Keyword: Pubic Bone pain
This most disconcerting condition, mainly in women, involves the pelvis, a ring of three bones: An ilium (A) on each side, with the sacrum (B) wedged between them. Between the three bones are three joints:
The ilium, plural two ilia, adjective iliac, as in sacro iliac joint. Then there is the sacrum nesting between the two ilia.
The acetabulum is the socket where the ball of the thigh bone, or femur, attaches the leg to the ilium.
The superior pubic ramus and the inferior pubic ramus complete the picture, enabling one ilium to connect to the other ilium at the pubic symphysis.
The pubic ramus bones as you can see are part of the ilium, and thus make up a portion of the pelvis. There are two pubic bones, one superior and one inferior. They are very important for the attachment of some of the great muscles of the thigh, and the deep muscles of the pelvis.
The pubic bones on the left articulate with those on the right via the pubic symphysis joint. Where is this joint?
The pelvis itself is a unique ring of bones in the body. It gives attachment
for the legs to the body, forms the foundation of the spine and gives
protection to many organs such as the bladder, colon, rectum, prostate.
Read more about the pelvis at the site below.
For more information on the bones of the pelvis and, in particular the sacroiliac joint anatomy see the link below.
Because Pregnancy and Backache are words often mentioned in the same
sentence, many Chiropractors' offices are full of pregnant women, and
with good reason; and their colicky babies too.
What is inexplicable is that first sign that a woman may be pregnant is backache, even before the nausea starts. Subtle unknown hormonal changes begin that affect the musculoskeletal system, preparing for the great event.
And whilst this may be in some cases be referred pain from the uterus, in many there is a clear musculo skeletal influence. Perhaps bending becomes painful, or turning in bed hurts, or pubic bone pain.
They manage low back pain and pubic bone pain very successfully.
Specialised courses for chiropractors wanting to specialise in, or update on the treatment of the pregnant women and children are now commonly found on the Chiropractic Continuing Education websites.
Hormonal changes (to allow for the baby to exit via the pelvis) and postural changes (due to the increased curve in the back) mean that this can be a very difficult time for some women. Fitness and mobility of the joints is of the greatest importance in the management of pubic bone pain.
United Kingdom practice IsisChiropractic is fairly typical, their website offering some good information on the subject of pregnancy and back pain, which I recommend that you read. Read more about CHIROPRACTIC PREGNANCY care…
The pubic bones can become extremely painful in differing syndromes, many associated with pregnancy. What is sometimes very distressing is that opening the legs during sex may be painful and, untreated, it may last for months and months after the birth. This is not vaginal pain, but the pain associated with this chiropractic syndrome, loosely called PUBIC BONE PAIN.
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the close approximation of the bladder and uterus to the pubic bone shown here (in white) in the front. When your baby starts dancing on your bladder it can cause very awkward and embarrassing pubic bone pain.
In this picture you can see the two rami, one ramus, plural rami, one above, the other below. They are called the superior and inferior pubic rami.
As an aside, osteoporosis, or brittle bone disease, is a condition that affects mainly women. This is an xray of an elderly woman who took a tumble, and fractured both rami. It's often not clearly seen on a plain xray and a bone scan may be needed to confirm the diagnosis.
The causes of osteoporosis, are now fairly well researched and known. It's no longer necessary for any woman to suffer from this nasty disease, if she does something in time. Actually, in pubity is where it all begins. Sadly many women take no notice; osteoporosis only happens to other people.
This is the fracture that Angela Merkel had recently whilst cross country skiing.
You can be sure she has extreme pubic bone pain, for some of the same reasons that we are considering - there are many large powerful muscles that attach to the inferior pubic ramus so, in her case, walking is also extremely painful. She's probably on crutches.
Note here the three very large muscles of the inner thigh that attach to the inferior pubic ramus. It is these muscles, together with the psoas muscle that usually cause the great pain of this syndrome. Opening the thighs stretches these muscles and, if their insertion into the pubic ramus is irritated, then sex will be very painful. Not vaginal pain, but thigh muscle and pubic bone pain.
Notice here how many of the nine pelvic muscles, in Dutch the so called bekkenbodem spieren or bottom of the pelvis muscles, are attached to the pubic bones. Hence in pregnancy the pelvic bones often become very painful. This pain really lends itself to chiropractic treatment.
Read more about the causes of osteoporosis. I think this is the most important of the over 360 pages at Chiropractic Help; even more so than PUBIC BONE PAIN.
Three other condition in and around the pelvis that commonly cause groin and pubic pain with soft end feel in the hip are the
Treatment of PUBIC BONE PAIN
Because these pubic pain syndromes are joint-muscle-nerve conditions, they responds very well to chiropractic management. The treatment is based on the findings during the examination, but the hallmarks are usually:
Sacroiliac joint treatment ... is not usually particularly painful, but the treatment of the muscles of the thigh and groin may be extremely painful. In my experience, one light stroke along the muscle (painful), one deep stroke (very painful), and one or two stretches (not particularly painful) are about all that most people can tolerate. Follow up with ice at home. Some bruising may occur.
As you can see from the picture above, the stripping of the muscles will be very close to sensitive areas. Take your husband along for the first few visits, just to put everybody at ease. Your chiropractor may be even more anxious than you are, whilst working in this area.
A regular walk will help. Take granny along for company, good for you both. If you want to know just how fit granny is, click here for a simple three minute fitness test. KASCH PULSE RECOVERY TEST ...
FROM THE COAL FACE.
Mrs S. is a young woman in her late twenties who consulted me for
severe headaches, which responded well to the usual chiropractic care.
She also had had some mild sacro-iliac pain since the birth of her
second child, some fifteen months earlier. At what I thought was going
to be our last visit before she went onto her two monthly maintenance
care, she posed the following question, her confidence in me having been
'Doctor, do you think you can do something for the pain here in
my groins. It is so painful ... when I open my legs ... stumbling on
awkwardly ... you know,' she finished lamely.
Because this condition involves examination of the more private
areas close to the vagina, it is more than likely your chiropractor will
omit it, unless you draw his attention to the fact that you have pain
in the thighs and groin.
This is particularly true should you be expecting. Leg pain
during pregnancy is very common and readily and safely treated with
Leg pain during pregnancy ...
Deep Pelvic Pain & Pubic Bone pain
Undoubtedly one of the causes of pubic bone pain is referred pain from the deep internal pelvic organs. Some reports that one in seven women suffer from one degree or another from deep, chronic, incapacitating pelvic pain. This could be endometriosis, birth trauma to the uterus or vagina, bladder conditions and other. When all else fails, medicine has been using a procedure called LUNA, cutting the nerves to the pelvic organs, but a new study done on 500 women reveals that it has no benefit at all. Type LUNA into WebMD. Research suggests it doesn't help pubic pain ...
Perthes disease and Developmental Hip Dysplasia
Another condition with a soft end-feel is Perthes Disease , a condition of the hip and groin in the growing child. Please, if your child is limping, and complaining of pain in the groin, hip, or knee take him or her to your chiropractor without delay. Perthes is such a serious condition that it must be caught early, and is very definitely not one of those 'wait and see' conditions. Don't let anyone kid you with talk about growing pains. They don't exist. Hip dysplasia is a condition that should have been picked up at birth. However mild cases slip through under the radar. Groin pain, a short leg and very mobile hip are the signs. Both, if missed, lead to premature severe hip arthritis. You don't mess with pain in the groin, it can be very serious.
HIP ARTHRITIS and LEG LENGTH INEQUALITY
The hip, where the ball of the femur fits into its socket in the ilium is a weight bearing joint and is particularly prone to wear and tear osteo-arthritis. Hip arthritis is more prevalent should you have a short leg which causes an uneven gait and extra stress on the hyaline cartilage in your joints.
Hip arthritis starts much earlier in neglected childhood syndromes such as Perthe's Disease, sports trauma, and a Slipped Femoral Capitus Epiphysis, a condition found primarily in the obese child.
Another only recently understood condition called Femoro Acetabular Impingement Syndrome
causes stiffness in the hip but little pain in the young adult. Caught
early it's very treatable. Ignored, it inevitably causes premature hip
osteo arthritis. Likewise with hip dystrophy.
The key sign: pain in the groin.
Both arthritis in the hip (generally in the older person) and the
impingement syndrome (younger people, who of course become older, so in
all age groups) are characterised by a hard end feel when ranges of motion of the hip are tested.
For more information about hip arthritis which is usually characterised by groin and pubic bone pain, click here. HIP ARTHRITIS ...
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"There has been wonderful feedback from the students at WIOC regarding Frog and Bats and I have encouraged them to ask their principal chiropractors to stock them in their clinics for patients to buy for themselves or as gifts. I also read the glowing review from Michelle Wessely in the Back-Space magazine."
Marty Timchur M D, Glamorgan.
And of course, if you buy one of these books now, you could read it first before giving it to your chiropractor!
Aside: Ever think of sending your chiropractor, doctor, surgeon a card, small gift, bottle of red wine... when you know they've gone they've gone the extra mile? Doctors too need encouragement.
Last, but definitely not least, we will briefly consider the coccyx. Direct trauma to the coccyx can fracture or subluxate the coccyx and sprain the ligaments, causing months of pain, mostly when sitting.
This is a very treatable syndrome that chiropractic excels in. A coccyx pillow has much virtue and the coccyx can usually be adjusted externally.
As a fall on the buttocks, injuring the coccyx often shakes the whole pelvis up, sacro-iliac and pubic bone pain may accompany this condition.
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It is also commonly associated with Child-birth.
For more information about the bruised coccyx and coccyx pain relief with Chiropractic, click here:
Coccyx pillow ...
IMPORTANT CONSIDERATIONS @ PUBIC BONE PAIN
Are you suffering from pain in your groin or a stiff hip?
Click below to see contributions from other visitors to this page...
Groin vaginal acute pain
Groin vaginal acute pain I'm having sharp, breath-taking pain upon walking on my inner right groin area. Yesterday the sharp pain dulled out and turned …
upper inner thigh pain Not rated yet
I have been having an upper inner thigh pain for 3 months now. it gets worse with massaging and moving my leg outward Hello, Do a little test for me …
Pain in my lower inferior pubic rami Not rated yet
Pain in my lower inferior pubic rami I've had a dull ache only when I take a first step from resting or sitting on my left side, for about 4 months …
Fractures in pubic bones and L5 Not rated yet
HAVING FRACTURES IN PUBIC & LUMBER 5- SACRAL 1 BONE I need far more detail to give you a sensible answer. How old are you? Falls and injuries? Osteoporosis. …
Pubic bone fractures Not rated yet
In January 2012, I was hit by a car and sustained 4 pubic bone fractures, everything you have written, is what I am experiencing. What are my future treatments …
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Interesting challenges of the day
1. Mr B has the trophy for the most acute neck in February. He has quite advanced lower neck arthritis for a forty year old, thanks to a severe fall on the head from a trampoline. But this is upper cervical pain. Right rotation is simply impossible. Luckily he is improving rapidly, eighty percent better he says after three treatments. See cervical facet syndrome.
2. Mrs C is a new patient with a long history of lower back pain, hip pain and pain in both feet. We'll see how we get on, Rome wasn't built in a day.
3. Miss U sprained her ankle two months ago, wearing high heels. She still has severe mid foot pain. Xrays and perhaps a CT scan.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of foot. It started after a long drive in the car. Update, she's forty percent less painful after four treatments, but the leg is still numb. Update two; she 60% better, but it's slow and is going to take the full 6 weeks to heal. Further update; a setback, after lifting her child she now has leg pain. It's going to the be difficult.
7. Mrs Y, a 70 year old woman is on maintenance care fo a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection in the shoulder. After 4 operations he is incapacitated and going rapidly down hill.
8. Mrs Z, an 78 year old woman is doing remarkably well with a bad sciatica. But at over 200 lbs she is not losing weight, in fact gaining despite my suggestions. She's high risk for a stroke. Referral to a dietician to crack the whip.
9. Mr A, a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. Reassured him it's not hip arthritis.
10. Mrs B, a 64 year old woman has had Scheuermanns disease; it's left with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment, provides she come every six weeks or so for treatment.
11. Mr C, a young engineer fell off his mountain bike injuring his cervical spine and pelvis. Luckily both responded very quickly to a few chiropractic adjustments. Update: his neck is sore again. It all goes back to a whiplash injury ten years ago when he was rammed by a fully laden truck carrying a load of stone. Time for Xrays.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.
And so the day goes. Chiropractors shouldn't be treating the elderly? Bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional
response which turned out to be exactly correct. I now consult a local chiropractor.
You write a superb newsletter, too.
Your own unresolved problem. Pose a question
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
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