quick info

1. fredric carson
Jr mora
osteitis pubis
1
I. Injury or condition - Osteitis pubis is an overuse injury characterized by tissue
damage and inflammation to the pelvis at the site where the two pubic bones join
(pubic symphysis), resulting in groin pain.
a. Causes:
i. Overload (and training errors)
1. Overload (or training errors).
2. Exercising on uneven ground.
3. Exercising on hard surfaces, like concrete.
4. Increasing exercise intensity or duration too quickly.
5. Beginning an exercise program after a long lay-off period.
6. Exercising in worn out or ill fitting shoes.
I. Biomechanical Inefficiencies
1) Muscular imbalances;
2) Leg length differences.
3) Poor running or walking mechanics;
4) Faulty foot and body mechanics and gait disturbances.
5) Tight, stiff muscles in the hips, groin and buttocks;
I. Mechanism of injury or etiology - 25 year old male plays in amture soccer
leauges. Complained of pain while performing a soccer push pass, tackling, and
directing the soccer ball. Doctor took MRI and said it was osteitis pubis.
II. signs and symptoms -
A. Signs:
i. Local tenderness would be the big one.
ii. Palpable or audible click over area
iii. Adductor spasm leading to reduced hip abduction
B. Symptoms:
i. Symptoms may occur 1 to 8 weeks after the triggering event. The
primary symptom of pain varies in severity and duration.
ii. Pain in the pelvic region with extension to the inner thighs – may
be abrupt onset .
iii. aggravating factors could include coughing, sneezing, micturition,
defecation, walking, sitting, getting up to standing, and stairs.
iv. May “waddle” from pain and a sensation of tightness in adductors.

2. fredric carson
Jr mora
osteitis pubis
2
III. management plan -
IV. Phase1 -
A. Goals: reduce inflammation and pain
B. Estimated length of time of phase (ELT): 72hrs
i. Soft Tissue Rehabilitation:
1. R.I.C.E.
V. phase2-
A. Goals: Encourage relaxation in abs and hip adductors.
B. Estimated length of time of phase (ELT): 2 weeks
i. Soft Tissue Rehabilitation:
1. Massage clockwise around abs.
2. Petrasauge adductors
3. Skin rolling on adductors
4. Continue crowding
Focused muscles- rectus abdominis and external and internal
oblique muscles, pectineus, adductor longus, adductor brevis,
adductor magnus, gracilis.
VI. Phase 3
A. Goals:
B. Estimated length of time of phase (ELT):
i. Soft Tissue Rehabilitation:
1. Massage clockwise around abs.
2. Petrasauge adductors
3. Skin rolling on adductors
4. Pin and stretch
5. Static pressure of abs
6. Trigger point
7. Stretch adductors
8. ROM adductors
9. Iliopsoas release
10.glute release
11.crossfiber, liner, circular friction
12.striping

3. fredric carson
Jr mora
osteitis pubis
3
13.thomas stretch
Focused muscles- abdominal muscles (rectus abdominis and external and
internal oblique muscles) attach distally to the inguinal ligament, conjoined
tendon, and pubic symphysis, whereas the adductor muscles (pectineus,
adductor longus, adductor brevis, adductor magnus, gracilis) arise from the
superior and inferior rami of the pubis. obturator externus and internus
C. exit criteria
D. Sustain balance bilaterally
E. Complete ROM
F. 90% strenght in affected muscles
VII. work cited
A. http://www.physioadvisor.com.au/10474150/osteitis-pubis-pubic-
symphysitis-physioadvisor.htm
B. http://physioworks.com.au/injuries-conditions-1/osteitis-pubis
C. http://injuryfix.com/archives/osteitis-pubis.php
D. http://painmuse.org/?p=291