Pain in the suprapubic region. Therapeutic measures to eliminate pain in the pubic area

Traumatic damage to the pubic bones due to a bruise, blow or fall. A possible fracture displaces the bones, causing pain in the pubic area. The pubic bone consists of two branches and the body of the bone itself, which forms the area of the acetabulum located in front. The acetabulum, in turn, consists of the pubic bone, the ilium and the ischium and serves as the surface for the important hip joint. The branches of the pubic bone are connected by the symphysis. This entire complex structure is quite vulnerable and a strong blow can cause displacement or fracture of bone tissue. Pain in the pubic area is not specific for diagnosing fractures; they are confirmed by examination, palpation and x-ray examination.

In addition to painful sensations, which intensify with physical activity, especially when walking or physical activity on the legs (squats, bending, climbing stairs), the process of urination is disrupted. A characteristic symptom is difficulty raising the legs while lying down - Gorinevskaya's symptom or the symptom of a stuck heel, which is also characteristic of a femoral neck fracture.

If the diagnosis of a pubic bone fracture is confirmed, therapy consists of anesthesia (injection of painkillers), strict bed rest and placing the leg on the side of which the pubic ramus fracture is determined to be in a Beller splint (for skeletal traction and muscle unloading). If the fracture is diagnosed as bilateral, the victim spends four to five weeks in the characteristic “frog” position, when the legs are bent and the knees are moved to the sides, the feet touch each other. The patient is placed on a special orthopedic bed to avoid possible risks of bedsores. During hospitalization, a complex of physical therapy, physiotherapy sessions, symptomatic and vitamin therapy is carried out.

Pain in the pubic area can also be caused by gynecological pathologies, which often develop in a latent form. Endometritis, adnexitis, endometriosis, reaching the stage of exacerbation, are often accompanied by pain in the lower abdomen, localized in this place. Pain in these diseases is almost never intense; it has a pulling, aching character that radiates to the groin.

Severe pain in both men and women is a sign of exacerbation of a serious disease. In women, pain in this area may indicate the beginning of the process of spontaneous abortion (miscarriage), especially if they are accompanied by bleeding; in men, an exacerbation of prostatitis.

Pain in the pubic area may be one-sided. It doesn’t matter whether the pain is localized on the right or left; it indicates hidden ovarian tumors or swelling of the bladder. The nature of the pain depends on the stage at which the disease is located. If the cancer process has just begun its development, the pain may be nagging and weak. If the process becomes inflammatory, the neoplasms are large, the pain can be sharp, unbearable, and accompanied by discharge.

Ectopic pregnancy, which is a threatening pathology, can also manifest itself as pain in the pubic area. Pain in the pubic area, as well as any other pulling or cramping pain in the lower abdominal region, atypical discharge, and dizziness are warning signs indicating a tubal pregnancy.

Acute, intense pain in the pubic area, which is combined with bleeding or discharge after sexual intercourse, may indicate torsion of the pedicle of the ovarian cyst or rupture of the neoplasm. Cyst rupture has characteristic symptoms, which include dizziness, drop in blood pressure, and fever.

Pain in the pubic area, in its lower part, closer to the vulva, may be a sign of congenital pathology of the pubic bone, when it is excessively elongated and blocks the entrance to the vagina. Any sexual contact with this pathology provokes severe pain, since the bone presses on the urethral canal.

Pain in the pubic area can be due to normal physiological causes during pregnancy. In addition to the fact that changes occur in the hormonal system, the pelvic bones begin to soften a little, preparing for childbirth. This process occurs slowly, under the influence of a specific hormone called relaxin. Both the pelvic bones and the pubic symphysis itself begin to move apart, providing the opportunity for fetal development. Pathological softening and, accordingly, excessive mobility of the pubic bones in gynecological practice is called symphysitis. In addition to the fact that the pubic bone periodically shifts, the soft tissue of the pubis noticeably swells. Symphysitis is externally manifested by a heavy gait, so characteristic of pregnant women (duck gait), difficulties in turning the body, climbing stairs and general motor “sluggishness”. The pain in the pubic area becomes unbearable, it is especially strong upon palpation. Factors that provoke symphysitis may be calcium deficiency, congenital structural, anatomical abnormalities of the pelvic skeletal system. As a rule, after the birth of the baby, when the body gradually recovers, all signs of symphysitis subside.

