Osteitis Pubis is an overuse injury (repeated trauma) occurring commonly in footballers, resulting in painful inflammation of the pubic bones.
What are the symptoms of Osteitis Pubis?
- Groin pain on kicking side
- Pain eases during warm-up but comes back after training or game
- Groin pain on kicking side or both sides and pain spreads to the lower abdominal area
- Increased pain after training
- Pain when kicking ball, sprinting, change of direction, walking long distances or running
- Loss of running speed and ability to accelerate
- Unable to train or play
- Pain in groin and / or lower abdominal area when cough or sneeze
- Pain when walking on uneven surfaces
- Pain when roll over in bed at night
- Stiff and sore when get out of bed in the morning
- Pain on standing on one leg or going up or down stairs
What causes Osteitis Pubis?
- Sudden increase in level of training – both volume and intensity – too much too soon
- Returning to full training after a long break in training
- Poor core stability
- Tight hip muscles / stiff hip joints
- Weak hip muscles
- Weak groin / adductor muscles
- Previous groin injury
Identify the solution to the pain
- Massage to adductor muscles and gluteal muscles
- Stretch hip muscles
- Get back and pelvis checked out and treated if needed by physiotherapy, chiropractor or osteopath
- Learn how to work your “deep” core stability muscles (transversus abdominus and pelvic floor) – physiotherapist or Pilates instructor. An assessment with real-time ultrasound can help with this.
- Strengthen your gluteal muscles
- Improve the strength and endurance of your adductor muscles
- Core stability program (Swiss Ball program or Pilates)
- Strengthen hips with elastic band
- Stationary bike
- Running program in water
- Basic running program on land
- Wear “sacro-iliac joint” belt or wear tape on pelvis
- Wear Supacore Coretech compression shorts or leggings
How Long Will It Take to Recover?
12 to 20 weeks is a normal time frame to expect for recovery from osteitis pubis.
Author: Carolyn Taylor, Physiotherapist