Osteitis Pubis

[weagles_fan]

Anyone here had this before? If so where did it hurt exactly? I have a problem when I run around a bit it slowly hurts more and more and if I push myself so hard the next day I will struggle to get in and out of my car. Hurts when coughing as well. I think it may be OP. What do you think?

 

[Hooley McBoob]

If you're having problems running and kicking (not sure if you play footy) as well as with hip flexion (like getting up from a chair, getting out of a car) then you might have OP. OP affects the pubic symphysis (where your 2 pubic bones articulate anteriorly) and it becomes inflamed, which causes pain. The cause of the inflamation is excessive force on the pubic bones due to the abdo muscles and groin muscles (adductors etc) pulling on the bones/pubic symphysis.

 

[beejay]

yeh i had op for quite a while last yr of juniors and played through last half of yr by training once a week and then had 3 months off complete running and then began slow road back. I originally thought something was wrong when i kept thinking i had constant groin soreness and kept trying to stretch it but thats actually worse for it. A studying physio at the time told me to put a tennis ball in between my knees and squeeze and if theres strong pain its usually op. I had it in the top to left side and was a nightmare and still at times i get feelings of it not gone even though pretty much is. Would of much preferred to break my arm

 

[Masten_Magic]

this might sound stupid but can girls get OP?

 

[Hooley McBoob]

this might sound stupid but can girls get OP?

Interesting question. I'm guessing that yes we can, but maybe it isn't very common because a) our muscles cannot develop enough to cause problems for the pubic symphysis, and b) our pubic symphysis fuses earlier in life than in males (i.e. the bones stop growing), so it is less likely to suffer from over-stress.

Massive guesses there though.

 

[BeepTest]

Women often get it due to childbirth I have heard. It would put massive strain on that area obviously.

I have had OP for over a year and its a s#!t of a problem. Just when you think its gone it comes back just as bad. I recon I would of spent close to $3k trying to get rid of it. I've replaced my bed, been to physios, had acupuncture, taken anti-inflams which feel like they are going to kill me and had cortisone injections. After a game of basketball or a run I have a hot bath to relax my adductors and this seems to help but im not sure if its so good for the pubis symphisis where the OP is. I was also doing a fair bit of core stability exercises which were also beneficial.

Anybody in the know got any other suggestions that I could try?

 

[doggiesin08]

Women often get it due to childbirth I have heard. It would put massive strain on that area obviously.

I have had OP for over a year and its a s#!t of a problem. Just when you think its gone it comes back just as bad. I recon I would of spent close to $3k trying to get rid of it. I've replaced my bed, been to physios, had acupuncture, taken anti-inflams which feel like they are going to kill me and had cortisone injections. After a game of basketball or a run I have a hot bath to relax my adductors and this seems to help but im not sure if its so good for the pubis symphisis where the OP is. I was also doing a fair bit of core stability exercises which were also beneficial.

Anybody in the know got any other suggestions that I could try?

I've heard rest is the only thing that really works. I know how hard it is to rest though when you're an active sporty person. I'm currently not able to play footy with a second stress fracture this season.

 

[beejay]

when i used to have it i was given some exercises which i still do before i go for runs etc

1) lying on your back legs straight lift them both of the ground (should feel abs as well)
2) lying on your side pull up your leg closest to the roof and bend it and make your knee go down and touch the ground (in line with ur other leg knee) and keeping your bent leg in the same position pull it up then back down

sorry if that explanation makes no sense but they are just exercises for the hips which really helps also try doing one legged squats with ya hand on the wall and do on both legs

 

[mcgarnacle]

I had OP in 2006. It isn't an acute pain as such but a radiating ache throughout the pelvic region which intensifies after a training session, particularly involving sprints, changes of direction and kicking. I remember the morning after training and games was absolutely horrible, especially in that area above my pe-pe and below my belly button. As the original poster stated, getting out of bed, out of a the car, out of a chair......it was all tough.

I initially went to a couple of physios who diagnosed groin pulls and prescribed massage and stretches. It became significantly worse so I saw a sports doc who immediately diagnosed OP but also booked me in for a bone scan to make sure which confirmed his diagnosis. He then sent me to the Sydney Spinal and Pelvic Physio Centre in Five Dock/Drummoyne/Russell Lea (cant remember the exact suburb/locality but around there) who prescribed several exercises over a course of several months. These guys werent just general physios but specialists for problems in this region. A lot of their clients were pregnant women or women who had recently had babies, and also, many sportspeople.

The first lot of exercises seemed very basic and not intense at all, but that's where you have to start to strenghthen the deep muscles of the region which were weak. Traditional abwork, which i used to do plenty of, work primarily the superficial muscles and not the deep muscles which stabilise the region. The common theme with every exercise during rehab, and every thing i do now in the weight room, is to brace and hold the pelvic floor......bit like what women do for kegals. You have to think of your core as a cylinder and your pelvic floor is the base.....the foundation.....and this needs to be strong for your core to be strong.

I also had to take a break from running, and lower body weights. I was prescribed to do a lot of deep water running with a float belt which allowed me to replicate the act of running without the impact. All up,it took 6 months before I could get back to full fitness.

2 years later, it seems to be going well. What I've learned from the experience is the importance of gradually increasing the intensity and volume of exercise over time, and listening to the body.