Symphysiliosis is a pathological condition of the pubic bone after childbirth, which is accompanied by pain and fever. This is a rather serious disease that can develop during rapid labor, when the pubic bones do not simply diverge, but are torn at the joint (symphysis). The cause of the rupture can also be a large child and narrow pelvic bones or their insufficient divergence, “preparation” for the birth process. Treatment consists of local anesthesia, bed rest, and usually a special fixing bandage is placed on the pelvic bones.

Pain in the pubic area can also occur in the stronger sex, most often due to the development of an inguinal hernia or exacerbation of chronic prostatitis. The hernia is not limited to pain, it radiates to the lower back or sacrum, sometimes even to the leg.

Pain in the pubic area can be caused by chronic osteomyelitis, which progresses to the inflammatory stage. In this case, the symphysis (the pubic symphysis) becomes inflamed, and the pubic tissue swells greatly. The symptoms of osteomyelitis of the pubic bone are extremely similar to the signs of symphysitis; of course, the presence or absence of pregnancy, as well as blood tests and x-rays, help to differentiate them.

Urological inflammations are always accompanied by painful sensations. Their intensity varies and depends on many factors: the form of the process, stage of development, individual pain threshold. But how not to confuse the pain of cystitis in women with other pathologies?

Beautiful ladies often get sick with urinary tract inflammation. Any organ that has undergone an infectious attack changes under the influence of immune responses. Hyperemia, swelling, and pain appear. The typical location of pain during bladder inflammation is the suprapubic region. But there are non-standard situations of displacement of sensations and changes in the intensity and nature of pain. She may be:

sharp, cutting;
pulling;
aching, dull;
cramping;
periodic.

Perception largely depends on whether a single inflammation occurs or several organs are involved in the process. There are several zones of irradiation of painful sensations:

stomach;
lumbar region;
kidney area;
genitals.

In addition, it is important to separate cystitis in women from painful symptoms of other organs, since manifestations are often nonspecific.

Typical manifestations of bladder inflammation

With cystitis, pain in the lower abdomen is a characteristic sign of inflammation. This occurs because the swollen tissue begins to put pressure on the nerve endings, causing them to become irritated. The source of inflammation is located in the lower abdomen, so all discomfort is localized in the suprapubic region. Many women note similarities with the pain of premenstrual syndrome. The sensations are dull, pulling, usually constant, and intensify when the bladder is full. When the reproductive organs are involved in the process, the pain shifts to the right or left side of the abdomen.

Another symptom characteristic of bladder inflammation is pain when urinating. Severe pain accompanies the beginning and end of the process. It is accompanied by burning and itching. The pain with cystitis can be so severe that it creates a fear of urination.

To alleviate the condition before consulting a doctor, a woman is advised to increase her fluid intake. You can brew kidney teas or diuretic herbs; this measure helps flush out bacteria from the diseased organ. Many people find it helpful to use heat on the projection of the bladder.

Atypical manifestations

Often cystitis occurs in combined inflammation, then the picture changes. A situation arises when a person falls ill with one disease, and the pain syndrome indicates another pathology.

Abdomen area

The lower abdomen also hurts with cystitis of non-infectious etiology. The sensations are constant, aching, and have a strong dependence on urination. The main localization is the area above the pubis, with irradiation into the genitals.

Abdominal pain due to cystitis of tuberculous etiology. A nagging, persistent feeling is concentrated in the depths of the small pelvis. Other manifestations indicating inflammation are mild.

When nearby organs are involved in inflammation, adnexitis, ophoritis and others develop, sensations move to the iliac region on the side of the lesion. The pain is constant, intensifying with muscle tension.

Sometimes a woman suffering from a chronic disease, accustomed to the fact that her lower abdomen hurts during cystitis, does not pay attention to the alarming symptoms or fights them with usual methods. Meanwhile, such a symptom can be caused by an abnormally located appendix, the inflammation of which is called appendicitis. The pain is localized in the area above the pubis and is cramping in nature. There is a reflexive frequent urge to urinate. The lower abdomen can hurt even with a normally located appendix, but the symptoms shift to the right iliac region and are acute and paroxysmal. With this arrangement, diuresis remains normal.

