Treatment of osteitis pubis in athletes. Results of corticosteroid injections

Am J Sports Med. Sep-Oct 1995;23(5):601-6. doi: 10.1177/036354659502300515.

Abstract

This study presents the results of treatment of osteitis pubis in 12 intercollegiate athletes. Early in this series, athletes were treated with prolonged rest, oral antiinflammatory medications, and hip-stretching exercises. Of the nine athletes treated in this manner, only one resumed symptom-free activity after 16 weeks of therapy; eight remained symptomatic and subsequently received a corticosteroid injection (1 ml 1% lidocaine, 1 ml 0.25% bupivacaine, and 4 mg dexamethasone) into the pubic symphysis. Of these eight athletes, three returned to full participation within 3 weeks of injection, four required a second injection to alleviate their symptoms, and one was unable to resume athletic activities despite two injections and an inguinal herniorrhaphy. In recent years, we have recommended an injection if treatment. Three athletes received a corticosteroid injection when their symptoms did not resolve. All three returned to full athletic competition within 2 weeks of the injection. The results of our study suggest that a more rapid return to intercollegiate athletics can be achieved through the judicious use of corticosteroid injections.

MeSH terms

  • Administration, Oral
  • Adrenal Cortex Hormones / therapeutic use*
  • Adult
  • Anti-Inflammatory Agents
  • Athletic Injuries / diagnostic imaging
  • Athletic Injuries / therapy*
  • Exercise Therapy
  • Female
  • Humans
  • Injections
  • Male
  • Osteitis / diagnosis
  • Osteitis / diagnostic imaging
  • Osteitis / etiology
  • Osteitis / therapy*
  • Pubic Symphysis* / diagnostic imaging
  • Radiography
  • Rest
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Anti-Inflammatory Agents