Osteitis Pubis in Soccer Player

[physiovj]

Hi everyone

I had a client who is a soccer player h/o of osteitis pubis/chronic groin pain for 3 years.I implemented Osteitis Pubis rehabilitation protocol, his groin pain reduced and activities improved during a 3month regimen.Now that he has to discontinue the treatment session due to his studies, groin pain recurred with activities.Please let me know what sort of physio procedures would eliminate his pain for ever.I tried pelvic alignment, posture correction, core muscle strenthening and adductor strenthening..is there anythin i could integrate with the above mentioned procedures?

Thank you
Physiovj

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[ginger]

thoroughly mobilise T12 and L1. You will most likely find that his problem was a referred pain in the first place as is commonly so with so called OP.

[sathiya]

Hi in our centre we release rectus abdominus and pelvic correction and it gives good result.

[colinmclelland]

we have had success in football using injection with ultra sound - this in combination with a 6 month specific program. we have had good results - however I agree that Lx should also be discounted

[alophysio]

Hi - can you actually post what your protocol is and why it is imperative that the patient attend treatment??

Thanks

[aziznavii]

i found this i wish it gonna help ya
Australian Pilates Academy Articles | Osteitis Pubis

[shinydan]

you can try even the soft tissue release...some patients benefit frm it..now addays one type of tight shorts or band is available ,i am nt quite sure about the term used .you can continue ur treatment regimn along with this and ultrasound..

[251733]

I recomand working on internal rotation of hip which might be a problem
compair internal and external rotation of both hips and work accordingly

[timrobinson]

Hi

There are some interesting recent histological studies which show healing bone matrix in osteitis pubis which is thought to indicate micro fractures occurring in the bone matrix that may well help to explain those chronic footballers that are not responding well to treatment or who relapse.Compression garments do help to reduce shear force loding in these patients and may assist while the patient completes gait re-ed/core strengthening/myo fascial release of tight abdominal structures etc.I agree that the lumbar and lower thoracic spine should be cleared of involvement and oblique and pelvic rotation control should be developed.Kicking technique and excessive rotary shear should be assessed with a video camera to see pelvic control at a slower speed and any biomechanical ineffiencies addressed.
cheers.