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.