lower abdominal pain, not hernia
Discussion
went to see doctor as i have a pain central in my lower abdominal area/pubic bone
doctor says i have strained the muscle at the point it fuses with the bone
i get a pain kicking a football hard, and any kind of sit up, now its worse as i feel the ache if i walk uphill etc
he checked for a hernia, and confirmed i have no hernia
explained that a broken leg takes 8 weeks but this could take 1/2 years lol
also if i was a professional footballer i would be having steroid injections, but not to worry i wont be needing them
anyone else had a similar injury? and did it take a long time to clear
were you able to excercise and if so what sort?
just recovering from torn MCL, so im assuming this was caused / aggrevated by the fall whereby i did the splits
doctor says i have strained the muscle at the point it fuses with the bone
i get a pain kicking a football hard, and any kind of sit up, now its worse as i feel the ache if i walk uphill etc
he checked for a hernia, and confirmed i have no hernia
explained that a broken leg takes 8 weeks but this could take 1/2 years lol
also if i was a professional footballer i would be having steroid injections, but not to worry i wont be needing them
anyone else had a similar injury? and did it take a long time to clear
were you able to excercise and if so what sort?
just recovering from torn MCL, so im assuming this was caused / aggrevated by the fall whereby i did the splits
Unlikely unless you hyperextended your spine.The actual purpose of the abs is not to do a situp or crunch but to flex the spine..a similar thing you may think but actually the abs point of origin (attachment to bone) is the pubic symphisis and the insertion (other point of attachment and the part of the body which is pulled towards the origin) is the ziphoid process of the sternum and bottom 4 costal cartilages,I.I.R.C.So,unless you bent too far over backwards or tried to to situps holding a very heavy weight it's extremely unlikely you injured your abs doing the splits,though not impossible I suppose.An awkward one to recover from as you use your abs for a great many simple actions during the day,such as getting out of a chair or reaching forward... Good luck though.
thanks Goldblum
what you says makes sense
i actually did the splits , eg legs went side ways, not the forward and backwards splits lol
hip hurt, tore my MCL and obviously pulled my groin
sports hall floor and a puddle of water that no one had seen
ive googled a bit on this , and think this fits best OSTEITIS PUBIS, as the symptoms and positioning of pain are spot on
The symptoms of osteitis pubis can include loss of flexibility in the groin region, a dull aching pain in the groin, or in more severe cases a sharp stabbing pain when running, kicking, changing directions, or even during routine activities such as standing up or getting out of a car.
Imaging
Osteitis pubis may be diagnosed with an X-ray, where irregularity and widening of the pubic symphysis are hallmark findings. Similar change is also demonstrated with Computed Tomography (CT) however the multi-planar nature of CT has a higher sensitivity than X-rays. Though not well visualised on ultrasound, thickening of the superior joint capsule with cyst formation is a clue to the diagnosis, as well as secondary changes (tendinosis) of the adjacent adductor muscles (particularly adductor longus) and rectus abdominis. Ultrasound is also useful for excluding a hernia, which may co-exist with osteitis pubis and thus may also warrant additional treatment.
Both ultrasound and CT may be used for injecting the pubic symphysis with corticosteroid as part of an athlete's treatment programme.[1] Magnetic Resonance Imaging (MRI) combines the diagnostic advantages of CT and ultrasound, also showing bone marrow oedema and has the advantages of not being operator dependent, unlike ultrasound, nor does it use radiation, such as CT and X-rays. As such, MRI is the modality of choice.[2]
Incidence
The incidence of osteitis pubis among Australian footballers has increased sharply over the past decade. There are believed to be three reasons for this:
The increasing physical demands of Australian rules football. As the game has become more professionalised, with players becoming full-time athletes, such factors as running speed, kicking length, jumping and tackling have all increased, placing increasing stress on the pubic region.
The increasing hardness of the surfaces of football grounds. Grounds are better drained than in the past, and the game is increasingly played in roofed stadiums in which the grounds receive no rain. Australian football evolved as a winter game played on soft, muddy grounds, and modern surfaces have made muscle and bone injuries more common.
The increasing demand for size and strength among footballers. This has led young players to concentrate on building muscle mass before their bodies are fully mature. The additional strain that highly developed abdominal muscles place on the pubic bone explains the higher prevalence of osteitis pubis on young players. Some develop the condition while still playing school-level football.
Treatment and prevention
Until recently there was no specific treatment for osteitis pubis. As it frequently causes long-term problems, medication, stretching and strengthening of the stabilising muscles are usually used. Topol, in Argentina, used glucose and lidocaine injections (prolotherapy or regenerative injection therapy) to restart the healing process and generate new connective tissue in 72 elite athletes with chronic groin/abdominal pain who had failed a conservative treatment trial. The treatment consisted of monthly injections to ligament attachments on the pubis. Their pain had lasted an average of 11 months, ranging from 3–60 months. The average number of treatments received was 3, ranging from 1–6. Their pain improved by 82%. Six athletes did not improve, and the remaining 66 returned to unrestricted sport in an average of 3 months.[3] Surgical intervention, such as wedge resection of the pubis symphysis, is sometimes attempted in severe cases,[4] but its success rate is not high, and surgery may lead to later pelvic problems.
