WOMENS-HEALTH Messages for April, 2000: Re: Ostetis Pubicis

Re: Ostetis Pubicis

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 28 Apr 2000 14:43:41 -0500 (CDT)

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In reply to: Rebecca: "Re: Ostetis Pubicis"

At Fri, 28 Apr 2000, Rebecca wrote: >
>I share a similar story. I delivered about 21 months ago. It was my
>secong pregnancy. I still have pain in my symphysis pubis. I thought I
>was the only one who felt like this. The pain was slight after my first
>pregnancy, but remained until my second pregnancy. It has since
>worsened. After both pregnancies I fear I started exercising too much
>too soon. Two weeks after my first pregnancy I went rock climbing, and
>6 weeks after I delivered I went waterskiing several times. Four weeks
>after my second pregnancy I started jogging 2 miles three times a week
>and haven't really slowed down since. The pain worsened recently after
>I ran a 5K. I notice the pain most when I sit down for long periods of
>time, or when I participate in activities that require quick movements
>(tennis, sprinting, etc). It's also painful to sleep on my back with my
>legs out straight. It seems to help a little when I contract my stomach
>muscles. Is there anything I can do? What do I tell my doctor in order
>to ensure the right diagnosis and the right treatment? Can it be treated
>successfully?
>
>At Mon, 18 May 1998, Padma wrote:
>>
>>I delivered about 15 months ago. About 8 mos. after
>>my son's birth I started training for the LA marathon.
>>During this training period when I ran a 10k race I experienced an
>>intense pain in my pubic bone. So, I went
>>to see my general physician. He explained to me that this
>>was common amongst women who have had babies. It would go away and that
>>I take advil before or after my runs. The cartilige in between the
>>pubic bones is getting inflammed.
>>Hence the Xrays. Then I ran the LA marathon in March. After that I
>>decided to see an orthopedist/sports doctor. He after looking at my
>>Xrays wanted a bonescan done... As a result of the bonescan report he
>>mentioned that I have Ostetis Pubicis (sp?). The orthopedist thought
>>that my OB (who I had a recent checkup with) should have noted something
>>from the Xrays. Anyway, the orthopedist wrote me a subscription that is
>>stronger than advil for 2 weeks. He wants me to quit running while I'm
>>on the medication. Then,
>>have a followup. The orthopedist didn't buy the OB's solution of
>>popping advils.... He says until when? He thinks the pain is probably
>>common up until 4-5 mos. after delivery...
>>
>>I would like another opinion. Can somebody shed some light on this
>>issue?
>>
>>Thanks for your support,
>>
>>- Padma
>

Osteitis Pubis is an inflammation of the pubic bone and surrounding cartilage in the are of the pubic symphysis. It can be caused by trauma to the pubic bone; e.g. surgery, delivery, auto accidents, etc. It is my understanding that it frequently requires long periods of rest and anti inflammatory drugs to cure.

RDB >--
>R. Hall
>

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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