WHAT IS IT? HERNIA
Osteitis Pubis (OP) is long-standing exercise-related groin pain. The pubic symphysis becomes inflamed and painful due to shearing forces.
Signs & Symptoms
Groin pain which gradually worsens
Pain may refer to the testicles or adductors
Pain on coughing, sneezing, or straining
Pain with the Valsalva manoeuvre which increases intra-abdominal pressure
Aggravated with kicking
Common in sports involving kicking
Tender pubic tubercle
What Causes It?
Weakness of the abdominal wall
Increased intra-abdominal pressure = increased strain
How to Self Manage
Seek assessment by a physiotherapist or hernia specialist
Conservative management should be trialled first. If not successful then surgery may be required.
Surgery for a hernia is relatively common, especially in sports such as football. Return to sport may be possible after 3-4 months post-surgery. It must be noted that surgery can be successful, however recurrence is possible post-surgery.
How Physio Helps
Confirm the presence of a hernia
Assess lumbopelvic stability
Correct tendency to increase intra-abdominal pressure
Prescribe a conservative management program involving strengthening of transverse abdominals, obliques, adductors, and hip flexors
Refer to a hernia specialist if necessary