Osteitis Pubis is a condition also known as pubic symphysitis is a rare cause of groin pain, which usually radiates into the scrotum in males and into the perineum in females. This is not an infective condition, despite the misleading name. Aetiology may be related to various athletic activities. On examination, there is direct tenderness over the pubis with pain on resisted abduction.
Management of Osteitis Pubis initially involves medical treatment with non-steroidal anti-inflammatory medications and physiotherapy as well as activity amelioration. Local anesthetic and steroid injections may be effective in the acute phase. Refractory cases may rarely require surgery and there are various options including debridement and curettage, excision as well as arthroplasty.