The same localization remains in case of intestinal inflammation or a combination of pathologies. The intensity of the aching feeling in the lower abdomen will depend on the acts of urination and defecation. In addition, colitis is accompanied by increased gas formation, flatulence and bloating.

If atypical pain occurs, the use of heat is prohibited; this can only increase inflammation and contribute to the spread of infection.

Lumbar region

With cystitis, the symptomatic picture is shifted to the lower abdomen. The patient takes medications and drinks diuretic herbs. And the pain not only does not go away, but also changes location. Can the lower back hurt with cystitis, and what does this change mean? The cause may be urolithiasis. Manifestations depend on the location and size of the stone. With coral-shaped immobile stones, dull aching sensations appear in the lumbar area, radiating to the iliac and groin areas when moving.

Small stones that have begun to move cause a paroxysmal course of the disease. The condition changes as the stone moves, and its irradiation also changes. Beginning as pain in the lower back with cystitis, the symptoms shift along the ureter, radiating to the thigh on the affected side, to the groin area, to the external genitalia.

Another cause of discomfort is the spread of the process and its transfer to the kidneys. Infectious kidney damage - pyelonephritis often has a bacterial cause and becomes a complication of pathological changes in the bladder. Do the kidneys hurt with cystitis in such cases? Yes, they hurt, because this is already a combined process. A dull aching pain forms in the lumbar region, is unilateral in nature, in rare cases when both kidneys are affected, it hurts on both sides. Symptoms may be mild, but more often they are of medium intensity, sometimes “shooting” into the iliac region.

The close connection between the urinary organs leads to the fact that with exacerbation of recurrent cystitis, chronic pyelonephritis worsens. The symptoms of one disease include pain in the kidneys. In a chronic course, it has a wave-like, aching character, and intensifies with hypothermia or poor diet.

Renal region

Sudden sharp sensations in the side and in the kidney area indicate the beginning of the movement of stones and the appearance of renal colic. The pain is often unbearable and the person cannot take a comfortable position. There is irradiation in the hypochondrium on the affected side, and a return along the ureter to the groin area. Shooting sensations go along the inner surface of the thigh and into the genitals. There is frequent urination with pain, as with cystitis, but the kidney hurts with every movement, calming down a little with rest. Severe pain when pressing on the kidney area and in the hypochondrium area from the affected organ.

Sudden lower back pain due to cystitis is an alarming signal. Before a medical consultation, a woman can alleviate the condition by taking antispasmodics: no-spa or drotaverine, drinking fluids in large quantities, provided that diuresis is maintained.

The situation when the kidneys hurt after cured cystitis most likely indicates an inflammatory process in the pyelocaliceal system. In this case, pyelonephritis becomes a complication of bladder pathology, but the symptoms are smoothed out due to the therapy performed. This happens when self-medicating without proper diagnosis.

Another reason for kidney pain after cystitis may not be related to the inflammatory process - a cystic neoplasm. This pathology is usually asymptomatic, and the inflammatory process in the bladder could provoke its manifestation. In this case, the back on the affected side and the lower back suffer.

Urogenital area

Inflammation of the bladder rarely occurs as an independent infection; more often a secondary lesion occurs when cystitis is a complication of urogenital diseases. Lower back pain may accompany inflammation of the urethra. This disease is also characterized by frequent painful diuresis with pain and bleeding.

Diseases of the internal organs of the reproductive system, both in women and men, lead to aching sensations in the lower abdomen, in the groin area, in the perineum, radiating to the rectum and lower back. Painful symptoms occur during diuresis and defecation. With the development of neoplasms, compression of the urinary tract and stagnation of urine is possible, which provokes the proliferation of pathogenic microflora. An inflammatory process develops in the bladder, and cystitis causes lower back pain. Chronic inflammation of the internal genital organs is often associated with impaired blood circulation in them, which provokes the occurrence of foci of inflammation. The pain is not intense, aching, and radiates to the sacral region, lower back, lower abdomen, and iliac region.