 

[Faithful Hawk]

Women often get it due to childbirth I have heard. It would put massive strain on that area obviously.

I have had OP for over a year and its a s#!t of a problem. Just when you think its gone it comes back just as bad. I recon I would of spent close to $3k trying to get rid of it. I've replaced my bed, been to physios, had acupuncture, taken anti-inflams which feel like they are going to kill me and had cortisone injections. After a game of basketball or a run I have a hot bath to relax my adductors and this seems to help but im not sure if its so good for the pubis symphisis where the OP is. I was also doing a fair bit of core stability exercises which were also beneficial.

Anybody in the know got any other suggestions that I could try?

I have a friend who played footy for Peel Thunder who had the same problem tried everything but nothing worked. He finally went to naturopath NOR that cured it.
I was very sceptucal until I finally gave in and went and saw them about a problem I have with my upper back and bugger me they were able to help me out. If you want their details PM and I will give them to you is worth a try.

 

[BeepTest]

http://www.physioroom.com/product/Vulkan_Warm_Pants_1.5mm_/2834/36127.html

Anyone tried or heard about these - are they the same as skins? or are they something unigue? Its got a great name if nothing else!

 

[Prolix]

this might sound stupid but can girls get OP?

Yes, we can, my mother has it. Although she didn't get it from playing football or any sport for that matter. Could've been from childbirth if it's possible for it only to develop 17 years later.

 

[weagles_fan]

i think i may have OP from footy ......just when i am really busy sports wise.

No offence but you are like 14 aren't you? I doubt you can get it at that age.

 

[Team Mo']

No offence but you are like 14 aren't you? I doubt you can get it at that age.

my mate who is 15 has OP...

 

[JDC!]

What is some advice for preventing getting OP? Recovery, stretching etc?

 

[mcgarnacle]

What is some advice for preventing getting OP? Recovery, stretching etc?

did you read my post?

strengthening your core. and i dont mean doing crunches and leg raises and all that shit you see guys doing in the gym to get washboard abs. that's all superficial.

you need to strenghten the deep muscles attached to the spine and pelvic area. the importance of these muscles should not be underestimated. The exercises required to strengthen them can be appear to achieve little as some seem like nanna exercises and aren't generally completed to fatigue, and they shouldnt be. but when completed properly and regularly, these exercises will strenghten the most important set of muscles for functional day-to-day living, and athletic performance.

ofcourse, listen to your body too. try to avoid dramatic increases in training volume and intensity. and allow your body to recover from intensive exercise. try to avoid back-to-back or consecutive days of running/kicking/etc. substitute in low-impact exercise such as swimming and cycling to allow your joints to recover.

if you currently have OP, then you should not be doing any running/kicking/jumping or lower body weighlifting at all. Deep water running in a pool with a floatation belt is the closest you should come to any sort of running/lower body dominant athletic exercise. stretching is also not prefered. but core strengthening prescribed by a 'physio who specialises in this condition' is paramount for rehab.

 

[Freak Dodgeball Accident]

did you read my post?

strengthening your core. and i dont mean doing crunches and leg raises and all that shit you see guys doing in the gym to get washboard abs. that's all superficial.

you need to strenghten the deep muscles attached to the spine and pelvic area. the importance of these muscles should not be underestimated. The exercises required to strengthen them can be appear to achieve little as some seem like nanna exercises and aren't generally completed to fatigue, and they shouldnt be. but when completed properly and regularly, these exercises will strenghten the most important set of muscles for functional day-to-day living, and athletic performance.

ofcourse, listen to your body too. try to avoid dramatic increases in training volume and intensity. and allow your body to recover from intensive exercise. try to avoid back-to-back or consecutive days of running/kicking/etc. substitute in low-impact exercise such as swimming and cycling to allow your joints to recover.

if you currently have OP, then you should not be doing any running/kicking/jumping or lower body weighlifting at all. Deep water running in a pool with a floatation belt is the closest you should come to any sort of running/lower body dominant athletic exercise. stretching is also not prefered. but core strengthening prescribed by a 'physio who specialises in this condition' is paramount for rehab.

I know it's an old topic, but are you able to give some examples please? I've been getting a sore groin from running lately and would love to do anything to prevent it. Cheers.

 

[campbell]

Callanetics is a deep core muscle strengthening regime. works a treat as well.

 

[yeahmate]

I had it for 3 years on and off while continuing to play football. Only real strategy to get rid of it is rest or lighter load bearing training like swimming. I found even bike riding made it worse. You need to see a physio who can give you the right core strengthening exercises and teach you how to do them properly. The form is really important in order to do them properly and they are all quiet hard to do especially if, like me, your core strength is weak to start with (which is essentially the problem). The exercises i mainly did involved using a rubber band and leg raises from lying to a point that engages the core muscles. The good thing about it is it can be managed if you are prepared to nurse it through, the bad thing is it hangs around forever unless you rest and even then, if you dont fix the core issues, it will come back. Things like callisthenics, pilates and yoga are actually very good for it and a number of AFL clubs now have elements of these in their training regimes.

 

[Docker Clint]

I know it's an old topic, but are you able to give some examples please? I've been getting a sore groin from running lately and would love to do anything to prevent it. Cheers.

Go do pilates.

 

[Norfolk & Clew]

Go do pilates.

Was about to say the exact same thing, til i got to this post. I had OP and Pilates helped more than anything long term!