Physiotherapy for Pubalgia

The physical therapy should be part of the treatment for pubalgia, which is characterized by pain in the groin, because it is excellent to eliminate the pain and prevent this pain from becoming more intense or frequent, thus improving the quality of life of the individual.

The pubalgia is more common in men who practice physical activity often, or who play football or engage in race sporadically. This is caused by an inflammation in the region of the symphysis pubis where the two hip bones, are previously. The main cause of pubalgia is the excess of physical activity where there is an excessive friction and a decrease in blood flow between these bones, causing increased tension in this tiny joint and in the tendons closest to you.

Basically, the physiotherapy treatment for pubalgia consists of two phases, where the first one consists in decreasing the local inflammation and consequently the pain, and the second to strengthen the muscles to prevent the return of pain and stabilize the joint.

 

Phase 1:

  • The ice in place for 15 minutes, 3 to 4 times per day
  • Stretching of the muscles of the hamstring muscles, retofemoral, iliopsoas muscles, adductors, rotators, external hip and square lumbar
  • Mobilization techniques of the spine and of the hip (carried out by physiotherapist)

Phase 2:

After approximately 3 to 4 days of treatment, when the pain decrease and it is possible to strengthen the muscles of this region, you can add:

  • Strengthening of the muscles of the legs, back and abdomen. See some examples here.
  • Ride on the exercise bike for 30 minutes
  • Racing in a straight line

The success of the treatment should be rest, leaving the training, during the treatment period that can take 3 to 9 months. In some cases, the orthopedist may indicate the intake of anti-inflammatory drugs for the control of pain and inflammation, accelerating recovery.

 

Exercises for pubalgia

These exercises greatly help in the recovery of pubalgia:

  • Lying face up place a soccer ball between the feet and press the feet to press the ball. Each pressure lasts 30 seconds and is repeated 10 times.
  • Abdominal in the direction of straight and side for 5 minutes.
  • Balance exercises on top of an inclined surface for 5 minutes.
  • Exercises on 1 foot on a surfboard leaning. 1 minute with each leg.
  • Lie down on your stomach, place the hands on the head and lift the trunk in the 5 series of 10 repetitions
  • Lie down belly up and raise the legs to 90 ° as if they were supported on a chair imaginary. The tip of the foot should point to your nose and your chin should be tilted down, grinding the cervical spine. Hold this position for 5 minutes daily
  • Lie down on your side, bend the top leg, supporting the foot on the ground. Elevate the leg down, no left knee, repeating the movement 10 times.

These are only 2 examples of exercises but that should not be conducted without the personal guidance of a physical therapist.

How to avoid a new pubalgia

 

To prevent the return of pain after the treatment for pubalgia should perform the strengthening and stretching of the muscles involved. Strengthen the muscles of the inner part of the legs is very important, since one of the possible causes of the pubalgia is the increased strength in the lateral muscles, which are very requested in the kick of the ball in football, for example.

Physiotherapy for Pubalgia 1

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