How to differentiate bladder inflammation

Despite its specificity, the symptoms of cystitis are similar to other pathologies of the genitourinary system. How to distinguish a disease if the pain is atypical? Let's consider pathological conditions and their differences from cystitis.

Allergic or neurogenic cystitis has symptoms characteristic of inflammation of the bladder: rapid painful diuresis, dull nagging pain above the pubis. A distinctive feature is the absence of changes in urine.
Urethritis is accompanied by severe pain and burning during urination. There is moderate pain in the lower abdomen. A specific feature is diuretic pain at the beginning of the act and uniformity throughout its entire duration. There are discharges from the urethra of various types.
Urolithiasis is characterized by impaired bladder emptying and the development of non-infectious inflammation. Against this background, the woman’s kidneys hurt due to cystitis, but there is no bacterial infection. The difference between pain is its dependence on movement.
Gynecological diseases are accompanied by painful sensations in the lumbar region, groin, and perineum. Urination may be painful, and vaginal discharge of varying intensity, color and structure is noted. Unlike cystitis, there are no urinary disorders.
How to distinguish pyelonephritis from inflammation of the bladder, because often with cystitis the kidneys hurt if the disease is advanced. Pyelonephritis is accompanied by hyperthermia up to 39 degrees, nausea and vomiting. When tapping the lower back, the affected side gives off a sharp pain, which does not happen with cystitis.
The kidneys also hurt during another inflammatory process - which is accompanied by bleeding. How to distinguish it from hemorrhagic cystitis: with inflammation of the bladder, the urine is not so intensely colored, the general condition of cystitis rarely suffers.
Appendicitis in an atypical position has similar symptoms, but unlike cystitis, the pain is cramping in nature. There is no disturbance in diuresis.

The pain can be masked as other inflammations. It is not possible to recognize the disease by symptoms alone; a full diagnosis is required. Therefore, if you feel unwell and have the first attacks of pain, you should urgently seek medical help.

When the pubis hurts, it is always alarming, because the genitals are in close proximity. There are many reasons why pain appears in the pubic area. All of them require special attention, because ignoring a symptom can lead to the development of a dangerous disease.

Causes of pain

Pain in the pubic area can occur in both men and women. Factors that contribute to the occurrence and development of pain in the pubic area are as follows:

current or previous pregnancy in women;
recent childbirth, especially with complications;
operations on the lower abdomen;
gynecological or urological operations;
injuries and damage to the pubic area;
side diseases;
overweight.

Trauma is one of the most common causes of pubic pain, as this area is sensitive. If the discomfort passes quickly, then there is no danger to health. But if the consequences of the injury do not go away, then you should not delay visiting a doctor.

Inflammation of the pubic bone is common among athletes. The cause of inflammation is most often overload during training. The most important signs are pubic pain, which can radiate to the groin, thigh or lower abdomen. Initially, symptoms are only noticeable during exercise or movement, such as climbing stairs, running, etc. If you do not take a break from exercise, symptoms begin to appear more frequently, and the pain gets worse even with sneezing.

Women often experience pain in the lower abdomen and pubic area during pregnancy and after childbirth. If the problem goes away over time, then there is no danger. However, it is worth consulting with a gynecologist.

Probable diseases

Pubic pain is different: weak and strong, aching, stabbing, cutting, etc. This is a common symptom of various diseases. In women, this is most often a sure sign of pathologies such as:

symphysiolysis;
abnormalities in the development of the pubic bone;
gynecological diseases;
disorders in the urinary system.

Many women experience pain in the pubic area after childbirth. But if the pain does not go away for a long time and only intensifies, then we can talk about a disease such as symphysiolysis. The cause of the disorder is rapid or difficult labor when a large baby is born. The pubic symphysis diverges too much and becomes mobile.

With symphysiolysis, the pain is acute, shooting in nature, radiates to the lower back and pelvic area when moving the legs, and intensifies when pressing on the abdomen. With symphysiolysis, it is difficult to lift your legs and your gait is impaired.

