Osteitis Pubis is an overuse condition that affects the junction of the two pubic bones in your groin (pubic symphysis). The symptoms of osteitis pubis can include loss of flexibility in the groin region, dull aching pain in the groin, or in more severe cases, a sharp stabbing pain when running, kicking, changing directions, or even during routine activities such as standing up or getting out of a car.
The pubic symphysis is a cartilaginous (made from cartilage) joint, that is tightly bound by very strong ligaments. This means that only a limited amount of movement is allowed at this joint. The repetitive movements of running, kicking and even changes during pregnancy can disrupt the cartilage here.
Osteitis pubis may be diagnosed with an x-ray, where irregularity and widening of the pubic symphysis are hallmark findings.
Frustratingly, Osteitis Pubis can be resistant to treatment and can last between 6 months and two years before symptoms resolve. For this reason, a preventative approach is preferable. If the pain does not resolve with prolonged rest then Corticosteroid injections may be considered. If the injection is successful the patient can usually return to activity within two to three weeks, although some people require a second injection.