Ostitis Pubis?
(10 discussions)
According to my symptoms, I have Ostisis Pubis (Sp?). This seems to have begun w/R hamstring tightness/pain (+3 months) but has progressed to a dull ache or sometimes more acute pain when running hills. R ham still tight & I get regular massages. I just took 9 days off & have been icing, using anti-inflammatories but still no relief. Need to start gearing up for October Marathon next month. HELP!
10 comments
Leeloo
GARunner – sorry to hear the new development, but answers are always good to have – though they aren’t always the whole story or the correct one. Hopefully, you have good professionals working with you to recover from this problem. I get really sick of everyone having different answers for my injuries.
Interestingly, my adductor pain seemed to come on the heels of my attempts to recover from 2 bulging disks (L3-4 and 4-5) and the resulting sciatica. The adductor pain almost seemed to emerge from the sciatica, so much so that I thought it was continuing sciatica, just had moved up to a different spot. I was able to run my marathon and this adductor pain materialized only briefly during the whole event. It was a bear during training, however.
I hope you will recover well – in fact undoubtedly you will. BE SURE you are working to strengthen your core muscles. Stability ball exercises are great.
Ha – custom orthotics. I dropped big bucks on some myself, and had so much trouble with them causing new pain, I took them out and continued training for and ran my marathon without the darn things! I know they are helpful and downright necessary for some folks, but they cause new biomechanics which aren’t always positive.
Good luck!!
GARunner
This is the latest news – Apparently my symptoms are the result of an “old” back injury, a herniated disk at L5-S1. X-rays show disk degeneration at that area; the painful inner thigh muscles also insert at that point too. After MD and PT evaluation, I have a new set of stretches to do to relieve the pain and will continue in PT for 4-6 weeks. The goal is to have me back to full speed soon. Seems that the “custom” fit orthitics I had begun wearing in Nov. may have started this whole thing. Never had them before, won’t be wearing them again! Thanks for your input!
Leeloo
To my understanding, the adductor magnus is a bit more complicated than an either/or situation.
Check out this site:
http://www.rad.washington.edu/atlas2/addmagnus.html
and
http://aolsearch.aol.com/aol/redir?src=websearch&requestId=832419f45c427fd1&clickedItemRank=7&userQuery=adductor+magnus+hamstring&clickedItemURN=http%3A%2F%2Fmywebpages.comcast.net%2Fwnor%2Fmedialthigh.htm
Interesting, isn’t it?
vmbri
I didn’t realise that the adductors (longus,brevis & magnus) qwere part of the hamstrings can u please confirm this as i have searched lots of books and they akll say groin muscles
Leeloo
Well, GARunner – Good luck to you on your recovery. Yes – overuse injury – how sick I am of those words. (I’m currently trying to get over a nasty case of iliotibial band syndrome while training for my first half ironman tri ).
Both muscles your PT pinpointed seem like they could be likely culprits. Regardless, seems like your treatment will be the same as mine was for my adductor strain. Good luck fitting in all the PT exercises along with your training regimen – that’s a real trick I can tell ya!!
I think dropping the hamstring stretching alone will move you forward. Though, I do miss being flexible. It seems flexibility can be a liability – who knew?
My best wishes, if you think of it, drop another post and let me know how you’re doing.
Leeloo
GARunner
You are well informed, Leeloo. After a consultation with a PT friend, the diagnosis appears to be strain of either/both the gracilis or obturator externus muscle. Both are in the area where my pain is and can be injured due to overuse (imagine that – an overuse injury!). I’m going to lay off the hamstring stretching, keep the massage (both ice and therapeutic) and follow up with a doc next week. Thanks again for all your help! Oh – I’m female.
Leeloo
Hi again, GARunner –
That ligament, I believe, is the sacrotuberous ligament.
Leeloo
Hi GARunner: I meant to ask if you are male or female. Stress fracture (of the inferior pubis ramis) is more likely in a female, I believe. If you are in the USA you can check out a book called The Runners Repair Manual – it actually mentions the pain I experienced and has recommendations for stretches and strengthening to help heal and prevent this problem in the future. I still get twinges and tweaks and my strain has been around since at least August. Ick! It can be very annoying and takes a loooong time to heal.
Check out some good anatomy sources and you’ll see how the adductor magnus attaches via a ligament (which can also get strained and be your problem but less likely) to the inner pelvic bones waaaaay under there. I wish I could remember the particular ligament I’m talking about . . . Anyway, your massage therapist may be able to tell you.
I was told the latest thinking in physical therapy and sports medicine is NOT to stretch the hamstrings, and I would pass this advice on to you. When I quit stretching my hamstrings, my pain decreased CONSIDERABLY. I know it seems counterintuitive, but try it for a couple of weeks and see what happens. AND work on strengthening your core, abductors, and adductors (as you can while healing).
Good luck to you!!
GARunner
Thanks Leeloo! Hadn’t considered adductor strain but that could surely be. I will ask the massage therapist how my adductor feels at the next visit. Guess the other next call is to the DR.
Leeloo
Hi there – I was struggling with symptoms of what I thought was sciatica or osteitis pubis as well, but it turned out to be a strain of my adductor magnus muscle, one of the hamstring group.
Use caution – the symptoms can also be very similar with a pelvic stress fracture. The only way to confirm osteitis pubis or stress fracture is with a bone scan. I recommend you see a good sports doctor, PT and massage therapist – in that order. What does your current massage therapist say re: your adductor? Is it tight and cordy?
Best of luck to you!! Hopefully, that pesky adductor magnus is just acting up. BUT if it is a stress fracture, you need to be cautious.
Leeloo