Severe pubic bone pain in female when trying to sit up.

by Nic
(Florida)

Hello. For about a week now I have felt this unnerving pain in my pubic bone (pain is only present with certain movements). At first it really felt like the pain of an emerging HSV-2 coming in again, but no sore has shown up!!! The pain has gotten worse now, especially when I try to sit up from a laying position using only my abs to pull myself up. As I sit here typing this, I have no pain, but I can create it by simply tightening my abs and bearing down! It feels like a giant painful internal zit that is full of painful pressure and will burst if I tighten my abs even more.

There is no bruise on the skin that sits on my pubic bone and when I palpitate the area, it is not really that painful at all (just a little discomfort)..... It is only very painful with bearing down. I have no leg pain, hip pain or back pain, and it does not radiate to anywhere else.

When I lift and pinch my skin that sits on top of my pubic bone, there is really no pain in my skin either. I am in very good physical shape with great muscle definition showing. Also yesterday at the gym when I did weighted, standing straight arm pull downs, it was killing my pubic bone! Weird, huh? I suppose that again I must have been bearing down and tightening my abs area to maintain my balance. I do follow a healthy diet and work out with weights 5 to 6 times a week. I am 48 and not pregnant. Any ideas?

Hello Nic,
Seeing that you only get the pain when activating the abdominals, or deep pelvic muscles, this sounds like a muscle strain. Especially since you are obviously very active at the gym.

Unless there's actually a tear, it is probably self limiting and given some rest will heal. Can you slow down for a bit at the gym?

Make sure you enjoy plenty of fibre in your food, always a good idea anyway, so you don't become constipated and have to bear down hard.

If the pain continues, I'd recommend you consult your gynae for a checkup; it could be something internal.

Remember the point of the gym is to improve your health, not injure your body. Reassess your programme.

Using the Site Search function in the navigation bar, enter Kegel Exercises; they may help.

I hope this contributes.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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