Pubalgic syndrome, commonly known as pubalgia, is a painful condition affecting the lower abdominal and inguinal region resulting from an injury to the surrounding soft tissues. It is usually caused by sports that involve sudden changes in direction or trunk rotations. This condition is a frequent cause of inguinal pain and affects both professional and amateur athletes.

 

The symptoms of Pubalgic Syndrome include pain in the lower abdomen and in the inguinal region, which can be aggravated by activities such as running, jumping, and spinning. In some cases, there may also be pain in the inner thigh or in the testicles. The pain can be intermittent or constant and may be accompanied by a feeling of weakness or unsteadiness in the affected area.

The diagnosis of this syndrome is usually made based on the patient's symptoms and physical examination. Additional imaging tests, such as MRI or ultrasound, may also be used to help confirm the diagnosis and rule out other potential causes of the patient's symptoms.

 

The treatment of the Pubic Pain Syndrome has evolved in the last years. The Doha consensus, conducted by a group of international experts in this area, recommends a multidisciplinary approach for the treatment of the different entities that integrate this syndrome. This consensus emphasizes the importance of accurate diagnosis and the need for an individualized treatment plan, focusing on a comprehensive rehabilitation program that includes specific gesture training and conservative measures such as rest, physical therapy, medication, and local infiltration of Platelet Rich Plasma (PRPs). In some cases, surgery may also be necessary to repair damaged tissue.

Overall, the prospects for recovery for athletes with Pubertalgic Syndrome are generally good with proper treatment. However, it is important that patients receive an accurate diagnosis and appropriate treatment in order to minimize the risk of complications and ensure a successful recovery.

In conclusion, Pubalgic Syndrome is a common injury that can cause significant and disabling pain in athletes. Accurate diagnosis and a multidisciplinary approach to treatment, including physical therapy, muscle readaptation, specific gesture training, and application of PRPs allow for successful recovery and a return to sports practice.

If you are experiencing symptoms of Pubic Syndrome, it is important to consult a distinguished health care professional to get an accurate diagnosis and develop a specific, individualized treatment plan.

Bibliography
  1. Doha Consensus on Epidemiology, Terminology, and Diagnosis of Hip and Groin Pain in Athletes. Br J Sports Med. 2015; 49(12):768-774.
  2. Martin DF, Carlson CS. Sports hernia: diagnosis and therapeutic approach. J Am Acad Orthop Surg. 2008;16(4):208-216.
  3. Thorborg K, Reiman MP, Weir A, et al. Clinical Examination, Diagnostic Imaging and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. J Orthop Phys Ther. 2018; 48(4):239-249.
  4. Mueller-Wohlfahrt HW, Ueblacker P, Haensel L, et al. Conservative treatment of acute and chronic pubalgia in athletes: literature review and current concepts. Arch Orthop Trauma Surg. 2013;133(6):839-846.
  5. Korman G, Aytac B, Ozmerdivenli R. Platelet-rich plasma injections for the treatment of athletic pubalgia. J Sport Rehabil. 2019;28(7):688-693.