Prolotherapy for Chronic Pain and Sports Medicine
Ross Hauser, M.D. Oak Park, Illinois, Chicago Area
Prolotherapy Appointment Information
Caring Medical and Rehabilitation Services
Oak Park IL 708-848-7789
 

Pain of the Pubic Symphysis
Pain of the public symphysis area is often overlooked and blamed on abdominal muscles and adductor muscles which attach in this area with the diagnosis of abdominal muscle pull or adductor tendonitis.

Because muscles have an excellent blood supply, they heal extremely quickly and rarely cause pain that lasts more than a few days. A patient who continues to complain of
groin pain area requires examination of the other structures. Many athletic trainers and orthopedists do not even consider this structure as a source of pain.


If the area is examined, the diagnosis of osteitis pubis is commonly made, which means that the pubis is inflamed. Once this diagnosis is made, the RICE treatment, ice, anti-inflammatories, and anything else to decrease the inflammation is usually given. Because the body is trying to heal the pubic symphysis area by inflammation this is exactly the opposite of what is needed.

Osteitis pubis is felt to be an overuse injury associated with excessive kicking, running, gymnastics, or abdominal muscle contractions, for example, when an athlete does too many sit-ups. This is an erroneous notion. Inflammation of the pubis is a sign that the pubic symphysis area is trying to heal something. On bone scan there is evidence of increased circulation to the area and on x-ray there is often
sclerosis or an overgrowth of bone. On "flamingo" views, the x-ray shows some instability in the area, and this is the explanation for the problem. Generally, inflammation in a joint is a sign that the joint is becoming unstable. The ligaments or capsule are no longer able to stabilize the joint so the area becomes inflamed to overgrow bone to stabilize it. The treatment is not to stop the inflammation, but to promote it. A better diagnosis in this case is not osteitis pubis, but pubic symphysis diathesis. This diagnosis indicates that the pubic symphysis area is loose. Unfortunately, milder degrees of this condition are not picked up even in "flamingo" x-ray views. One side of the pubic symphysis is generally higher than the other side on physical examination of people with this condition. The person also experiences exquisite tenderness in the pubic symphysis area.

The pubic symphysis joint may be stressed whenever the leg is pulled out from underneath a person, as can occur during a hit or a tackle. Falling, tripping, or slipping can also cause this. Swimmers who do the breast stroke often suffer
chronic groin pain from a pubic symphysis injury. Prolotherapy for pubic symphysis diathesis entails injections into the fibro-osseous junction of the superior pubic symphysis ligament and injections into the pubic symphysis itself. Prolotherapy can be extremely effective in strengthening the pubic symphysis and relieving chronic groin pain in this area.
 

 

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Pubic Symphysis


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Ross Hauser, M.D.
Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign.

Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more
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The information on this website is presented as information only and not a self-help guide NOR AS SPECIFIC HEALTH RECOMMENDATIONS. Never alter or change your health management or begin any new health plans without first consulting your personal health care provider. Some statements on this site regarding the value of nutritional supplements have not been evaluated by the FDA.

As with any medical technique, Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician. Please read Prolotherapy Risks

There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.

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