Pubic related pain

• Pubic related pain - Symptoms

  • Pain around the pubic symphysis
• Pubic related pain - Most likely presents with complaint of:

  • Pain with resisted abdominal and hip adductor testing
  • No specific test
• Pubic related pain:

  • Common overuse injury
  • Weakness in the hip flexor and abdominals can result in excessive strain around the pubic symphysis
• Pubic related pain - Common population:

  • Young athletes involved in pivoting, cutting, twisting
  • Rapid acceleration and deceleration
  • Adductor longus and rectus abdominis tendons under strain during young athlete growth spurts = microtrauma at the musculotendon junction
• Pubic related pain:

  • The pubic symphysis is the last structure of the human skeleton to mature – apophysitis should be considered as a differential in young athletes
  • Pubic pain can also occur during pregnancy due to an increase in ligament laxity