Osteitis pubis corticosteroid injection

General Information

  • Hip Pain
  • Groin Pain
Hip Joint Pain
  • Hip Arthritis - Osteoarthritis
  • Hip Labral Tear
  • Hip Pointer
  • Femoroacetabular Impingement - FAI
  • Perthes Disease
  • Slipped Femoral Capital Epiphysis
  • Stress Fracture
  • Avascular Necrosis of the Femoral Head
Lateral Hip Pain
  • Gluteal Tendinopathy
  • Greater Trochanteric Pain Syndrome
  • Trochanteric Bursitis
Adductor-related Groin Pain
  • Adductor Tendinopathy
  • Groin Strain
Pubic-related Groin Pain
  • Osteitis Pubis
Inguinal-related Groin Pain
  • Inguinal hernia
  • Sportsman's hernia
Iliopsoas-related Groin Pain
  • Hip Flexor Strain
Other Muscle-related Pain
  • Piriformis Syndrome
  • Muscle Pain - Muscle Strain
  • Poor Hip Core
  • DOMS - Delayed Onset Muscle Soreness
  • Cramps
  • Core Stability Deficiency
Systemic Diseases
  • Rheumatoid Arthritis
  • Fibromyalgia
  • Osteoporosis
Referred Sources
  • Sacroiliac Joint Pain - SIJ
  • Sciatica
  • Lower Back Pain
  • Pinched Nerve
Hip Surgery
  • Hip Replacement

Athletes with infectious comorbid conditions may need to be seen by a gynecologist, urologist, or infectious disease specialist. If poor foot mechanics are part of the cause of the condition, it is advisable to have the patient evaluated for orthotics by a podiatrist or certified physical therapist; the process of fabricating a custom orthotic often takes a few days to weeks. Since treatment can sometimes be lengthy, with slow progression, early involvement of a sports psychologist in rehabilitative therapy may be helpful. Athletes do better if they are mentally prepared for the task at hand.

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Osteitis pubis is an inflammatory process involving the pubic symphysis and its surrounding attachments, including cartilage, ligaments, muscles, and the pubic rami ( figure 1 ). The pubic symphysis is mainly composed of fibrocartilage and is a nonsynovial, nonvascular joint. The pubic symphysis is reliant on four ligaments to maintain its supportive integrity. Most of the strength and support arise from the superior and inferior ligaments, whereas the anterior and posterior ligaments are of less supportive importance. The pelvic floor musculature, composed of the levator ani and coccygeus, insert posteriorly at the pubic symphysis. The pectineus, rectus abdominis, and oblique externus muscles, as well as the inguinal ligament, insert near the superior portion of the pubic symphysis. The pubic rami give rise to several muscle origins: adductor magnus, adductor longus, adductor brevis, and gracilis. These muscles make up the adductors of the hip [ 3 ].  

Osteitis pubis corticosteroid injection

osteitis pubis corticosteroid injection

Osteitis pubis is an inflammatory process involving the pubic symphysis and its surrounding attachments, including cartilage, ligaments, muscles, and the pubic rami ( figure 1 ). The pubic symphysis is mainly composed of fibrocartilage and is a nonsynovial, nonvascular joint. The pubic symphysis is reliant on four ligaments to maintain its supportive integrity. Most of the strength and support arise from the superior and inferior ligaments, whereas the anterior and posterior ligaments are of less supportive importance. The pelvic floor musculature, composed of the levator ani and coccygeus, insert posteriorly at the pubic symphysis. The pectineus, rectus abdominis, and oblique externus muscles, as well as the inguinal ligament, insert near the superior portion of the pubic symphysis. The pubic rami give rise to several muscle origins: adductor magnus, adductor longus, adductor brevis, and gracilis. These muscles make up the adductors of the hip [ 3 ].  

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