The pubic symphysis joint is located in the front of the pelvis between the two pubic bones. Inflammation of the pubic symphysis is known as osteitis pubis. Osteitis pubis is considered to be an overuse injury which is associated with excessive kicking or repetitive abdominal muscle contraction. These activities tend to cause pulling of the muscles that are close to the pubic symphysis and therefore cause inflammation as well as increased movement of the pubic symphysis joint.
Signs and Symptoms:
- Dull aching pain in the groin region which is aggravated by activity.
- Pain localised directly over the symphysis and radiating outward.
- Adductor pain or lower abdominal pain that then localises to the pubic area.
- Pain exacerbated by activities such as sit-ups, running, pivoting on one leg, kicking and pushing off to change direction.
- Pain occurring when walking, climbing stairs, coughing and sneezing.
- A sensation of clicking/popping upon rising from a seated position, turning over in bed and walking on uneven surface.