Osteitis Pubis

Symptoms of osteitis pubis may develop gradually or suddenly and can include:

• Pain in the groin, lower abdomen, or pelvic region
• Pain that worsens with running, kicking, cutting, or pivoting movements
• Tenderness over the pubic bone
• Stiffness or pain when getting out of bed or standing from a seated position
• Reduced athletic performance due to pain or limited mobility
• Pain that may radiate into the inner thigh or lower abdomen

Osteitis pubis is typically caused by repetitive stress and microtrauma to the pubic symphysis. The condition often results from an imbalance between the abdominal muscles and the hip adductor muscles, which both attach near the pubic bone.

Common contributing factors include:

• Repetitive running, kicking, or cutting movements
• Sudden increases in training intensity or duration
• Poor core stability or hip muscle weakness
• Previous pelvic or lower abdominal surgery
• Limited hip mobility or biomechanical abnormalities

Treatment for osteitis pubis is usually non-surgical and focused on reducing pain, inflammation, and correcting underlying biomechanical issues.

Conservative Treatment

• Activity modification and rest from aggravating activities
• Nonsteroidal anti-inflammatory medications (NSAIDs), as recommended by a healthcare provider
• Physical therapy focused on core stabilization, hip strengthening, and flexibility
• Gradual return-to-sport program once symptoms improve
• Ice or heat therapy for pain relief

Interventional Options

• Corticosteroid or platelet-rich plasma (PRP) injections in select cases
• Image-guided injections to reduce inflammation and pain

Surgical Treatment

Surgery is rarely required and is reserved for patients who do not improve after prolonged conservative treatment. Surgical options may include stabilization or debridement of the pubic symphysis.