Pubalgia? How can we solve it?

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Pubalgia? How can we solve it?

What's this?

Pubalgia is a tendon inflammation of the muscles in the groin, including:

- Adductor longus/brevis and magnus

- Gracilis

- Iliopsoas

Other muscles that can be affected in a secondary manner are:

- Semimembranosus

- Semitendinoso

- Pectineus

- External obturator

Pubalgia is associated with an imbalance of the abdominal and adductor muscles in the groin.
This has a detrimental effect on their stabilizing influence of the torso and posture.

What is the cause?

Many factors can have an influence in developing Pubalgia:

- Postural asymmetries and disorders.

- Overworking of the abovementioned muscles, especially during puberty.

- Insufficient muscle support when walking and running, with resulting dysfunctions in the pubic region.

- Excessive hypertonicity.

Given that so many things can cause Pubalgia, it is advisable to keep a constant and vigilant eye open for the symptoms of the condition. But with what symptoms does it manifest? And who is the most predisposed to Pubalgia?

The most common symptom is significant groin pain, even when the patient is at rest. Pain can be the result of a single trauma, or present itself more slowly and gradually.

Men are more predisposed to this condition (women have greater muscle elasticity for hormonal reasons), especially sportsmen who engage in frequent cutting and twisting motions, such as football, rugby, hockey, tennis etc.

Even people who spend most of their time in the office can succumb to Pubalgia, if they consistently are exposed to a shortening of the entire front kinetic chain.


What is the treatment?

At Ryakos, using a team of experts (Physiotherapists, Posturologists, Podiatrists and Osteopaths) we are able to deal with Pubalgia with a multidisciplinary approach.

With the Physiotherapist, treatment focuses on muscle contractures and tendon inflammations with instrumental therapies (laser, shock waves) supported by manual techniques, mobilization and kinesitherapy.

With the Posturologist, we perform a lengthening of the posterior kinetic chain through the Mezieres Method. This allows us to lengthen and rebalance the muscular-fascia dysfunctions and postural asymmetries.

With the Podiatrist, we will also evaluate the structure of the foot, first with a baropodometric examination and then an evaluation of the patient in orthostasis and in movement.

Finally, an Osteopath will, through vertebral manipulations and other techniques, rebalance structural and viscerosomatic problems.