Osteitis Pubis

What is osteitis pubis?

Osteitis pubis, also known as pubic symphysitis, is pain and inflammation at the pubic symphysis. The pubic symphysis is where the right and left pubic bones meet. Muscles from the lower abdomen and groin attach to the front of the public bones.

How does it occur?

Osteitis pubis usually occurs from activities that you do often and repeat the same movement over and over, such as running, jumping, kicking, or skating.

What are the symptoms?

The most common symptom is pain directly over the pubic symphysis. The pain may start gradually and may sometimes move to different places along the groin and pelvis. You may have pain in the groin, at the muscles that attach to the pelvis, and at the pubic bone.

How is it diagnosed?

Your healthcare provider will ask about your symptoms and examine you. You may have tenderness at your pubic bone or at the muscles that attach to the pubic bone. You may have an X-ray. Sometimes scans such as a bone scan or an MRI are needed to check for irritation at the pubic symphysis.

How is it treated?

This problem requires rest until the symptoms go away. Osteitis pubis requires more rest than rehabilitation and most of all requires patience. If running causes pain, you should swim or bicycle instead. You may need to rest from all activities. Participating in activities that cause pain will mean that healing will take longer. Sometimes it takes 2 to 3 months or longer for symptoms to go away.

• Put an ice pack, gel pack, or package of frozen vegetables, wrapped in a cloth on the area every 3 to 4 hours, for up to 20 minutes at a time.
• Take an anti-inflammatory medicine such as ibuprofen, or other medicine as directed by your provider. Nonsteroidal anti-inflammatory medicines (NSAIDs) may cause stomach bleeding and other problems. These risks increase with age. Read the label and take as directed. Unless recommended by your healthcare provider, do not take for more than 10 days.

Your provider may give you an injection of a corticosteroid medicine. They may do this with the guidance of ultrasound or X-ray.

How long will the effects last?

The pain from osteitis pubis may take months to completely go away.

When can I return to my normal activities?

Everyone recovers from an injury at a different rate. Return to your activities depends on how soon you recover, not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better. The goal of rehabilitation is to return you to your normal activities as soon as is safely possible. If you return too soon you may worsen your injury.

You may safely return to your activities when:

• You do not have any pain or tenderness over the pubic bone.
• You can walk straight ahead without pain or limping.