Osteitis pubis

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Osteitis pubis

Question

What can you tell me about a type of arthritis called osteitis pubis?

No name
No state given

Answer

Osteitis pubis is an uncommon and often painful inflammatory condition affecting the symphysis pubis — the joint between the pubic bones of the pelvis. Causes include:

  • Bone infection (osteomyelitis), usually following pelvic surgery
  • Pelvic trauma or surgery
  • Sports-related injury or overuse
  • Spondyloarthropathies (spondyloarthritis), a group of inflammatory conditions

Signs and symptoms of osteitis pubis may include:

  • Pain in the lower abdomen or groin, inner thigh, testicles or hips
  • Tenderness at the symphysis pubis

A doctor can make a diagnosis of osteitis pubis by:

  • Blood tests, which show an elevated sedimentation rate or C-reactive protein
  • Needle biopsy
  • Pelvic X-rays
  • Bone scan
  • MRI

Treatment may include:

  • Rest, if related to sports injury or overuse
  • Antibiotics, if an infection is present
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers
  • Physical therapy
  • Surgery

Osteitis pubis

Illustration of osteitis pubis

Osteitis pubis is an uncommon and often painful inflammatory condition affecting the joint between the pubic bones of the pelvis (symphysis pubis).

Last Updated: 01/17/2006
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