Pubalgia, also known as pubic or groin pain, is an injury that affects the pubic and groin areas. Numerous muscles converge in this area, such as the adductor group (adductor longus, brevis, and magnus), the gracilis, the pectineus, the abdominal muscles, and even the psoas. Therefore, an accurate diagnosis is essential to identify the source of the problem and apply appropriate treatment.

It is a common condition among athletes, especially those who participate in sports that involve running, rapid changes of direction, and the constant application of repetitive forces to this region, such as soccer and track and field.

Some other terms that are used and you can read in medical literature to name this pathology are: pubic osteopathy syndrome, dynamic pubic osteopathy, adductor tendinopathy, pubic enthesopathy, athlete's groin syndrome, pubic disruption syndrome, chronic inguinal pain, Athletic pubalgia, pubic symphysis dysfunction, adductor tendinopathy...etc.

I think I have pubalgia. How do I know?

Do you experience persistent pain or discomfort in your pubic or groin area? These are some of the most common symptoms of pubalgia:

• Pain located in the pubic region, groin, lower abdomen or inner thigh.
• Pain when climbing stairs, get into the car or even walk.
• Pain when coughing, sneeze or make abdominal movements.
• Feeling of stiffness or tightness in the inguinal or adductor region.
• Discomfort that worsens when performing activities such as running, turning, changing direction, or kicking a ball

What are the causes of dynamic osteopathy of the pubis?

Groin pain is related to intense, repetitive physical activity and factors that increase stress on the pelvic region. The main causes include:

• Muscle imbalances: between abdominal muscles and hip adductor or flexor muscles (psoas).
• High intensity activities: explosive movements, quick changes of direction, twists, jumps, ball hits...
• Inadequate preparation: insufficient warm-up, incomplete rest, overtraining or lack of physical conditioning of the muscles.
• Poor execution of movements in sports.
• Falls or direct blows or indirect effects affecting the pelvic and pubic region.
• Excessive or abrupt execution of stretching, whether passive or active.
• OverweightExcess body fat increases the load on the joints and pelvic region, increasing the risk of injury.

Why are soccer players at greater risk of pubalgia?

Soccer players are especially at risk for pubalgia due to the explosive movements they perform. Their muscles must be sufficiently prepared and trained to quickly execute a sprint or stretch to reach a difficult ball. However, their high training load, and sometimes inadequate physical preparation, makes them more vulnerable to this injury.

At Evolution Physiotherapy Clinic, we have physiotherapists who are experts in Sports and High Performance PhysiotherapyOur professionals will design a personalized exercise plan to treat your pubalgia, tailoring it to your needs and goals.

Although soccer players are among the athletes most at risk for this injury, others, such as tennis players, are also at high risk. If you play tennis, you might be interested in this article: Taylor Fritz, concerned about his pubalgia: what it consists of and what are the main symptoms.

Can pubalgia also affect people who don't play sports?

Yes, groin pain isn't exclusive to athletes. This injury can also affect people with demanding physical jobs, those with a sedentary lifestyle, overweight individuals, or even pregnant women. The causes and symptoms are often the same as in athletes, and even the approach to the injury is usually similar, although tailored to the patient's activities and lifestyle.

How is pubalgia treated?

According to the most recent evidence, the most effective treatment strategies combine therapeutic exercise with various physical therapy techniques.

Regarding therapeutic exercise, it should be individualized and adapted to the affected physical or daily activities. This approach includes muscle strengthening exercises, dynamic stretching, and motor control exercises for the affected muscles.

To maximize the effectiveness of the treatment, it should be combined with other physical therapy techniques such as manual therapy, myofascial release, dry needling, diathermy, and neuromodulation, with the goal of improving the condition of the affected tissue.

When should I seek physical therapy for my pubic pain?

It's best to see a physical therapist as soon as possible to address groin pain early and prevent the injury from worsening. The sooner you start treatment, the easier it will be to control the pain and prevent it from affecting your daily life or athletic performance.

How can I prevent groin pain?

To prevent pubalgia, it's essential to warm up properly before physical activity, perform exercises to strengthen the groin muscles, and avoid overtraining. It's also essential to maintain a healthy and active lifestyle.

Physiotherapy in Alcalá de Henares for the treatment of pubalgia.

Groin pain can seriously limit your performance and quality of life. Proper treatment is key to relieving pain and speeding up effective recovery, allowing you to safely return to your activities.

At Evolution Advanced Physiotherapy Clinic in Alcalá de Henares, we offer a personalized physiotherapy approach to treating pubalgia. Our team of specialists will tailor the treatment to your specific situation. helping you achieve a good recovery.

Don't let pain limit your life, book your appointment here and start your recovery today.