Pain in the pubic bone or pubic bone mainly occurs in pregnant women, but can also occur as a result of rheumatism, an accident or friction. Sometimes it is unclear what caused the pain. The doctor will then have to conduct an examination. It is important to describe the complaints precisely and at what times they occur. Sometimes, however, there is not much to worry about and the pain in the pubic bone disappears on its own. What causes are there and how to act?
What is the pubic bone?
The pubic bone is also called the pubic bone. When people say the pubic bone they often mean the pubic tubercle. This is part of the pubic bone and is located at the front of the pelvis. It can be felt in the pubic area. Below is some anatomy:
The pubic bone is part of the pelvis. The pelvis consists of several parts. At the back of the pelvis we find the sacrum. The ilium on both sides, and the two pubic bones at the front. The pubic bones are connected to each other by the symphysis, which is located exactly in the middle. The pubic tubercle is located on either side of the symphysis and is elevated. The band of the inguinal fold and an abdominal muscle attach to this.
It all sounds complicated what is described above, but pain in the pubic bone is felt at the front of the pelvis, the pubic bone. This pain is usually clearly felt in the middle, near the pubic area. The pain can radiate to both sides or one side.
Causes of pubic bone/pubic bone pain
One of the most common causes is pelvic instability, which is more common in women than men. Pelvic instability can occur, especially during pregnancy. Pelvic instability is caused by an accident, an abnormality or a hormone disorder. During pregnancy the pelvis moves slightly apart, which is necessary for childbirth. When the front, the symphysis, moves too far apart, the pelvis becomes unstable, resulting in pain. But the pelvis can also become unstable due to an accident, for example. With pelvic instability there is pain that is mainly felt in the pubic bone (at the front) but can also be felt at the back (the coccyx). Pain may also be felt in the left or right buttock. Pelvic instability caused by pregnancy disappears in most cases within three months after delivery. In other cases, a physiotherapist will have to start treatment.
Another cause of pain in the pubic bone or pubic bone is friction due to exercise or sex, for example. When the pubic bone is rubbed, it causes irritation to the tissues around the pubic bone. Muscles, ligaments or the pubic bone/leg may become irritated and painful. This pain disappears automatically after a few days.
A groin injury also causes pain in the pubic bone. A groin injury involves inflammation, compression of the nerves or irritation of the pubic ligaments. The pubic bone muscle may also be irritated or even torn. This is more common in athletes. An irritation can heal fairly quickly on its own if you take some rest. An inflammation or torn muscle or ligament requires a longer healing time. Sometimes painkillers or anti-inflammatories are prescribed. In case of serious complaints, a physiotherapist will be involved and sometimes even surgery is necessary. This depends on the severity of the injury and the affected area.
Rheumatism is a collective name for inflammation of the joints. Arthritis is a form of rheumatism in which the pubic bone can become inflamed. The pubic bone is painful when walking and turning and will later also be painful at rest. Rheumatism is a disease that has so far been very difficult to treat. Pain management is paramount. There are often multiple complaints, in which not only joints but also tendons and attachments can become inflamed. Many people with rheumatism also have other complaints such as intestinal complaints.
The fact remains: most pubic bone pain is caused by pregnancy. It may feel as if the crotch has been stepped on or something heavy is hanging on it. It gives a tiring and painful feeling that worsens when walking. Climbing stairs will become increasingly difficult and lying in bed can sometimes be painful. Turning over in particular causes the most complaints. Some women are afraid of ending up in a wheelchair. Fortunately, this is rare, most women recover quickly after giving birth and no longer feel any pain in the pubic bone. Pubic bone pain during pregnancy should not be confused with ligament pain. Ligament pain can also cause a nagging or stabbing and painful feeling. The pain is slightly higher and located on the side, but can radiate towards the center. Pain in the pubic bone does not necessarily mean pelvic instability. Pregnancy ailments are often quickly attributed to pelvic instability, while something completely different is going on. This does make a difference to the treatment. Pelvic instability can be alleviated by a physiotherapist. Pain caused by friction will disappear on its own. The midwife or physiotherapist will quickly recognize pelvic instability based on the complaints described.