Osteitis pubis

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Osteitis pubis
Skeletal pelvis-pubis.svg
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Pelvic pain, groin pain, lower abdominal pain
Complications
Onset
Duration
Types
Causes Repetitive trauma, surgery, pregnancy
Risks Athletic activity, pelvic surgery
Diagnosis Physical examination, MRI, X-ray
Differential diagnosis Inguinal hernia, hip joint disorders, adductor strain
Prevention
Treatment Rest, physical therapy, anti-inflammatory medication
Medication NSAIDs
Prognosis
Frequency
Deaths


Osteitis pubis is a condition that causes inflammation of the pubic symphysis, the joint at the front of the pelvis that connects the two halves of the pelvis. Osteitis pubis can cause pain in the groin or lower abdomen, and can sometimes cause difficulty walking.

Causes

Osteitis pubis is often caused by repetitive stress to the pubic symphysis, such as from running or other athletic activities. It can also be caused by pregnancy, as the ligaments around the pubic symphysis can become relaxed and stretched in preparation for childbirth.

Symptoms

The main symptom of osteitis pubis is pain in the groin or lower abdomen that can be sharp or dull, and may be worse during activity or movement. Other symptoms can include difficulty walking, a feeling of instability in the pelvis, and pain that radiates to the thighs or lower back.

Diagnosis

Osteitis pubis is usually diagnosed through a combination of medical history, physical examination, and imaging tests such as X-ray or MRI. The doctor will typically look for tenderness over the pubic symphysis, and may also check for signs of other conditions that can cause similar symptoms, such as a hernia or hip impingement.

Treatment

Treatment for osteitis pubis usually involves rest, physical therapy, and pain management. In some cases, surgery may be needed to repair the pubic symphysis.

See also

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Contributors: Prab R. Tumpati, MD