Saturday, April 05, 2008
Since October I have been fighting pain in my groin and abdomonals. Finally, I have found out what the issue is thanks to a friend who Sports Medicine Doctor. I have Osteitis Pubis. Osteitis Pubis is the inflammation of the pubic symphysis; the point where the left and right pubic bones meet at the front of the pelvic girdle. Individuals who are most at risk of Osteitis Pubis are those who participate in running events, especially distance runners. Others who tend to have a high risk of developing Osteitis Pubis include those with rheumatological diseases and expectant mothers. As many of you are aware, I have Rheumatoid Arthritis.
Osteitis Pubis results in pain in the front of the pelvic girdle due to inflammation of the pubic symphysis. The pubic symphysis is a disc of cartilage located between the left and right pubic bones. The pubic symphysis is the point where several muscles from the abdomen and groin attach and contract quite vigorously during exercise. These excessive forces pull on the pubic symphysis and cause an inflammatory response.
The most common symptoms of Osteitis Pubis are pain and tenderness; this pain can be sharp or dull. The onset of pain is usually gradual, and is most commonly located in the front and center of the pubic bone. However, the pain may radiate into the lower abdomen and also down into the groin and thigh.
Osteitis Pubis is predominantly caused by repetitive contraction of the muscles that attach to the pubic bone and the pubic symphysis, and while many things can be attributed to this, they can all be categorized into two main groups: Overload (or training errors); and Biomechanical Inefficiencies.
Frustratingly, Osteitis Pubis can be resistant to treatment and can last between 6 months and two years before symptoms resolve. What does this mean- less running for me and even possibly a lay-off if the pain worsens. However, I do feel that over the last month the pain has become less. What is frustrating is that my groin tightens up so much that my stride shortens and this ends up causing pain across my pelvis. Some days it is worse than others and it seems rather unpredictable as to when it gets irratated.