Your friendly Chiropractor in Chandler AZ, Dr. Dan Rae, is back at the computer this morning to discuss a condition called Osteitis Pubis. This is a condition that you want to avoid like the plague if possible because it is quite painful, and many people spend a lot of time trying to get the proper diagnosis all the while being in a substantial amount of pain.
In the image above by RelayHealth, we are able to see the effected structures with Osteitis Pubis. This occurs as a result of direct compressive or distractive injury causing pain at the pubic joint. There is usually tenderness at the pubic joint and sometimes there is pain when squeezing the pelvis together. Muscles tests of the adductor muscles, the muscles the bring the leg toward the mid line, are extremely painful.
These patients come into my office reporting either a sudden forced adduction injury or repetitive minor trauma as seen with kicking or running. Pregnant women have been shown to be susceptible to this injury during childbirth.
Management of this condition when diagnosed properly is not very difficult. Treatment includes rest with slow return to activity, and gradually increasing flexibility. Avoiding the inciting activity is absolutely necessary, especially side-foot kicking or maneuvers that require squeezing the legs together. An SI belt as seen in the image below can often help to stabilize the pelvis.
Dr. Rae's professional interests lie in helping the community reach their health potential. Through hundreds of hours of post-graduate training, Dr. Rae has studied different soft-tissue therapies, studying the muscles and how to help them function appropriately. He specializes in Hip pain or Pelvic pain.