The Australian Football League has taken some steps to reduce the incidence of osteitis pubis, in particular recommending that clubs restrict the amount of body building which young players are required to carry out, and in general reducing the physical demands on players before their bodies mature.
Osteitis pubis if not treated early and correctly can more often than not end a sporting individuals career, or give them an uncertain playing future.
what you says makes sense
i actually did the splits , eg legs went side ways, not the forward and backwards splits lol
hip hurt, tore my MCL and obviously pulled my groin
sports hall floor and a puddle of water that no one had seen
ive googled a bit on this , and think this fits best OSTEITIS PUBIS, as the symptoms and positioning of pain are spot on
The symptoms of osteitis pubis can include loss of flexibility in the groin region, a dull aching pain in the groin, or in more severe cases a sharp stabbing pain when running, kicking, changing directions, or even during routine activities such as standing up or getting out of a car.
Imaging
Osteitis pubis may be diagnosed with an X-ray, where irregularity and widening of the pubic symphysis are hallmark findings. Similar change is also demonstrated with Computed Tomography (CT) however the multi-planar nature of CT has a higher sensitivity than X-rays. Though not well visualised on ultrasound, thickening of the superior joint capsule with cyst formation is a clue to the diagnosis, as well as secondary changes (tendinosis) of the adjacent adductor muscles (particularly adductor longus) and rectus abdominis. Ultrasound is also useful for excluding a hernia, which may co-exist with osteitis pubis and thus may also warrant additional treatment.
Both ultrasound and CT may be used for injecting the pubic symphysis with corticosteroid as part of an athlete's treatment programme.[1] Magnetic Resonance Imaging (MRI) combines the diagnostic advantages of CT and ultrasound, also showing bone marrow oedema and has the advantages of not being operator dependent, unlike ultrasound, nor does it use radiation, such as CT and X-rays. As such, MRI is the modality of choice.[2]
Incidence
The incidence of osteitis pubis among Australian footballers has increased sharply over the past decade. There are believed to be three reasons for this:
The increasing physical demands of Australian rules football. As the game has become more professionalised, with players becoming full-time athletes, such factors as running speed, kicking length, jumping and tackling have all increased, placing increasing stress on the pubic region.
The increasing hardness of the surfaces of football grounds. Grounds are better drained than in the past, and the game is increasingly played in roofed stadiums in which the grounds receive no rain. Australian football evolved as a winter game played on soft, muddy grounds, and modern surfaces have made muscle and bone injuries more common.
The increasing demand for size and strength among footballers. This has led young players to concentrate on building muscle mass before their bodies are fully mature. The additional strain that highly developed abdominal muscles place on the pubic bone explains the higher prevalence of osteitis pubis on young players. Some develop the condition while still playing school-level football.
Treatment and prevention
Until recently there was no specific treatment for osteitis pubis. As it frequently causes long-term problems, medication, stretching and strengthening of the stabilising muscles are usually used. Topol, in Argentina, used glucose and lidocaine injections (prolotherapy or regenerative injection therapy) to restart the healing process and generate new connective tissue in 72 elite athletes with chronic groin/abdominal pain who had failed a conservative treatment trial. The treatment consisted of monthly injections to ligament attachments on the pubis. Their pain had lasted an average of 11 months, ranging from 3–60 months. The average number of treatments received was 3, ranging from 1–6. Their pain improved by 82%. Six athletes did not improve, and the remaining 66 returned to unrestricted sport in an average of 3 months.[3] Surgical intervention, such as wedge resection of the pubis symphysis, is sometimes attempted in severe cases,[4] but its success rate is not high, and surgery may lead to later pelvic problems.
The Australian Football League has taken some steps to reduce the incidence of osteitis pubis, in particular recommending that clubs restrict the amount of body building which young players are required to carry out, and in general reducing the physical demands on players before their bodies mature.
Osteitis pubis if not treated early and correctly can more often than not end a sporting individuals career, or give them an uncertain playing future.
Edited by mikebradford on Monday 30th April 22:22
Had the a similar thing a month or so back, striding up a hill. Searing stabbing pain then intermittant sharp twinges but it's been OK for a few days now. Not too fussed but maybe best to take it easy initially. And yeah, having damaged muscles and tendons in the past I can tell you it takes a fair time for them to heal. My achilles is 90% mended now after a strain but it's taken 7 years and will probably never be 100% again.
thanks again goldblum, it now everyday,
i sit up as i wake and it hurts
walking uphill
if i was to kick a ball it hurts badly
but generally its a dull pain
im back at doctors in about 5 days, as im going for results of xray on my ankle which is stiff on and off daily but relates to nothing i do
i will mention it to him, and post just his comments incase someone has similar.
my doctor did tell me it would take forever to heal but i dont think this is what he had diagnosed, maybe its my misunderstanding of what he explained
i sit up as i wake and it hurts
walking uphill
if i was to kick a ball it hurts badly
but generally its a dull pain
im back at doctors in about 5 days, as im going for results of xray on my ankle which is stiff on and off daily but relates to nothing i do
i will mention it to him, and post just his comments incase someone has similar.
my doctor did tell me it would take forever to heal but i dont think this is what he had diagnosed, maybe its my misunderstanding of what he explained
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