Pain may be caused by improper development of the pubic joint. With this pathology, it is difficult for a woman to have a sexual life, because the unpleasant sensations intensify after sex.

Many gynecological pathologies also cause pain in the pubic area. The pain is aching, nagging, and is often accompanied by vaginal discharge, weakness and increased body temperature.

The most common diseases in men are:

inguinal hernia;
birth defects;
inflammatory processes.

An inguinal hernia is characterized by a sudden attack of pain, which can occur during heavy physical exertion, less often with urolithiasis, obesity, or injury. During the illness, a tumor-like formation develops in the groin area. The pain of an inguinal hernia is sharp and sharp, intensifying when pressing on the abdomen.

- the most common congenital anomaly leading to discomfort in the pubic area in men. Characterized by the absence of one or two testicles in the scrotum. It is easily treatable if you consult a doctor in time.

Inflammatory processes in the reproductive and urinary systems also lead to unpleasant sensations.

The most common inflammatory disease is prostatitis. The pain radiates to the lower back, the temperature may rise, and chills may occur.

Who to contact and how to treat

Deciding which doctor to consult is not so easy. Pubic pain can be accompanied by many other symptoms: changes in gait, discomfort in different body positions, excessive sweating, weakness, etc.

It is important to analyze all the symptoms, as well as establish the location and circumstances of the pain. Depending on the clinical picture, you should choose a specialist. Most often, the examination is performed by an orthopedist, surgeon or traumatologist. If the pain is associated with pregnancy or childbirth, then the woman should consult a gynecologist. A urologist deals with pain associated not only with the pubis, but with the entire male reproductive system.

To determine the cause of pain in the pubic area, the doctor first talks with the patient, examines the affected area by palpation and sends it for further examination.

First, after a medical history and a thorough physical examination, an X-ray of the pelvis is performed. An X-ray image helps determine the exact cause of the pain. Sometimes an ultrasound scan is performed if x-rays fail to reveal the full clinical picture.

In complex cases, an accurate diagnosis can be made using MRI. Additional imaging tests, such as skeletal scintigraphy, may also be performed - this is complex, but useful for pathological changes in the body that other diagnostic methods cannot detect.

Problems in the pubic area can be treated with medication or surgery. Pubic inflammation is effectively controlled with anti-inflammatory drugs, and many diseases are treated with physical therapy. Although therapy may take several months, surgery is rarely necessary. Surgical intervention is required only with the development of certain pathologies or in advanced cases.

How to relieve pain

Most often, pubic pain intensifies with movement, so during an exacerbation it is better to lie on your back or take another relaxing position. If the lower abdomen or groin area hurts severely, then you can apply something cold to this area. It is better to wrap ice or a cold object in a thick cloth to avoid frostbite.

You can take a pain reliever. However, medications cannot be used to relieve pain permanently. They can only be used a few times to relieve a person's condition before seeking medical attention.

Prevention

Pubic pain is caused by excessive stress on the hip joint. When actively exercising, this must be taken into account. Excess weight can also provoke a similar symptom.

Pregnant women who are rapidly gaining weight should periodically wear a special bandage that supports the abdomen. Thus, the load on the body and in particular on the hip joint is reduced.

To prevent pubic pain caused by muscle strain or injury during sports or high physical activity, it is necessary to warm up the body well before training. Stretching and strengthening exercises for the abdominal and thigh muscles will help. Regular stretching helps prevent muscle tension and imbalance.

You should wear proper and comfortable running shoes to reduce the stress on your bones and joints. And if you experience mild pain or after treatment, it is better to avoid sports with sudden movements on a hard surface.

The main preventive measure is a systematic visit to a gynecologist or urologist. An examination by a specialist at least once a year will help you avoid many unpleasant problems with the reproductive system. And after receiving an injury, it is better not to ignore visiting a traumatologist.

Conclusion

Pain in the pubis, whether it is on the right or left, throbbing or stabbing, cannot be ignored. This is a symptom of the development of a disease. Therefore, visiting a doctor should be mandatory. And in order not to aggravate the situation, you should be attentive to your health, exercise, eat right and be less nervous.

