Osteitis Pubis Runners

| Advanced Physiotherapy
Osteitis Pubis Runners

*Osteitis pubis is inflammation in the joint between your left and right pubic bones (your pubic symphysis).

*It causes pain and swelling in your groin or lower abdomen. Osteitis pubis is a type of symphysis pubis dysfunction that's usually caused by repetitively using your hips, pelvis and groin

*.It’s most common in athletes.


* Groin pain or lower abdomen pain (constant dull pain or an aching throb when you’re moving).

*Pain in your thigh adductor muscles (your inner thigh muscles).

* Difficulty walking the way you usually can.

*A feeling of tightness or pressure above your pelvis.


*Pain in or near your genitals.

Causes of osteitis Pubis Runners

Playing a sport: Sports injuries are the most common cause of osteitis pubis. Athletes who put repeated strain on muscles, tissues and surrounding structures of their pubic symphysis can irritate the joint.

Pregnancy: Being pregnant or having a long labor can cause osteitis pubis. Some people develop osteitis pubis after their pregnancy, as well.

Surgery: Osteitis pubis can be a side effect of some types of surgery — usually urological surgery — near your abdomen or groin. In cases after surgery, you may have additional tests run to see if there’s an infection. Osteomyelitis, or an infection of the bone, can cause similar symptoms to osteitis pubis.

Other health conditions: Any injury or health condition that affects the way you walk (your gait) or how your hips and pelvis are aligned can cause osteitis pubis.

Physiotherapy management

* Core stability exercises and muscle stretching and strengthening exercises of the abdominal, adductor, flexor and extensor hip muscles are effective for this purpose.

Ice and Heat Therapy: Applying ice or heat to the affected area can help reduce inflammation and provide relief from pain.

Electrotherapy: Techniques such as ultrasound Interferential Therapy (IFT) and transcutaneous electrical nerve stimulation (TENS) may be employed to manage pain.

Manual Therapy

Physiotherapists use hands-on techniques to address muscle tightness, joint dysfunction, and soft tissue restrictions:

Joint Mobilization: Gentle manipulation of affected joints to improve their mobility and reduce pain.

Soft Tissue Release: Techniques like massage and myofascial release to alleviate muscle tightness and tension.

 Strengthening Exercises

A crucial aspect of physiotherapy for Osteitis Pubis is the development of a tailored exercise program to strengthen the pelvic area and surrounding muscles:

Hip and Pelvic Stabilization: Exercises to improve stability in the hip and pelvic region, helping to distribute forces evenly. 

Stretching and Flexibilit

Half-Kneeling Hip Flexor Stretch

1.Begin by kneeling on the floor.

2.Bring your right leg in front of you so that your right thigh is parallel to the floor, with your knee bent at a 90-degree angle and your foot flat on the floor.

3.Leave your left knee on the floor, making sure that your shin is pointing straight back (not toward the left or right).

4.Put your hands on your hips, then bring your thumbs downward, contract your glutes, and feel your pelvis tuck under you.

5.With your back straight, shift your weight forward until you feel a stretch through the front of the left thigh and groin.

6.For an even deeper stretch, reach your left arm up overhead and slightly toward the right.

7.Repeat on the other side.

Adductor Stretch:

1.Sit on the floor or, if need be, your bed.

2.The floor is better because it's a harder surface, which may help you avoid excess muscle contraction.

3.Place the soles of your feet together and let your knees drop out to the side.

4.Stay in this position for 30 seconds. Be sure to keep breathing!

6.5.Extend your legs out straight to give your adductors a break.

Repeat between 3 to 5 times.

Hamstring Stretch :

1.Lying hamstring stretch using a wall

2.Lie flat on the ground or a mat, with the back flat and the left leg fully extended on the floor. The left leg should pass through the doorway.

3.Lean the right leg against the wall next to the doorway.

4.Adjust the distance between the body and the wall to achieve mild tension in the right leg.

5.Hold the stretch for 10–30 seconds.

6.Switch legs. Repeat 3 times on each leg.

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