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

Traumatic injury to the pubic bones from a bruise, blow or fall. A possible fracture displaces the bones, pain appears in the pubic region. The pubic bone is two branches and the actual body of the bone, which forms the zone of the acetabulum located in front. The acetabulum, in turn, consists of the pubis, ilium, and ischium and serves as a surface for the important hip joint. The branches of the pubic bone are connected by the symphysis. This whole complex structure is quite vulnerable and a strong blow can provoke a displacement or fracture of the bone tissue. Pain in the pubic area is not specific for the diagnosis of fractures, they are confirmed by examinations, palpation and x-ray examination.

In addition to painful sensations that are aggravated by physical activity, especially when walking or physical exertion on the legs (squats, bending over, climbing stairs), the process of urination is disturbed. A characteristic symptom is difficulty in lifting the legs in the supine position - a symptom of Gorinevskaya or a symptom of a stuck heel, which is also characteristic of a hip fracture.

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

Pain in the pubic area can also be triggered 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 with irradiation in the groin.

Severe pain in both men and women is a sign of an exacerbation of a serious illness. In women, pain in this area may indicate the onset 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 can be one-sided. Painful sensations are localized to the right or left, they indicate hidden neoplasms of the ovaries or swelling of the bladder. The nature of the pain depends on the stage in which the disease is located. If the oncoprocess has just begun its development, pain can be pulling, weak. If the process becomes inflammatory, the neoplasms are large, the pain can be sharp, unbearable, accompanied by discharge.

An ectopic pregnancy, which is a threatening pathology, can also be manifested by pain in the pubic zone. Pain in the pubic region, as well as any other pulling or cramping pain in the lower abdominal part, as atypical discharge, dizziness are alarms indicating a tubal pregnancy.

Acute, intense pain in the pubic area, which is combined with bleeding, discharge after sexual contact, may indicate torsion of the ovarian cyst leg or rupture of the neoplasm. The rupture of the cyst has a characteristic symptomatology, which includes dizziness, a drop in blood pressure, and a feverish state.

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

Pain in the pubic area may be due to normal physiological causes during pregnancy. In addition to the fact that there are changes 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 joint itself begin to move apart, allowing the development of the fetus. 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 tissues of the pubis noticeably swell. Symphysitis is outwardly manifested by a heavy gait, so characteristic of pregnant women (duck gait), difficulties in turning the body, climbing stairs and general motor "clumsiness". The pain in the pubic area becomes unbearable, it is especially strong on palpation. Factors provoking symphysitis can be calcium deficiency, congenital structural, anatomical anomalies of the pelvic bone system. As a rule, after the birth of a 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, fever. This is a rather serious disease that can develop during rapid childbirth, when the pubic bones do not just diverge, but are torn at the place of articulation (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, usually a special fixing bandage is put 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. A 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 triggered by chronic osteomyelitis, which passes into the inflammatory stage. At the same time, the symphysis (pubic joint) becomes inflamed, the pubic tissues swell strongly. 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 analytical blood tests and x-rays, help to differentiate them.

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

Inflammation of the urinary tract beautiful ladies often fall ill. Any organ that has undergone an infectious attack changes under the influence of immune responses. There is hyperemia, swelling, pain. A typical localization of pain in inflammation of the bladder 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 there is mono inflammation or several organs are involved in the process. There are several zones of irradiation of painful sensations:

stomach;
lumbar region;
kidney area;
sexual organs.

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

Typical manifestations of inflammation of the bladder

With cystitis, pain in the lower abdomen is a characteristic sign of inflammation. This is due to the fact that the swollen tissues begin to put pressure on the nerve endings, causing them to become irritated. The focus of inflammation is in the lower abdomen, so all discomfort is localized in the suprapubic region. Many women note the similarity with the pain of premenstrual syndrome. The sensations are dull, pulling in nature, usually constant, aggravated by overflow of the bladder. When the reproductive organs are involved in the process, the pain shifts to the right or left side of the abdomen.

Another characteristic symptom of inflammation of the bladder is pain during urination. The strongest pain accompanies the beginning and end of the process. It is accompanied by burning and itching. Pain with cystitis is so strong that it creates a fear of urination.

To alleviate the condition before contacting a doctor, a woman is advised to increase her fluid intake. You can brew kidney fees or diuretic herbs, such a measure helps to flush out bacteria from the diseased organ. Many are helped by the use of heat on the projection of the bladder.

Atypical manifestations

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

abdomen

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

The stomach hurts with cystitis of tuberculous etiology. The aching feeling that does not pass is concentrated in the depths of the small pelvis. Other manifestations indicating inflammation are mild.

When nearby organs are drawn into inflammation, adnexitis, ophoritis and others develop, sensations move to the iliac region from the side of the lesion. The pain is constant, aggravated by muscle tension.

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

The same localization is preserved with 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.

With the appearance of atypical pain, 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 medication, drinks diuretic herbs. And the pain not only does not go away, but also changes its localization. Can the lower back hurt with cystitis, and what does such a change mean? The cause may be urolithiasis. Manifestations depend on the location and size of the stone. With coral-like immovable calculi, dull aching sensations appear in the lumbar zone, which, when moving, radiate to the iliac and inguinal regions.

Small stones that have begun their movement cause a paroxysmal course of the disease. The state changes as the stone moves, and its irradiation also changes. Starting as pain in the lower back with cystitis, the symptomatology shifts along the ureter, gives to the thigh from the affected side, to the groin area, to the external genitalia.

Another cause of discomfort is the spread of the process and its transition to the kidneys. Infectious kidney damage - pyelonephritis often has a bacterial cause and becomes a complication of pathological changes in the bladder. Do kidneys hurt with cystitis in such cases? Yes, they hurt, because this is already a combined process. Dull aching pain is formed in the lumbar region, has a one-sided character, in rare cases, when both kidneys are affected, it hurts on both sides. Symptoms may be mild, but more often have an average intensity, sometimes "shoot" into the iliac region.

The close relationship between the organs of the urinary tract leads to the fact that with an exacerbation of recurrent cystitis, chronic pyelonephritis is exacerbated. Kidney pain is added to the symptoms of one disease. In a chronic course, it has a wave-like aching character, increases with hypothermia or a violation of the diet.

renal area

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, the person cannot take a comfortable position. There is irradiation in the hypochondrium on the affected side, recoil 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 in cystitis, but the kidney hurts with every movement, calming down a little at rest. Sharply pronounced pain when pressing on the kidney area and in the hypochondrium from the affected organ.

Sudden lower back pain with cystitis is an alarm signal. Before a medical consultation, a woman can alleviate the condition by taking antispasmodics: no-shpa or drotaverine, drinking large amounts of liquid, provided that diuresis is maintained.

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

Another reason when the kidneys hurt after cystitis may not be associated with 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 there is a secondary lesion, 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 spotting.

Diseases of the internal organs of the reproductive system, both in women and in men, lead to aching sensations in the lower abdomen, in the groin area, in the perineum, and are given to the rectum and lower back. Painful symptoms occur with diuresis and defecation. With the development of neoplasms, it is possible to compress the urinary tract and stagnate urine, which provokes the reproduction of pathogenic microflora. An inflammatory process develops in the bladder, and with cystitis, the lower back hurts. 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 pains are not intense aching in nature, they radiate to the sacral region, lower back, lower abdomen, and iliac region.

How to differentiate inflammation of the bladder

With all the specificity, the symptoms of cystitis are similar to other pathologies of the genitourinary system. How to distinguish the disease if the pain sensations are atypical? Consider pathological conditions and their differences from cystitis.

Allergic or neurogenic cystitis has manifestations characteristic of inflammation of the bladder: rapid painful diuresis, dull pulling pain above the pubis. A distinctive feature is the absence of changes in the urine.
Urethritis is accompanied by severe cutting 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 it. There are discharges from the urethra of a different nature.
Urolithiasis is characterized by a violation of the emptying of the bladder, the development of non-infectious inflammation. Against this background, the woman's kidneys hurt with 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, perineum. Urination can be painful, 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 cystitis often hurts the kidneys if the disease is running. Pyelonephritis is accompanied by hyperthermia up to 39 degrees, nausea and vomiting. When tapping on the lower back, the affected side gives off a sharp pain, which does not happen with cystitis.
The kidneys also hurt with another inflammatory process - which is accompanied by blood secretions. How to distinguish it from hemorrhagic cystitis: with inflammation of the bladder, the urine is not colored so intensely, the general condition with cystitis rarely suffers.
Appendicitis in an atypical position has similar symptoms, but unlike cystitis, the pain is cramping. There is no diuresis.

The pain from can be disguised as other inflammations. It is not possible to recognize the disease by symptoms alone, a full diagnosis is required. Therefore, with the appearance of malaise and the first attacks of pain, it is necessary to urgently seek medical help.

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

Causes of pain

Pain in the pubic region can occur in both men and women. Factors that contribute to the emergence 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 injuries in the pubic area;
side diseases;
overweight.

Injuries are among the most common causes of pubic pain, because 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 typical for athletes. The cause of inflammation is most often overload during exercise. The most important signs are pubic pain, which may radiate to the groin, thigh, or lower abdomen. Initially, the symptoms are expressed only during sports or movements, such as climbing stairs, running, etc. If you do not take a break from exercise, the symptoms begin to appear more often, and the pain worsens even with sneezing.

Often, women experience pain in the lower abdomen and in the pubic area during pregnancy and after childbirth. If the problem resolves 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;
anomalies 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 violation is a rapid or difficult birth, when a large child is born. The pubic joint diverges too much and becomes mobile.

With symphysiolysis, the pain is of an acute shooting character, radiates to the lower back and pelvic region when moving the legs, and increases with pressure on the abdomen. With symphysiolysis, it is difficult to raise the legs, the gait is disturbed.

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

Many gynecological pathologies also cause pain in the pubic area. The pain is aching, pulling, often accompanied by vaginal discharge, weakness and fever.

In men, the most common diseases are:

inguinal hernia;
birth defects;
inflammatory processes.

An inguinal hernia is characterized by a sudden pain attack that can occur during heavy physical exertion, less often with urolithiasis, obesity, and injuries. During the illness, a tumor-like formation develops in the groin area. Pain with an inguinal hernia is sharp and sharp, aggravated by pressing on the abdomen.

- the most common congenital anomaly, leading to discomfort in the pubic area in men. It is characterized by the absence of one or two testicles in the scrotum. It is easy to treat if you see a doctor in time.

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

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

Who to contact and how to treat

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

It is important to analyze all the symptoms, as well as to establish the place and circumstances of the pain. Depending on the clinical picture, a specialist should be chosen. Most often, the examination is carried out by an orthopedist, surgeon or traumatologist. If the pain is associated with pregnancy or the birth of a child, then the woman should consult a gynecologist. The urologist deals with pain associated not only with the pubis, but with the entire male reproductive system.

To establish the cause of pain in the pubic area, the doctor first conducts a conversation with the patient, examines the diseased area by palpation and sends for further examinations.

First of all, after taking a medical history and a thorough physical examination, an x-ray of the pelvis is taken. An x-ray image helps to establish a more precise cause of pain. Sometimes an ultrasound scan is performed if the X-ray failed to reveal the full clinical picture.

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

Problems in the pubic area are eliminated medically or surgically. Pubic inflammation is effectively stopped by anti-inflammatory drugs, many diseases are treated with physiotherapy. 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 increases with movement, so during an exacerbation, it is better to lie on your back or take another relaxing position. If the lower abdomen or inguinal region is very sore, then something cold can be applied to this place. It is better to wrap ice or a cold object in a thick cloth to avoid frostbite.

You can take pain medication. However, drugs cannot be used to permanently relieve pain. They can only be used a few times to alleviate the person's condition before going to the doctor.

Prevention

Pain in the pubis is caused by excessive stress on the hip joint. With active physical exercises, 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 stomach. 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 the muscles of the abdomen and thighs will help. Regular stretching helps to avoid muscle tension and imbalance.

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

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

Conclusion

Pain in the pubis, whether on the right or left, throbbing or stabbing, must not be ignored. This is a symptom of the development of any disease. Therefore, a visit to 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 inherent in both men and women. It can be caused by a wide range of causes, ranging from traumatic injuries to dangerous diseases such as malignant neoplasms. Due to the large variety of provoking factors, when 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 hips by the hip grooves, and from the abdomen by the pubic groove. The structure of this organ includes both soft and bone tissues, so if the pubis hurts in women, the doctor considers the causes associated with pathologies of the following nature:

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 companion of injuries that can be obtained by a direct blow or serious compression of the pelvis (for example, in a car accident). With fractures, the pubic bone is displaced, as a result of which the patient complains of pain in the pubic area, which intensifies when trying to raise the lower limb. Often, along with a fracture, damage to the organs of the urinary system occurs, which entails frequent urination.

Pathologies in the development of the pubic bone

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

If you suffer from pain in the pubis after childbirth, a phenomenon such as symphysiolysis is most likely observed. It is understood as the divergence of the bones in the pubic joint or their increased mobility, caused by too rapid delivery or the birth of a large child. With pathology, the following symptoms are expressed:

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

Read also: Acne on the penis - causes and treatment

Gynecological problems

Pain in the pubic zone may indicate gynecological diseases such as endometriosis, adnexitis, ednometritis. Pain above the pubis or in the tubercle itself is pulling or aching, often accompanied by fever, weakness, irradiation to the perineum. Sometimes with this condition, the vagina hurts, soreness increases during intercourse or before menstruation.

