Symptoms of Pubalgia

       Usually the symptoms of Pubalgia pain become apparent following any event that activates muscles in the pelvic region, or any action which causes an increase in intra-abdominal pressure

such as with increased strenuous athletic activities like sidestepping, kicking, running, sprinting, hip abduction (extension), and twisting and/or turning. In addition the actions of coughing, sneezing, sitting or standing may become difficult due to discomfort caused by pain. Pain is usually reported as localized and chronic tenderness in the groin area during and after exercise and presents itself without evidence of herniation.

       Pubalgia is usually characterized by pain around the abdomen, groin, hip, or thigh areas. Frequently the pain originates from a muscle or tendon injury in the inguinal areas near one of the attachments of the rectus Abdominis, or adjacent the Internal Oblique muscles near the Abdominal wall. Individuals usually experience an intense onset of pubic and deep groin or abdominal pain which is amplified by physical activity; the pain may radiate to the inguinal ligament, Rectus Abdominis, and the Perineum. Pain may also radiate to the lower extremities as well as the adductor muscle regions and may occasionally radiate into the testicles as well,

although it is often difficult for the patient to pin point the exacted location o the source of pain. Individuals sometimes attribute testicular pain to Pubalgia, but in reality; the two conditions are unique and separate. Pain may progress to the surrounding areas of the abdomen, and lower back as well. Symptoms are usually lateralized to one side (unilateral);however it is not uncommon for bilateral symptoms to occur.

       Patients may experience cycles of pain which go from less to more intense, however left untreated the condition is usually progressive over time and the pain becomes more intense to the point where it is not easy to perform normal daily functions. Most patients deal with the symptoms for a long period of time before seeking treatment and diagnosis can be obtained. Hernia-like symptoms may actually be related to the resultant weakening of the posterior wall of the inguinal canal, though no actual hernia exists in this condition.

 

 

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