Diagnosis
An important diagnostic procedure is the medical history, i.e. the patient-doctor conversation. Here, the doctor can find out, for example, whether the patient is perhaps doing too much sport and can therefore conclude that the pain in the pubic bone is caused by overexertion. An X-ray or MRI scan is also important. Here, possible microfractures can be detected and diagnosed. If prostatitis (inflammation of the prostate gland) is suspected, the doctor can palpate the prostate by means of a rectal operation and detect any discrepancies.
Therapy
The treatment of pubic inflammation is initially conservative. At first, the patient should stop his sports activities to give the bone time to recover and let the pain in the pubic bone subside. In addition, therapy with anti-inflammatory drugs such as non-steroidal anti-rheumatic drugs or corticosteroids is carried out.
If the pain in the pubic bone is not too strong, one can additionally start with a physiotherapy. This serves primarily to strengthen the surrounding abdominal and pelvic floor muscles. The muscles of the thigh should also be trained, especially the inner adductor group.
In the worst case, however, the only thing that helps is an operation in which the inflamed tissue has to be removed. Prostatitis is treated with antibiotics. Depending on the bacterium, different antibiotics can be considered.Since the strong pain in the area of the pubic bone causes the pelvic floor muscles to cramp, additional antispasmodic and pain-relieving agents are recommended.
The therapy of pain in the pubic bone during pregnancy is carried out without medication. Instead, the patient is given an orthopedic support belt or can attend additional physiotherapy sessions. This should at least improve the pain. In addition, however, an attempt should be made to avoid painful movements in everyday life as far as possible.
Prophylaxis
Most people find it easy to avoid pain in the pubic bone, since such pain is mainly caused by high-performance sports and especially by footballers. For athletes, the only prophylaxis is sufficient warm-up training combined with stretching exercises. In addition, too abrupt movements (sudden stops or hip rotation) should be avoided. Unfortunately, prostatitis is difficult to prevent, as is pain in the pubic bone during pregnancy.
All articles in this series:
