Discomfort in the pubic bone. Pain in the suprapubic region

The pubic bone can become injured or inflamed. In this case, it is necessary to consult with a traumatologist or gynecologist. This pathology requires careful diagnosis. When the pubic bone hurts, the intensity does not matter, it is important to seek help.

The pubic bone is part of the bones that form the pelvic bone. The pubis consists of two branches and a body, forming a closing opening with a membrane.

Women with a normal physique have a roller-like bone in thickness equal to the thumb. It is curved and is a pubic eminence. The bone, like an arch, hangs over the entrance to the vagina, growing together with the pelvic bones.

The pubic bone is paired, connects to the cartilage and forms a symphysis or pubic joint, in which pain usually appears.

The distance between the pubic bones is normally no more than 5 mm. During pregnancy, this figure changes by 3 mm upwards.

If the pubic bone hurts

Causes of pain

... in men

Men experience trauma-related pain pubic bone. These can be bruises, closed or open fractures.

Allocate the following situations injury related:

…among women

Women in addition to injury pelvic area may have problems gynecological nature, For example:

• during pregnancy in the second half there is a softening of the joints between the bones, the so-called symphysiolysis syndrome;
• symphysis or divergence bone tissue up to separation during delivery;
• congenital pathologies associated with the structure of the small pelvis.

What does symphysis mean?

Women after childbirth experience pain in the pubic bone. Most likely, the process of divergence, that is, the violation of the integrity of the symphysis, influenced this. It is considered a traumatic complication labor activity or break.

3 degrees of discrepancy are determined:

The degree does not affect the treatment process. It is necessary in any case. The issue is resolved with a gynecologist.

The causes of the disease have not yet been identified. Scholars are divided in opinion. Some consider it a consequence of calcium deficiency in the body, others blame the increased concentration of relaxin.

Pubic pain in pregnancy

Expectant mothers often experience pain in the pubic symphysis, which occurs mainly in the last trimester of pregnancy.

This happens due to softening of the interosseous joint. Pain differs in its characteristics:

• it is pronounced, especially during movements - turning the body, climbing stairs or from bed;
• worse after dinner;
• swelling appears in the symphysis area;
• if you press on the pubis, you can hear a click;
• a woman cannot raise straight legs from a prone position;
• pain when urinating;
• duck gait with characteristic small steps.

Not everyone is susceptible to this pathology, and the answer to the question by what criteria the disease chooses a victim has not been found.

For the development of symphysitis great function has several processes:

1. After the first half of pregnancy, the hormone relaxin is produced in more. It is necessary for every woman to prepare the body for generic process. Thanks to the hormone, the womb loses its rigidity and becomes pliable so that the pelvis can increase during delivery. But, at the same time, resistance to any loads decreases.
2. A decrease in calcium in the body, leaving for the formation of the baby's musculoskeletal system. This process causes symptoms degenerative change bones - osteoporosis.
3. Intrauterine violation during the formation of the pubic joint or in children's period also leads to symphysitis.

With an acute rupture of the symphysitis, the pain is severe.

Where to go if the pubis hurts

In case of damage, regardless of a man or a woman, it is necessary to visit a traumatologist for a consultation.

If there is no possibility of independent movement or the patient is in serious condition you should call an ambulance.

With pain during the period of bearing a child, as well as in postpartum period urgently need to make an appointment with a gynecologist. It will also help if pain occurs during intercourse.

How is the disease diagnosed in pregnant women

Diagnostics - milestone. On initial appointment anamnesis is collected, complaints are heard. It is necessary to try to describe in detail the nature of the pain - when it appears, with what movements it intensifies, etc.

Next, the gynecologist conducts a standard examination, determines the size of the pelvis, the location of the fetus. Lab tests are also indicative. Pay attention to the level of calcium in the blood, the amount of estrogen and progesterone.

Among visual inspection for pregnant women, only ultrasound is available, which can show the pubic articulation and the condition of the fetus.

When a discrepancy appears after childbirth, the patient is sent for an x-ray or computed tomography pelvis.

Pathologies causing pubic pain

The beautiful half of humanity is faced with pain in the pubic area for other reasons. It could be:

Some women are owners of a flat saber-shaped pubis. The problem is that a bar 3 fingers wide, or maybe more, almost half closes the vagina, which affects a full-fledged sex life.

Pain occurs when the penis presses on the periosteum and presses urethra to the edge of the pubis. It is necessary to seek help from a gynecologist and a traumatologist.

Symphysitis treatment

How much the pubic bones have expanded can be judged by the result of the ultrasound and only then decide on the method of treatment.

1st degree of discrepancy

If the degree of discrepancy is up to 10 mm, then the following is assigned:

2nd degree of discrepancy

With the second degree of discrepancy, that is, more than 10 mm, it is necessary to use a bandage or corset. It will strengthen pelvic muscles and reduce pain.

Wherein natural childbirth pregnant women are contraindicated.

If pain syndrome strong, non-steroidal anti-inflammatory drugs are prescribed.

Exercises for any degree of discrepancy

At any stage of the discrepancy, it is prescribed to perform a special gymnastic complex. Exercises are aimed at strengthening the muscles of the pelvis and are not difficult:

1. Lying on your back, the legs are bent at the knees and the heels are pulled up to the buttocks. Then the knees are pulled apart very slowly, fixed for 20 seconds and returned to the opposite position.
2. The woman lies on her back and raises her pelvis to 5 cm from the floor. You need to stay in this position for a short time. The heels should be 30 cm from the body.
3. The next exercise is called the cat. You need to get on all fours, straighten your back. Slowly the back arches and the head rises. The muscles of the abdomen and thighs work.

Important! During gymnastics, be sure to follow the sensations. In no case should exercises be performed when pain occurs.

Getting rid of the pain of symphysis

With a natural divergence of bones during pregnancy, treatment is not carried out. After childbirth, the ligaments should return to their original state. The doctor at this time may recommend taking No-shpu or drug Menovazin.

When the patient is in the hospital under the supervision of doctors, at 38 weeks of gestation, it is allowed to deal with pain with non-steroidal anti-inflammatory drugs. Pregnant women are prescribed ibuprofen or paracetamol.

When pain appears at 32 weeks of gestation and after delivery, antibiotics and UV irradiation are prescribed to avoid the formation of an inflammatory process.

Ointments and gels have a big plus in treatment, since when they get on the skin they do not penetrate into the systemic circulation.

If the pain syndrome is severe, then after childbirth, the doctor may prescribe opioid painkillers - fentanyl, or apply epidural anesthesia.

Other Therapies

Folk methods in this case are almost powerless. Their efficiency is low. The main focus is on consuming more calcium. A very popular recipe is a combination of sesame seeds with honey and goat cheese.

Corvalol can help relieve pain when applied to pubic area. Manual therapy is a fairly common method of treatment. It gently affects the pelvic and femoral muscles.

• - acupuncture, moreover, this method helps to get rid of pain not only for women, but also for men. Effective method and almost painless;
• – visit an osteopath, chiropractic;
• - drainage, in the case of purulent symphysitis;
• - injections of glucocorticoids, NVPS, if the cause is osteoperiostitis.

Important! Any alternative methodology should not replace the main treatment.

What happens if you don't treat

When the patient does not receive the required treatment or delays in seeking help, the discrepancy can cause a severe pain reaction that appears even with the slightest movement, up to a complete loss of mobility.

rupture of the symphysis severe complication. Most often occurs on recent weeks pregnancy, when the fetus enters the small pelvis with its head and presses on the inflamed and weak links. When a woman breaks, she experiences a severe pain shock.

If the discrepancy is more than 2 cm, then the treatment can only be surgical. In the future, a long recovery and the help of rehabilitators will be required.

Preventive actions

No special techniques created to avoid symphysitis have yet been invented. But, women with a history of this pathology or abnormal pelvic structure, it is recommended:

In addition, all women who are carrying a child should:

• stay on for a long time fresh air and accept sunbathing. This will contribute to the production of vitamin D. Relevant for those living in the northern regions of the planet;
• reduce heavy physical exertion, walk less on stairs and on foot;
• perform exercises to strengthen the muscles of the pelvis, swim;
• visit a gynecologist regularly.

Childbirth with problems with the pubic bone

With a large divergence of the pubic joint - from 1 cm, doctors may suggest planned operation caesarean section.

If the discrepancy is from 2 cm, then there is no choice, only delivery surgically, in order to exclude complete break ligaments. Otherwise, it may take 3 months of complete immobilization before the fusion of the ligaments.

With the second degree of symphysitis, childbirth takes place naturally, without consequences.

The only thing is that a woman should observe bed rest for 3 days with a constricted elastic bandage pelvis. It is recommended to use a corset for the next 3 months.

The human skeletal system is very complex in structure. Our skeleton is huge amount bones different sizes, which are intricately interconnected, forming a surprisingly functional mechanism. Structure skeletal system somewhat depends on age indicators, since small children in the body have much more bones than in adults, then some of them grow together. In addition, there are differences between the male and female skeleton. So one of the bones, which looks different in representatives of the opposite sex, is the pubic bone.

The structure of the pubic bone

This is one of those bones that is part of the pelvic bone. It is a pair and has a pair of branches: upper and lower, as well as the body. The branches are located at an angle to each other. That vertical formation that connects a pair of upper branches is called the pubic symphysis, also called the pubic symphysis. The body of the pubic bone is the anterior part of the acetabulum, in the place of its association with the branches there is the so-called obturator foramen, covered by the obturator membrane.

It has already been said above that the structure of the pubic bone has several differences depending on gender. The pubic bone in women (subject to the correct physique) has the shape of a roller, and its thickness is approximately correlated with the thickness thumb On the hand. The pubic bone forms an elevation, like an arc, which hangs over the entrance to the vaginal cavity. But she cannot prevent sexual intercourse.

In men, a subpubic angle is observed at the junction of the pubic bones.

Why does the pubic bone hurt?

In some cases, both sexes may come to the doctor with complaints of pain localized in the pubic region. Such pathological phenomena can be explained by various pathological conditions, namely:

Injuries to the pubic bones - one or both;
- stretching of the pubic joint, which accompanies pregnancy;
- rupture of the pubic joint during labor;
- abnormal development of the pubic ossicles;
- cancer Bladder, sensation of pain in the pubic bone are reflected;
- infectious lesions ossicles of the pubis, among which there may be tuberculosis symphysitis or osteomyelitis of the pubis.

Pain during pregnancy

Enough frequent complaint women expecting the birth of a baby are painful sensations in the area of ​​\u200b\u200bthe pubic bone. This phenomenon is typical for most expectant mothers who are in the second half of pregnancy.

Pains of this order are explained by the natural preparation of our body for the imminent birth of a baby. At this time, changes apply to all systems and organs that take part in labor activity. Such processes also affect the pubic bones. The hormone produced under the name relaxin leads to softening of the ligaments and cartilage located at the junction of the pubic bones.

Thanks to this, the subsequent passage of the crumbs along birth canal lighten up a bit. IN certain situations, however, the softening processes are accompanied by some complications, which just the same cause pain in the pubic ossicles. In case if discomfort are not intense and do not greatly disturb expectant mothers, then they are considered as a variant of the norm. But if a woman has a severe pain in her pubic bone during pregnancy, there is increased swelling and stretching in the area of ​​the pubic joint, there is a characteristic "duck gait", then most likely she has symphysitis.

The reasons for this pathological phenomenon lie in hereditary parameters and individual features female body. In addition, in some cases, the disease develops against the background of calcium deficiency.

Excessive soreness in the pubic area, manifested during pregnancy - this is serious reason seek the help of a traumatologist or surgeon.

If the diagnosis of "symphysitis" is confirmed, the patient will be prescribed bed rest or wearing a special design - a bandage with a simultaneous decrease in physical activity. It is also necessary to take special medications containing calcium.

Does the pubic bone in men hurt or not?

Although men cannot bear a child and it would seem that there is no reason for pain, however, they are also subject to them. So sometimes, in men, pain in the pubic region, shifted to the right or to left side indicate the presence inguinal hernia. And the sore in the central part of the pubic bone in men can signal chronic form prostatitis.

Sometimes such symptoms can talk about osteomyelitis, which causes inflammatory process pubic joint. Such a lesion in its manifestations is similar to symphysitis during pregnancy: the patient develops pain in the pubic region, the intensity of which increases significantly if pressure is applied to the pubic bone. In addition, there is a waddling gait and pain with inside hips. It is worth considering that osteomyelitis sometimes affects the pubic bone when the body is infected with the causative agent of tuberculosis.

Conclusion

We talked about how the opposite sex differs in the pubic bone, pain in women and men, bone structure. If you experience pain in the pubic area, you should not engage in self-diagnosis and self-treatment - it is better to consult a doctor. The specialist will diagnose and select the most best practices corrections.

Traumatic injury to the pubic bones from a bruise, blow or fall. Possible fracture displaces the bones, there is pain 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 pubic bone, ilium and ischium and serves as a surface for an important hip joint. The branches of the pubic bone are connected by the symphysis. All this complex structure quite vulnerable and swipe can cause 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 pain, which is aggravated by motor activity especially when walking or physical activity on the legs (squats, bends, climbing stairs), the process of urination is disturbed. characteristic symptom is difficulty in raising the legs in the prone position - a symptom of Gorinevskaya or a symptom of a stuck heel, which is also characteristic of a fracture of the femoral neck.

If the diagnosis of a pubic bone fracture is confirmed, therapy consists of a phase of anesthesia ( injection painkillers), strict bed rest and placement of the leg, on the side of which a fracture of the pubic branch is determined, in the Beller splint (for skeletal traction and muscle relaxation). If the fracture is diagnosed as bilateral, the victim stays for four to five weeks in characteristic posture"frogs", when the legs are bent, and the knees are retracted 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 physiotherapy exercises, physiotherapy sessions, symptomatic and vitamin therapy are carried out.

Pain in the pubic area can also be provoked gynecological pathologies, which often develop in 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, neoplasms have big sizes, 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 drawing or cramping pain in the lower abdomen, as atypical discharge, dizziness are alarm signals indicating 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 characteristic symptoms which includes dizziness, falling blood pressure, feverish state.

Pain in the pubic region, in its lower part, closer to the vulva, may be a sign congenital pathology pubic bone when it is excessively 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 associated with normal physiological reasons during pregnancy. In addition to changes in hormonal system, the pelvic bones begin to soften a little, preparing for childbirth. This process is slow, under the influence 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 called symphysis. In addition to the fact that the pubic bone periodically shifts, they swell noticeably soft tissues pubis. 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 pathological condition pubic bone after childbirth, which is accompanied by pain, feverish state. This is enough serious disease which may develop during rapid delivery when the pubic bones do not just diverge, but are torn at the place of articulation (symphysis). The reason for the gap can also be big baby 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 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 provoked chronic osteomyelitis, which goes 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.

The pubic bone is one of the three bones that make up pelvic bone. It consists of two branches: lower and upper, placed at a certain angle to each other and to the body. The vertical formation that unites the two upper branches of the paired bone is called the pubic articulation or pubic symphysis. The body of the pubic bone together with the branches creates anterior section acetabulum and the obturator foramen, which is covered by the obturator membrane.

The structure of the pubic bone has some differences between the sexes. So, the pubic bone in women has a roller configuration. Its thickness approximately corresponds to the thickness of the thumb. In women, the pubic bone forms an elevation, a kind of arc hanging over the vaginal entrance. However, it is not an obstacle to sexual intercourse. In men, the bones of the pubis unite, thus forming the subpubic angle.

Functions of the pubic bones

The bones of the pelvis, including the pubic ones, due to the presence of red bone marrow participate in the process of hematopoiesis. Also, they play important role in maintaining natural balance and body movement, helping to evenly distribute the load on the limbs when performing various movements and while standing. Pubic bones protect pelvic organs from damage resulting from external influences(bladder, lower divisions small and large intestines, internal organs reproductive system).

Why does the pubic bone hurt?

Appearance pain in the frontal bone in men and women in most cases caused by various pathological processes in this area. Most often, the reasons for this phenomenon are:

• abnormal development of the pubic bones;
• the presence of an injury to one or both parts of the pubic bone;
• rupture during childbirth of the pubic symphysis - symphysiolysis;
• infectious diseases of the pubic bones in men and women (these include osteomyelitis of the pubis, etc.);
• stretching of the pubic joint that accompanies pregnancy.

Very often, the pubic bone hurts due to bladder cancer (in this case, pain in the pubic area acquires a “reflected” character).

Often, women during pregnancy complain of pain in the pubic bone area. Often, complaints of this nature are noted in the second half of pregnancy and are inherent in all women who are expecting a baby. The bottom line is that with the approach of childbirth, the body of the expectant mother is increasingly preparing for the birth of the baby. All organs and systems involved in childbirth are subjected to major changes. Pubic bones are no exception. Under the influence of the hormone relaxin, cartilage and ligaments soften in the area of ​​\u200b\u200bthe connection of the pubic bones, which further facilitates the passage of the baby through the birth canal.

However, there are cases when the process of softening of these bones proceeds with complications, which explain why the pubic bone hurts during pregnancy. If its intensity is low, then such pain is usually considered normal. Pronounced and enough strong pain in the pubic bone, accompanied by the appearance of sprains and edema in the area of ​​​​the pubic joint - an obvious symptom of symphysitis. In addition, most often a woman suffering from this disease is characterized by a "duck" gait.

In some cases, symphysitis appears against the background of a lack of calcium in the body. In any case, excessive soreness of the pubic bones during pregnancy is a reason to consult a surgeon or traumatologist.

Treatment of pain in the pubic bone area

Measures for the treatment of pain in the pubic bone include several of the following points:

• manual therapy (gentle);
• wearing a prenatal bandage (applies to pregnant women who experience pain in the pubic bone);
• special gymnastic exercises focused on the muscles pelvic floor and belly;
• active physical exercise in water;
• percutaneous drainage (prescribed for purulent symphysitis);
• taking calcium supplements.

The pubic bone is part of a group of paired bones that form the pelvic bone. It is present in both women and men, but the structure of the pubic bone varies depending on the sex. It consists of a body and two branches located at an angle to each other. Connecting, the pubic bone pair forms a pubic joint, which is the anterior wall of the pelvis.

Between the upper and lower branches is the obturator opening, closed by a membrane. The top of the upper angle of the body has an oval surface, where the pubic tubercle and crest are located. Through bottom side top branch a groove stretches where the obturator vessels and nerves lie. In men, the pubic bone joins to form the subpubic angle. In women, it forms an elevation hanging over the vaginal entrance. Even the fact that the bone sticks out slightly does not interfere with the process of intercourse.

Causes of pain

Pain in the pubic bone can be caused different reasons. Why does the pubic bone hurt?

Other symptoms

In pregnant women with signs of symphysitis, the following symptoms are observed:

• pain on palpation;
• radiating pain in the pelvis and coccyx;
• increased pain during movement (especially lifting);
• "duck" gait.

With symphysitis, a cesarean section is prescribed for a woman in labor

It is worth saying that this does not affect the course of pregnancy and the development of the fetus. Dangerous this violation in the body only during childbirth. In most cases, a caesarean section is prescribed for a woman in labor.

A bruise is accompanied by the following symptoms:

• swelling in the area of ​​the pubic bones;
• pain that makes movement difficult
• pain on palpation;
• hematoma.

For a fracture of the pubic bone, the following symptoms are characteristic:

• severe pain in the groin area, aggravated by palpation;
• symptom of "stuck heel";
• contusion of the organs of the urinary system (difficulty urinating, the presence of blood in the secretions);
• swelling, hematoma;
• damage to other nearby internal organs (with a comminuted fracture of the pelvic bones).

How to get rid of pain

It is not worth waiting for everything to somehow resolve itself. It is necessary to undergo an examination and identify the causes of the disorders that arise. In almost every one of listed cases will need to undergo appropriate treatment. Some of therapeutic measures applicable in all cases.

For example, treatment with manual therapy has a mild effect on the muscles of the hips, pelvis, back. Great importance attached physiotherapy exercises and water aerobics. Acupuncture effectively helps to get rid of pain, but the procedure should be carried out exclusively by a specialist in this field.

Other types of treatment:

• prenatal bandage (recommended for pregnant women);
• percutaneous drainage;
• taking medications that compensate for calcium deficiency;
• local injections of glucocorticoids and other special drugs;
• gynecological, urological treatment;
• dry heat;
• the use of external therapeutic and prophylactic local remedies;
• treatment of a fracture or bruise: pain relief and antishock therapy; stop bleeding; reposition of fragments; solution of related issues if internal organs are injured; immobilization; drug treatment during the period of rehabilitation and recovery.

Most of the difficulties in the treatment of any diseases among physicians arise due to the fact that the patient did not want to apply for qualified help. Therefore, even minor changes in the state of the body are a signal for examination. Note that pregnant women have a higher level of consciousness in this regard, because now they are responsible for at least one more life.