Osteitis Pubis - Treatment and Prevention

Treatment and Prevention

Until recently, there was no specific treatment for osteitis pubis. As it frequently causes long-term problems, medication, stretching, and strengthening of the stabilizing muscles are usually used. Topol and colleagues, in Argentina, used glucose and lidocaine injections ("prolotherapy", or regenerative injection therapy) to restart the healing process and generate new connective tissue in 72 elite athletes with chronic groin/abdominal pain who had failed a conservative treatment trial. The treatment consisted of monthly injections to ligament attachments on the pubis. Their pain had lasted an average of 11 months, ranging from 3–60 months. The average number of treatments received was 3, ranging from 1–6. Their pain improved by 82%. Six athletes did not improve, and the remaining 66 returned to unrestricted sport in an average of 3 months.

Surgical intervention - such as wedge resection of the pubis symphysis - is sometimes attempted in severe cases, but its success rate is not high, and the surgery itself may lead to later pelvic problems.

The Australian Football League has taken some steps to reduce the incidence of osteitis pubis, in particular recommending that clubs restrict the amount of bodybuilding which young players are required to carry out, and in general reducing the physical demands on players before their bodies mature.

Osteitis pubis, if not treated early and correctly, can more often than not end a sporting individuals career, or give them an uncertain playing future.