Pain in the pubic area is a pathological condition common to both men and women. It can be caused by a wide range of reasons, ranging from traumatic injuries to such dangerous diseases as malignant neoplasms. Due to the wide variety of provoking factors, if pain occurs, it is recommended to visit a doctor and get advice or qualified help.

Why does the pubis hurt in women?

The pubis is the soft tissue area located directly above the genitals. It is separated from the thighs by the coxofemoral grooves, and from the abdomen by the pubic groove. The structure of this organ includes both soft and bone tissue, so if the pubis hurts in women, the doctor considers the reasons associated with the following pathologies:

inflammatory processes in the reproductive and urinary system;
damage to bone tissue (bruises, fractures);
congenital anomalies of the skeletal system.

Mechanical damage

Soreness is an invariable accompaniment of injuries that can be caused by a direct blow or serious compression of the pelvis (for example, in a car accident). When fractures occur, the pubic bone is displaced, as a result of which the patient complains of pain in the pubic area, which intensifies when trying to lift the lower limb. Often, along with a fracture, damage to the organs of the urinary system occurs, which entails increased urination.

Pathologies in the development of the pubic bone

Pain syndrome can occur when the pubic bone develops incorrectly, when the pubic joint appears in the form of a saber-shaped bar 3 fingers thick (with normal development, it looks like a curved roller one finger thick). In women with an anomaly, the lumen of the vaginal vestibule is half closed, so they cannot have an active sex life.

If you experience pain in the pubis after childbirth, a phenomenon called symphysiolysis is likely to occur. It is understood as the divergence of bones in the symphysis pubis or their increased mobility caused by too rapid delivery or the birth of a large child. The following symptoms are expressed in the pathology:

pain in the lower back, pelvis, pubis, which becomes more intense at night and when spreading the legs to the sides;
increased pain when pressing on the pubic bone;
difficulty climbing stairs;
clicking in the pelvis when walking;
lameness or duck gait;
Difficulty lifting your legs while lying down.

Read also: Pimples on the penis - causes and treatment

Gynecological problems

Pain in the pubic area may indicate gynecological diseases such as endometriosis, adnexitis, ednometritis. The pain above the pubis or in the tubercle itself is nagging or aching, often accompanied by increased temperature, weakness, and irradiation into the perineum. Sometimes with this condition the vagina hurts, the pain intensifies during sexual intercourse or before menstruation.

Other reasons

Other pathologies that cause discomfort among the fair sex include diseases of the urinary system. In particular, pain is characteristic of urethritis, in which there are difficulties with urination, pain and burning in the urethra, and a feeling that the bladder has not completely emptied.

Another reason why the pubis hurts is an ectopic pregnancy. More often, pain occurs on the right or left and is accompanied by dizziness and weakness. Gradually, the pain syndrome becomes more intense, cramping, and bleeding from the vagina begins.

Important! An ectopic pregnancy is a serious threat to life, so if you suspect it, you should call an ambulance.

Why does the pubis hurt during pregnancy?

In the second trimester, a woman begins to undergo hormonal changes in her body, increasing the production of relaxin, which helps soften the pubic joint and pelvic bones. Usually this process is asymptomatic, but some pregnant women may develop symphysitis, which is the main reason why the pubis hurts during pregnancy.

When symphysitis appears, the joints become extremely mobile, which causes pain and difficulty moving. As a rule, after childbirth the problem goes away on its own.

Causes of pubic pain in men

Pain in the pubic tubercle occurs more often in men than in women. They can arise completely unexpectedly and acutely or intensify over a long period of time, and be dull or cramping in nature. The intensity and type of pain largely depend on specific diseases or phenomena, the most common of which are:

inguinal hernia;
inflammation – prostatitis, vesiculitis, epididymitis;
birth defects;
osteomyelitis;
injuries.

The pubic bone is one of the components of the pelvic bone. It is paired and, connected by a cartilaginous disc, the bones form the symphysis (pubic symphysis). Pain in the pubic bone is often caused by pathological processes occurring precisely in the joint, and not in the soft tissues.

What Causes Pubic Bone Pain?

