if you are experiencing acute groin pain it is wise to contact a medical professional for an assessment and an appropriate treatment plan.
Contact us for any enquiries relating to osteitis pubis and tendonitis.