HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Tightness In The Groin Normal While Treating Pubic Osteitis?

default
Posted on Wed, 28 Nov 2018
Question: My son was diagnosed with pubic osteitis last year.
He rested the injury for 3 weeks but the issue seemed to come and go for months.
The only thing I believe helped heal him was a strengthening program for his weaker core muscles and increasing flexibility,
After 3 weeks of strengthening his symptoms went away.
Looking back I’m not sure he was correctly diagnosed. He never was given an MRI, and his pain level never matched that of what he was supposed to be feeling. He always had an absence of pain except sometimes when playing and he referred to what he felt as more of a tightness.

Anyway, my question is - he felt a similar but faint tightness during his last game. Is this likely more muscular and maybe more like tendinitis?
I ask this because I see a similar pattern with his jumpers knee ( patellar tendinitis) that he’s dealt with off and on.
And like most teens, he stops doing his strengthening exercises once he feels good.
He tells me he doesn’t feel a doctors visit is necessary.
And after going to specialists for several months, I’m not so sure he’s totally wrong.
He said discomfort was around a 1 on pain scale.
No redness, warmth, bruising or swelling in the area.
He feels nothing in his day to day activities.
I can’t recreate the pain with resisted sit ups or leg lifts(stuff doc did in office last year).
He also said the tightness felt less deep, which I’m guessing he means more superficial, which maybe isn’t really the same thing.
What are your thoughts.
doctor
Answered by Dr. Aashish Raghu (46 minutes later)
Brief Answer:
Athletic pubalgia.

Detailed Answer:

Hi there,

Thanks for the query.

I have read your query and understood your problem.

This appears to be a case of Athletic pubalgia. Here there is an imbalance of the forces between the lower abdominal and adductor muscles.

Usually, an MRI can detect this condition by showing inflammatory changes in the muscle insertions near the pubis.

Physiotherapy is very effective with the use of selective strengthening and stretching of each of the affected muscle-tendon units and the use of Shortwave diathermy (SWD).

Apply ice 3 times a day for 20 minutes each session.

Do get an MRI scan of the affected region to confirm the diagnosis.

I hope I have answered your query.

Regards,
Dr. Aashish Raghu, Orthopaedic Surgeon
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Is Tightness In The Groin Normal While Treating Pubic Osteitis?

Brief Answer: Athletic pubalgia. Detailed Answer: Hi there, Thanks for the query. I have read your query and understood your problem. This appears to be a case of Athletic pubalgia. Here there is an imbalance of the forces between the lower abdominal and adductor muscles. Usually, an MRI can detect this condition by showing inflammatory changes in the muscle insertions near the pubis. Physiotherapy is very effective with the use of selective strengthening and stretching of each of the affected muscle-tendon units and the use of Shortwave diathermy (SWD). Apply ice 3 times a day for 20 minutes each session. Do get an MRI scan of the affected region to confirm the diagnosis. I hope I have answered your query. Regards, Dr. Aashish Raghu, Orthopaedic Surgeon