A fracture of both or one pubic bone, resulting from a direct strong blow to this area, or due to compression and displacement of the pelvic bones. This type of injury is often experienced by victims of car accidents. In this case, the pain in the pubic bone worsens when trying to change the position of the legs and during palpation (palpation). Also, the patient, being in a supine position, cannot raise his straightened legs due to severe pain. If, in addition to a fracture of the pubic bone, bruises of the bladder are also observed, then pain in the pubic bone is also accompanied by a disturbance in the process of urination.
In women, during pregnancy, the body secretes the hormone relaxin in large quantities. Under its action, the pelvic bones and joints soften. This happens so that the baby can easily move the mother’s pelvis apart for passage during childbirth. Sometimes, with an excess of this hormone, with a lack of calcium in the pregnant woman’s body, or due to the development of her musculoskeletal system, a woman experiences excessive softening of the joint, pain in the pubic bone appears, the process of movement causes difficulties, and a duck’s gait may develop. This disease is called symphysitis. Symptoms of the disease generally disappear on their own after childbirth.
The pain in the pubic bone described above does not always occur during pregnancy. Its appearance is possible after childbirth. The consequence will be symphysiolysis (significant divergence of the pubic bones, and sometimes rupture of the symphysis). This is typical for rapid labor with a large fetus. The pain that a woman experiences with this disease is very strong and is felt even in the sacroiliac joint. The woman in labor should be at rest and with a bandage in the pelvic area. There is a high probability of relapse of the disease during repeated births.
Infectious and inflammatory processes affecting parts of the bone tissue (osteomyelitis) can cause inflammation of the symphysis pubis if they affect the pubic bone. Because of this, the symptoms of the disease are very similar to those that appear with symphysitis in pregnant women.
Pathological deviations in the development of the pubic bone, when it takes on an elongated flat shape and prevents access to the vagina during sexual intercourse or examination by a gynecologist. During sexual intercourse, a woman experiences pain, as the partner's penis puts pressure on the periosteum and presses the urethra to the rib of the pubic bone. The pain is constantly recurring, and therefore the woman tries to avoid sex.
Pain in the pubic bone can also affect a man. In males, it is often associated with the presence of a hernia in the groin area. If the pain bothers you in the center of the pubis, then chronic prostatitis may be manifesting itself. However, then the pain can affect the entire lower abdomen, lower back, pubis, and sacrum. Sometimes it is difficult for the patient to understand exactly where the pain occurs.
If a woman experiences pain to the left or right of the pubis, she may have a gynecological disease or diseases of the urinary organs. The pain can be acute, sharp, or weak, nagging.

Treatment for pubic bone pain

Treatment of this type of pain includes several points:

special gymnastic exercises focusing on the abdominal and pelvic floor muscles. For example, to perform one of the exercises, you need to get down on all fours and, keeping your back straight, take a breath. When exhaling, the pelvic floor muscles should be squeezed and not unclenched for 5-10 seconds. You should not hold your breath, and you should not move your back. At the end of the exercise, the pelvic muscles must be slowly relaxed. This and similar exercises strengthen the muscles of the back and pelvis;
manual therapy (gentle). It has a gentle effect on the muscles of the pelvis, hips and back;
physical exercises performed in water are very effective;
if a woman is bothered by pain in the pubic bone, treatment can be prescribed by a gynecologist. Symphysitis is a common phenomenon among pregnant women, doctors encounter it all the time, so a responsible gynecologist will definitely advise the woman how she should cope with the pain;
acupuncture. This procedure allows you to relieve pain in the pubic bone not only in women, but also in men. The procedure is almost painless, but very effective. The only thing you should consider when agreeing to acupuncture is to trust your body only to a doctor who has undergone special training in this area of treatment;
consultation with an osteopath, chiropractor. These doctors know how to cope with pain of this nature, so their consultation will be extremely useful;
wearing a prenatal bandage. This treatment method applies to pregnant women suffering from pain in the pubic bone;
percutaneous drainage. It is indicated for purulent symphysitis;
local injections of glucocorticoids, NSAIDs - for osteoperiostitis;
taking medications containing calcium.

Many pregnant women notice relief from an exercise such as the “lotus” or “butterfly”. This exercise is otherwise called “sit cross-legged.”