Osteitis pubis occurs in males and females and may manifest as a waddling gait. Pain may localize primarily to one side of the pubic area or it may be bilateral. The pain may be exacerbated by physical activity.
Repetitive trauma from overuse, sporting activities, pelvic surgery (gynecologic or urologic), childbirth, and certain rheumatologic disorders are likely contributors to osteitis pubis. The most commonly implicated sports involve sprinting and quick changes of motion, such as hockey, racket sports, basketball, and soccer.
Imaging with plain film, CT, bone scan, or MRI may help to clarify the diagnosis.
Osteitis pubis typically heals with rest over a 6-8 week period. NSAIDs and corticosteroid injections may provide some relief. Care must be taken to rule out other diseases such as osteomyelitis or malignancies.
M85.30 – Osteitis condensans, unspecified site
75564005 – Osteitis of pelvic region