Pubalgia or dynamic pubic osteotomy is a complex clinical syndrome characterized by Pain in the pubic and inguinal area. He pain It is usually diffuse, It can extend to the groin, abdominal insertion, thighs or hip. Sometimes, it is changing (passes from one side to the other).
The causes that provoke it are diverse and are generally related to intense and repetitive physical activities. Some of these could be:
- Muscle imbalances: Between abdominal muscles and adductor muscles.
- High intensity activities: Explosive movements, quick changes of direction, twisting, jumping, kicking the ball…
- Inadequate preparation for the activity: Poor warm-up, incomplete rest…
- Poor execution technique in sport.
- Biomechanical dismetries.
- Overtraining.
Treatment of pubalgia can be conservative or surgical. conservative treatment will aim to reduce pain, improve function and prevent relapse. To do this, it is necessary to reduce the frequency and intensity of training and adjust the loads, with total rest not being an option for the complete recovery.
He differential diagnosis of the pain of the pubic symphysis is crucial, since its symptomatology It can lead to confusion with other pathologies such as inguinal hernia, hip injuries either nerve entrapmentsMagnetic resonance imaging or ultrasound are the most accurate imaging tests for reaching an accurate diagnosis.
In Evolution Physiotherapy Clinic We address this type of multifactorial injury in a global way, through data collection and a functional assessment initial, which makes it easier for us to know the origin of the problem and, thus, be able to, improve the symptoms of our patient by choosing the appropriate treatment.
Manual therapy, diathermy, neuromodulation and myofascial induction are some of our therapeutic tools to condition the damaged tissue and then introduce the exercise therapeutic that will guarantee the complete recovery of our patient.
