Hi Guys,

Out for ideas and maybe pointing in the right direction a bit here. I have seen a patient today (male, 25) with anterior pelvic pain. He reports after training in rugby a few weeks ago he was running and developed anterior central pelvic pain. he demonstrates no red flags, no urinary symptoms, no constipation, no normal lumber or pelvic red flags. He has pain functionally when running or jogging. He has no obvious bulges or palpable swelling and reports no tenderness or problems in the genital area. he reports having a previous injury similar to this and was scanned for hernia which came up negative. I have asked him to discuss this with his GP again just to double check.
Pain was generally reproduced on palpation of the area (centrally around his pubic symphasis) None of the normal pain provocation tests bought on much tenderness and he finds his main issue is either a forward thrust of his pelvic, resisted SLR and bilateral external rotation/adduction (groin stretches in training type position)
My previous job had a pelvic specialist so I have had very little to no recent pelvic experience, probably not since I was a junior physiotherapist.

Any help or ideas would be greatly appreciated.

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