How to Identify the Pubalgia
The main symptom of pubalgia, also called osteitis pubis, pain is pain in the groin, specifically in the symphysis pubis, a tiny joint located in this region. The pubalgia affects especially men who practice some physical activity such as running or football, but it can also affect women.
The main symptoms of pubalgia are:
- Pain in the groin, especially when practicing exercises, stand up, sit down, and when you cough
- Increase the pain to stay on one foot
- Increase of pain during races
- Burning sensation in the groin area
- Decrease in movement of the hip
- There may be pain in the lumbar region, at the bottom of the back.
The pubalgia is often the case in football players and is easily identified when it is felt a pain in the region or the thigh in the first pass or kick.
How to diagnose the pubalgia
For the diagnosis it is not necessary to perform any specific examination because little or no change can be seen in this region. Usually the physical examination by palpation of the region and tests such as the stretching of the adductors, located in the region of the thigh, and the resistance to the movement of the adductors, located in the inner region of the thigh, can show the pain, featuring the pubalgia.
The history of fall, trauma, sports or surgery in this location are also important to reach a diagnosis, in addition to specific tests such as:
- Jump on one leg because this increases the tension in the joint and causes pain;
- Stretching of the groin with the foot resting on the knee of the other leg;
- Stretching of the hamstrings, tilting the body forward without bending the knee.
These stretches help in the diagnosis because the shortening of these muscles are related to the cause of pubalgia. So if there is an increase in the pain in the pubic bone or shortening of the muscles of the inner region and back of the thigh, there is confirmation of pubalgia. In addition, if the back of the leg is shortened, it will not be possible to support the hands on the floor or there will be some change in the arch of the foot.
What causes pubalgia
The pubalgia is caused by offsets muscle, which occur in men who practice physical activity and that require a lot of strength to perform movements such as kicking the ball with the inside of the foot or who practice running and changing direction quickly as it happens in races on the road or in the mountains, where the floor is uneven.
The main cause is the weakness of the hamstring muscles on the back of the thigh, and the adductors, located in the inner region of the thigh and of the abdominal. This weakness still that is not noticeable to the naked eye is observed to test the strength of the muscles of the anterior region and the side of the thigh.