Pubic Bone Pain

Pelvic Bone Pain

Osteitis Pubis Injury

If you experience pelvic bone pain, one possible explanation is osteitis pubis. This condition has the potential to cause pain in the pelvis and groin area. Many times, athletes receive this diagnosis after playing certain sports. Osteitis pubis is basically inflammation of the pubic symphysis, or the joint of the two pelvic bones where they join at the front of the pelvis. This pubic symphysis is a thin joint with, normally, very minimal motion. It holds the two pelvic bones together in the front, while the sacrum connects them in the back.

At SPORT orthopedics and rehabilitation, we plan your personalized treatment in a way that lets you focus on your recovery. We identify the source of your pain, then utilize state-of-the-art treatment practices that focus on restoring your range of motion and quality of life. Depending on your symptoms and your diagnosis, our treatment options range from physical therapy to medications to possible surgery. If you’re experiencing osteitis pubis, call SPORT at 469-200-2832 to schedule your appointment with our orthopedic specialists.

A multitude of different conditions contribute to pelvic bone pain, some of which are mild and some of which are severe. In order to determine the source of your pain, we recommend scheduling an appointment with one of our SPORT specialists as soon as possible. First, we will ask you about your symptoms, pain level, and past medical conditions. We also perform physical exams and offer related tests to perform a proper diagnosis. Below, we list commonly performed tests that our specialists offer when diagnosing pelvic bone pain.

  • Blood/urine tests
  • Pregnancy tests
  • Pelvic X-rays
  • MRI scans
  • Bone density tests

Pelvic pain develops as a symptom of many different conditions. Below, we list some of the reasons we’ve encountered that explain pain in the pubic bone for different people.

  • Surgery. Sometimes, surgery leads to complications. Specifically, osteitis pubis is a complication of various types of gynecological surgeries. 
  • Sports injury. During certain sport activities, some people overuse or overextend parts of their body. 
  • Pregnancy: During this period, hormonal changes might shift the gap of the bones of your pelvis in preparation for childbirth. While pregnant or after giving birth, some women develop osteitis pubis.
  • Trauma. Injuries to the lower pelvic region could cause inflammation or stress of the bones which contribute to osteitis pubis.
  • Rheumatological disorders. Conditions which create inflammation in the pelvic area might result in osteitis pubis.

Pain in the pelvic region occurs as a result of a multitude of conditions, including musculoskeletal, digestive, or reproductive. Some people experience worse pain as they walk around. In this section, we outline common causes of pelvic pain when walking.

  • Sacroiliac joint pain: This involves irritation or inflammation of the sacroiliac joint which connects your spine to your pelvis.
  • Pubic symphysis dysfunction: Sometimes, this body part becomes too relaxed. This over-relaxation results in pain which could radiate down the legs.
  • Osteitis pubis: This inflammation leads to soreness and pain in the pelvic area. It generally worsens with more physical activity.
  • Pelvic floor muscle pain: Sometimes, tension in the muscles surrounding the pelvis causes pain. This pain is more common in women.

This condition consists of inflammation of the pubic symphysis, which leads to pain. In general, this condition affects mostly young athletes. The injury itself results from overuse, and occurs at the front of the pelvis along the pubic symphysis joint. This joint consists of the two pubic bones, the capsule of the joint, and the fluid within the joint. Several activities increase one’s risk of developing osteitis pubis, which we outline below.

  • Sports such as soccer or football
  • Long distance running, fencing, ice hockey, and weightlifting
  • Poor strength and flexibility
  • Medical history of osteitis pubis
  • Previous injuries or sprains to the pelvis
  • Loss of motion or stiffness of the hip
  • Previous injury to the hip

This depends almost entirely on the severity of your injury. On average, most people experience a recovery period of anywhere from two to three months. After this period of time and a green light from your doctor, you may resume your normal physical activity. During your recovery period, we encourage you to seek out activities that put less strain on your pubic symphysis. For example, if you enjoy running, you could substitute that for swimming.

Once you recover and return to your normal level of physical activity, rest after each exercise. Consider taking a day or two off between sessions in order to prevent the same injury from happening. Additionally, we recommend warming up with stretches and light exercise before moving on to the more strenuous activities. While osteitis pubis can be painful, you have the power to mitigate this pain with proper rest and pain relief practices.

Certain symptoms commonly accompany osteitis pubis and can help in its diagnosis. Below, we list the most common symptoms that we see in our patients.

  • The pelvis area is tender to the touch.
  • You feel pain from your lower abdomen.
  • Whenever you cough, sneeze, or use the muscles of your abdomen, you feel pain.
  • When you stand up or walk, you hear a clicking or popping sound.
  • You have a loss of mobility and flexibility, or experience weakness.
  • You experience fever or chills.

In general, this condition resolves after a long enough period of rest. It does not require surgery or medications, except over-the-counter medications for pain or discomfort. The most important step is avoiding activities that exacerbate the problem. If you engage in activities that cause pain for the area, your recovery time will lengthen. We recommend an ice pack application to the area for 20 minutes every three to four hours. In more severe cases, we might suggest a corticosteroid injection in order to reduce inflammation and ease your symptoms.

Pubic Bone Pain Treatment in Dallas

At SPORT, we work hard to identify the source of pain for our patients, and use modern therapeutic techniques to restore their range of motion. Depending on your body, your diagnosis, and its severity, we utilize various forms of treatment. These treatment options include physical therapy, medications, injections, or even surgery in some cases. If you experienced or are experiencing pubic bone pain, call today at 469-200-2832 to arrange your consultation with one of our orthopedic specialists.

pubic bone pain