Doctor insights on:
Treatments For Pubic Symphysis Separation
Rest, core work: Pubic symphysis problems are often classified as osteitis pubis. The primary treatment is rest from offending activities- running, jumping, kicking and rapidly changing directions. Anti-inflammatories may reduce symptoms, but are not necessarily the cure. A core/abdominal, pelvic floor and adductor strengthening program is often key to stabilizing the pubic symphysis joint. ...Read more
What causes the pubic symphysis to flare up? Muscles that lay directly across the pubic bone has been sore for weeks what type of treatment do I need?
A normal joint: Always a good idea to have a doc on hand, just as it's a good thing to have a pubic symphysis at the tpubisop of the pubic arch. A woman without one would be in danger during childbearing. ...Read more
I need to find an excellent doctor in dayton ohio that treats pubis shearing (pubic symphysis)? Please help me!
Dayton: Dayton has osteopathic residencies at Grandview. That is a good place to start looking. ...Read more
I'm having a ultrasound guided pubic symphysis injection with cortazone, do I need to shave my pubic area?
Yes: Yes would help allow device to go against skin better ...Read more
I had a pubic symphysis realignment a month ago and ever since then it feels like my inner thigh is pulling when I walk. Will my body habituate?
TheSymphysisNotSimpl: There are a bunch of muscles that attach in that area. The pubic symphysis keeps your pelvis together in the front so I would expect it to take a few months until you feel normal. Be careful not to overdo it. I'd bet that some physical therapy would help guide you back into shape. So yes, your body will 'habituate' and heal well if you give it time and progress intelligently with your activities. ...Read more
My Si joint/pubic symphysis keep coming out of alignment and I have to "pop" them back in. I need to get stronger but exercise hurts. Should I swim?
SI joint instability: No. In my experience, the resistance in the water can aggravate the SI joint and increase the popping. Unfortunately, SI joint syndrome has limited options. Work with a PT or Chiropractic Doc who is trained in SI joint manipulation and exercises for stability. Avoid high-impact activities and identify what specific movement triggers the instability. A SI joint belt may be helpful. ...Read more
My pubic symphysis keeps misaligning and causing back/knee pain so I have to "pop" it back in. I need to get stronger but exercise hurts. Can I swim?
What is better prolotherapy or steriod shot? I might need one in the pubic symphysis and si joint?
Prolotherapy: Although a steroid injection may immediately alleviate the pain and inflammation. It does little to strengthen and stabilize the ligament across a joint. If you have chronic ligament sprain then prolotherapy is recommended to strengthen the ligament which would stabilize the joint and, thus, decrease pain. Also there are minimal side effects with prolo as compared to steroid injections. Good luck. ...Read more
My boyfriend has a fractured pubic symphysis, what should he do to aid in this recovery ie. Rest, keep moving, ice it etc?
Activity as tolerate: These injuries are almost always treated with observation and slow return to activity. I recommend following the doctors advice but likely slow progress in activity will be suggested ...Read more
How much cartilage should a 38yr old female have in the pubic symphysis? Looking at my xray can I measure it with a ruler?
Varies: Typically, around 4 mm. Might be 2 or 6 mm. If you are pregnant width might get up to 20 mm. ...Read more
Pain after pubic symphysis adjustment. Saw ortho, all nerve responses good, but still have pain constantly. Bone malposition? How is this fixed?
Cannot answer: Very interesting question. Cannot be sure why you have pain. If the pain occurs at rest or just prior to sleep, one should consider the diagnosis of atypical restless leg syndrome (RLS). This can cause pain in the pelvic region which stops WITH movement and increases with rest. Drugs, such as mirapex, (pramipexole) may be beneficial. Ask your PCP or a sleep specialist for an evaluation for RLS. ...Read more
61 year old female. Sudden onset, sharp stabbing pains behind pubic symphysis. Worse when sitting, better when standing or walking. Urine clear. What?
Can pubic symphysis cause pain in groin, pubic bone, hip, front thighs and the inner thighs? Could a do with omm?
I was told I have mild degenerative changes at the bilateral hips and pubic symphysis...can you tell me exactly what thay means for me?
Varies: It means that the cartilage in your hips and symphysis has lost some of its normal water content and it is somewhat worn down, although to a mild degree. The clinical symptoms of all that vary quite a bit, it may not be causing you any symptoms at all or it could some anterior abdominal and groin pain. Don't hesitate to discuss with your doctor. ...Read more
I have had a bump on my pubic symphysis area for quite a while and now it has turned very dark (almost black). Should I be worried? It did drain a bit
Get checked.: You may have a cyst there that is now infected. Get checked Avoid harsh soaps and fragrances in skin care and laundry products and tight clothes in that area, too. Fragrances and harsh soaps are skin irritants. Tight clothes increase the chance of chafing and ingrown hairs, both of which increase chance of boils and other infections. ...Read more
Can a bad chiropractic adjustment of the lower extremity cause permanent disability? Ex.pubic symphysis.
Unlikely: Forces required to disrupt injure the human pelvic ring are massive in the lab and beyond what can be produced by hands applied externally ...Read more
Having ultrasound guided pubic symphysis injection with cortazone for a sports injury, do I need to shave my pubic area? Radiologist doing injection
Pubic symphysis adjustment for chronic quad strain results in hypersensitivity of muscle and nerves in leg. Is this a quad problem still? Or pubic?
See below: Sounds like you're only seeing a chiropractor for this. These could be two separate problems. I would recommend seeing an orthopedist or physical medicine and rehabilitation physician for a second opinion. ...Read more
Pubic symphysis alignment leading to increased groin soreness, lower back pain, and leg burning. Been about a month. Will this go away?
More info, would
Help. Are you seeing someone? ...Read more
Mild pubic diastasis is detected? Will d bone come back to its original place? What is d line of treatment? Do's and don'ts? Can I hv sex?
X-rays: This abnormally wide gap can be diagnosed by radiologic studies such as x-ray, mri, ct scan or bone scan. Manual testing by a healthcare professional can also be used. The patient is placed in various positions and pressure is applied in such a way that it provokes pain and maybe movement in the pubis. ...Read more
Pubic symphysis: Disruption of the pubic synthesis usually results from trauma, or in some cases during pregnancy. Traumatic injuries are usually part of pelvic ring injuries and often require surgical treatment. Those injuries do not require surgical treatment will generally require three months until symptoms gradually improve. This is only an estimate and the results are based on the individual injury pattern and treatment. Disruption that occurs as a result of pregnancy or delivery is generally self-limited and symptoms resolve within a few weeks to months after delivery. In rare cases the disruption that occurs as a result of pregnancy can persist and be symptomatic. ...Read more
May be felt in the front of the pelvic area, as well as in the back. Another symptom of pubic symphysis is unresolved abdominal or inner leg pain, which are part of the referral pain pattern of the ligaments involved.
Cyclists may experience uncomfortable friction directly under the groin from the saddle. Friction in this area may cause numbness, tingling or pain. Painful erection ...Read more
See below: There is a normal anatomic relationship between the two bones that are joined at the symphysis pubis. A widening of the distance between the two pubic bones would be described as a pubic bone separation and implies at some level a failure of the mechanical integrity of the symphysis pubis. The two most common causes would be trauma and vaginal childbirth. ...Read more