Osteitis pubis

jahaco

My injury kept me out of running for about 7 months. Initially, it was diagnosed as OP, but then after a bisphonate infusion seemed to clear up the inflammation on one side of my groin but not the other, I was told that it was more likely that I had experienced a stress reaction at the back of my pubis ramus (not visibile to an MRI scan). Since stress fractures/reactions normally take about 11 weeks to heal then I wonder if I didn't have some kind of combination of the 2. In any event, I religiously followed the physio's rehab exercises: mostly lunges and one legged squats with some bridging thrown in. I largely kept pilates going but was discouraged from cycling at times and also breaststroke swimming. When I was given the go-ahead to start running again at the beginning of May 2013, I still had discomfort in the groin but I was able to run with it. A month later I jammed my SI joint probably because I had increased volume and intensity too quickly. That took a while to get over, but I was able to resume marathon training in the middle of July, ran a few short distance races, and ran my third fastest time ever in the DCM in October. The discomfort I had been feeling in my groin disappeared almost totally during the tapering 3 weeks before the marathon and has not returned, although I am much more sensitive in the pelvis than I was before. I am now running normally, but based on physio's advice I have tried to change my gait to take pressure off the front of the pelvis: I try to tuck in my talbone when I run, hips slightly forward, upright stance and high knee lift, high cadence, short strides. Am now training for London in April on a good for age entry, deferred from last year.

maccatron

guys I have the same injury osteitis pubis

only recently did I go get mri and the result was osteitis pubis

stupidly and stubbornly I would train gym and play football with the injury and not be able to cough or sneeze the next day

to my shock the physio has told me that if I keep this up it will be career threatning, so im listening to everything she has told me

I will need to do some following:

• get a serola belt (amazon have them) they hold everything together like abs muscles
• build up core strengthen muscles same as belt would do
• only do seated strength training, cant even do a push up
• may have to get injection
• may need see eanna Falvey specialist
• foam rolling
• myofacial release physio work tissue work ie rub outs

the main thing or hardest part for me is the total rest, cant even do light jog , push up or long walks, its such a frustrating injury but the only way to heal this is total rest or it will keep re occurring hope this helps

hope this helps

BmQ

Used this forum alot for help along the way so thought I'd tell my story in case it helps anyone else...

Started getting groin pain back in early 2010. Pain the next day after training/matches (rugby). Always when lifting leg to clutch etc. Pain got worse to the point I could barely play. Sneezing was incredibley sore!. Physio diagnosed it as suspected Osteitis Pubis and got me started on a core strengthening program. Pain came back and I got an appointment with Eanna Falvey in Feb 2011 to confirm OP. Which he did- via MRI. Got a steroid injection into the pubic symphysis- quite sore! Sent back to the physio start a running program that involved engaging core muscles. Eventually got playing again by mid/late 2011 but pain came back again quickley-in a slightly different area, but same pain.

Spent most of 2012 trying other solutions but none worked.

End of 2012- got another appointment with Eanna Falvey. Given that I followed the rehab program and had no success he thought the problem must be coming from somewhere else. He suspected my hip. Got an MRI of my hip which confirmed his hunch. Got an MR Arthgram of my hip (steroid and dye injection into my hip socket- not sore!). The diagnosis was that I had Cam Impingement of my hip- which meant the bone was rubbing the labrum cartilage and was causing it to fray. Started training and playing within 1 month of the injection.

I was told if I got lucky I would get 3-6 months of playing after the injection before the pain would come back. 15 months on and I am still playing....no pain. If it does come back- I get another injection and hopefully avoid surgery.


Really struggled with this injury at the start- no answers to any questions or if I would ever get it sorted. Would have to recommend Eanna Falvey (or a similarly qualified person) given he eventually sorted it out- but it wasnt a simple journey.

bridestream

Three years ago I got a very bad spasm in my lower back and could barely walk.
I was in Florida at the time. Googled and got the Dr Serola Belt.
Within 48 hours I was 'flying' again.
I play a lot of golf and whenever I get a twitch in my lower back I put on the belt and continue to play as if nothing happened.
I recommended the belt to a number of my friends and all of them told me it worked for them.
This company in Dublin has them for €37.50 .
http://www.physioneeds.biz/ProductDetail.aspx?ref=NSIB

It's available from this Co Cork company for €39.95
http://www.eiremed.ie/serola-belt-p-447.html

Good luck everyone.
Seamus

Halfprice

hi all. been diagnosed with same problems must of u have. same symptoms etc.. was jus wondering is it an in an out job regarding injections as i am getting an appointment at some stage soon i hope.

crazykidd

Hi im looking to hear from people who have succesfully overcame osteitis pubis. Im currently half way through rehab for osteitis pubis which was diagnosed last November. I removed myself from all running/twisting exercises to allow inflammation to go away for 4 weeks approx. After this i have been running in straight lines at low intensity as well as plenty of stretching and strengthening work (mainly glutes). The past two weeks i have increased running intensity and start adding some twisting movements.


Is it normal to be sore the next day after these exercises? The pain is nothing compared to when I was first diagnosed but I feel a tightness in my lower abs. When I tense them there is a localised pain which goes after a day. I can still do a sit up and lower myself slowly without pain and my glutes are very strong from all the gym work. Is it a matter of my body adjusting to load in the rehab as well as the twisting movements or am i possibly doing damage? I am not scheduled to meet my physio for another two weeks and dont feel it is urgent to see them soon unless i feel something is totally wrong (physio is expensive). It is a Very frustrating injury so if anyone would like to share their experiences it would be greatly appreciated.

jahaco

I think what you're going through is normal and wouldn't worry, even though it's frustrating. I looked again at my post above from early 2014 and I do recall having continuous discomfort even after I was given the all clear. There is light at the end of the tunnel and I know of several other athletes recently who've been through it and come out the other side. However, you might expect it to last a bit longer. I was off from September to April... 8 months and this seems par for the course.

crazykidd

jahaco wrote: »

I think what you're going through is normal and wouldn't worry, even though it's frustrating. I looked again at my post above from early 2014 and I do recall having continuous discomfort even after I was given the all clear. There is light at the end of the tunnel and I know of several other athletes recently who've been through it and come out the other side. However, you might expect it to last a bit longer. I was off from September to April... 8 months and this seems par for the course.

Hi Jahaco,
Thanks for replying. Its great to hear that you have overcome this injury. I am relieved to hear that you had a somewhat similar experience as me. It has been very frustrating for me especially when I was originally told I would be back playing sports (Gaelic football and hurling) by early march. Im afraid that wont be the case for me unless I make a drastic recovery. I have been upping intensity of runs (sprints) to 90% with other acceleration and de-acceleration drills. I make sure to ice after each session but the next day I am quite sore in my groins and lower abs. The second day however I am almost back to normal. Hopefully it is a sign my body is adjusting to the movements. I have followed my rehab programme religously as well as doing extra gym work on the side (allowed by physio) and am currently in the best shape of my life. It can be disheartning that an exercise like shuttle runs (twisting/turning quickly) are proving so difficult to carry out. Apparently patience is a big player in the healing process, something that I lack im afraid.

Crock16

Something to be wary of is do not do any sit ups, core work is key and glute balancing and strengthening