Pubalgia

Pubalgia is a quite frequent reason for consultation in an osteopathic clinic, especially among young athletes.

It is generally expressed with a rather sharp pain at the pubic insertion of the tendons of the adductor muscles, pain that increases during exercise and regresses when the person rests. This is the reason why pubalgia is a major inconvenience for people who practise a physical activity.

The pubis and adductor muscles
Castano & Co., Anatomia Umana
Edi-Ermes, pag.218

The pubic pain generally depends on a mechanical problem that actually involves all the antigravity antigravity.

The pubic symphysis (the articulation between the two pubic branches) has an important role to cushion the weight that is discharged from the top downwards in the direction of the femurs, and then to the ground.

It is a kind of "safety valve" to which you download the excessive forces that cannot be channeled towards the sacroiliac joints and then to the acetabulum of the hip.

The impairment of the mechanics of the spine and pelvis therefore affects in an important way the work of the pubic branches.

Local therapies targeted to the treatment of the pubic symphysis or the insertion of the adductor muscles usually bring only temporary benefits in these cases because it does not actually intervene on the true cause of the problem.

This must be sought from time to time on each patient. In order to avoid generalizations can only say that usually a mechanical discomfort of the sacrum is always present in case of groin pain.

The case of a young amateur player who had complained of groin pain for several months is an example.

Osteopathic examination showed the right temporal bone in internal rotation with an important effect on the right sacroiliac articulation rotated before. Still it had a rotation to the left of the fifth lumbar vertebra and a "receiver" back of the liver (the liver was rotated back).

Once lesional outbreaks have been reduced the pain began to regress immediately; examined after ten days the corrections made were well maintained. The pain has completely disappeared at a distance of thirty days.

In this case the balance of the temporal bone and liver were the decisive factors to restore harmony to the pelvis and groin.