Other reasons

Other pathologies that cause discomfort in the fair sex include diseases of the urinary system. In particular, pain sensations are characteristic of urethritis, in which there are difficulties with urination, pain and burning in the urethra, 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, weakness. Gradually, the pain syndrome becomes more intense, cramping, bleeding from the vagina begins.

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

Why does the pubis hurt during pregnancy

In the second trimester, a woman begins hormonal changes in the body, there is an increase in the production of relaxin, which helps to 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.

With the appearance of symphysitis, the joints become extremely mobile, which provokes soreness and difficulty in movement. As a rule, after childbirth, the problem goes away on its own.

Causes of pubic pain in men

Pain in the pubic tubercle in men is more common than in women. They can occur 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, among which the most common are:

inguinal hernia;
inflammation - prostatitis, vesiculitis, epididymitis;
birth defects;
osteomyelitis;
injury.

The pubic bone is one of the components of the pelvic bone. It is a steam room and, connecting with a cartilaginous disk, the bones form a symphysis (pubic articulation). Pain in the pubic bone is often caused by ongoing pathological processes in the articulation, and not in the soft tissues.

What causes pain in the pubic bone?

Fracture of both or one pubic bones, 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 the result of a car accident. In this case, the pain in the pubic bone worsens when you try to change the position of the legs and during palpation (palpation). Also, the patient, being in a supine position, cannot raise 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 violation of the process of urination.
In women during pregnancy, the body releases a large amount of the hormone relaxin. Under its action, the pelvic bones and joints soften. This happens so that the baby can easily push the mother's pelvis during childbirth for its passage. Sometimes, with an excess of this hormone, with a lack of calcium in the body of a pregnant woman, or due to the peculiarities of the development of her musculoskeletal system, a woman has an excessive softening of the joint, pain in the pubic bone appears, the movement process causes difficulties, duck gait may develop. This disease is called symphysis. Symptoms of the disease mostly disappear on their own after childbirth.
Not always the above pain in the pubic bone occurs during pregnancy. Its appearance is possible after childbirth. The consequence will be symphysiolysis (a significant divergence of the pubic bones, and sometimes a rupture of the symphysis). This is typical for rapid delivery with a large fetus. The pain that a woman experiences with this disease is very strong and they are 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 recurrence of the disease with repeated births.
Infectious-inflammatory processes that affect parts of the bone tissue (osteomyelitis) can cause inflammation of the pubic joint if they hit 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 an elongated flat shape and prevents access to the vagina during sexual intercourse or examination by a gynecologist. During sexual contact, a woman experiences pain, as the partner's penis puts pressure on the periosteum and presses the urethra against 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 overtake a man. In the male sex, it is often associated with the presence of a hernia in the groin. If the pain bothers in the center of the pubis, then chronic prostatitis may appear. However, then the pain can affect the entire lower abdomen, lower back, pubis, sacrum. Sometimes it is difficult for the patient to understand where exactly he has pain.
If a woman has pain on the left or right of the pubis, it is likely that there is a gynecological disease or diseases of the urinary organs. The pain can be both acute, sharp, and weak, pulling.

Treatment of pain in the pubic bone

Treatment of this type of pain includes several points:

special gymnastic exercises focused on the muscles of the abdomen and pelvic floor. For example, to perform one of the exercises, you need to get down on all fours and, keeping your back straight, take a breath. Exhaling, the muscles of the pelvic floor should be compressed and not unclenched for 5-10 seconds. Breathing should not be held back, nor should you 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;
very effective physical exercises performed in the water;
if a woman is worried about pain in the pubic bone, a gynecologist may prescribe treatment. Symphysitis is a common phenomenon among pregnant women, doctors encounter it all the time, so a responsible gynecologist will definitely advise a woman how she should cope with pain;
acupuncture. This procedure allows you to get rid of pain in the pubic bone, not only women, but also men. The procedure is almost painless, but very effective. The only thing to consider when agreeing to acupuncture is to trust your body only to a doctor who has received special training in this field of treatment;
osteopathic consultation, chiropractic. These doctors are able to cope with pains of this nature, so their consultation will be extremely useful;
wearing a prenatal bandage. This method of treatment concerns pregnant women suffering from pain in the pubic bone;
percutaneous drainage. It is indicated for purulent symphysitis;
local injections of glucocorticoids, NVPS - with osteoperiostitis;
taking medications containing calcium.

Many pregnant women notice a relief in their condition after such an exercise as "lotus" or "butterfly". In another way, this exercise is called "sit down in Turkish."