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PUBIC BONE PAINSome anatomical factsPubic bone pain is a common complaint heard in the chiropractic clinic. The 'pubes', as we call them, are part of a large bone called an ilium that makes up much of the pelvis. These pubes are made up of two half-ring bones, each called a ramus (plural rami), one above and one below. Look for the two rami, called the Superior Pubic Ramus and the Inferior Pubic Ramus in the picture below. See the pelvis? A circle of three bones, two large ones called an ilium, and the smaller one between called the sacrum. The sacrum forms the foundation bone of the spine. It sits precariously wedged between the two ilium bones - a fall on the buttocks can dislodge (subluxate) the sacrum and coccyx, and even fracture them. Click here for more about the sacro-iliac joint and the coccyx.
This pain may be of a temporary nature, but sometimes continues long after childbirth, referring pain down the inner thighs, making walking painful. Opening the legs during intercourse is sometimes also very painful. However, anyone can get pubic bone pain, not only in pregnancy. Men can experience it too. It may radiate into the groin.
MusclesThe bones of the pelvis are the attachment for many important muscles. Some of these muscles remain in and around the pelvis and are vital for such functions as stabilising the sacro-iliac joint, in urinating, defecating, child birth and orgasm.Others stretch down the thigh enabling you to flex, rotate and extend your hips (and other movements that we shall for simplicity ignore - in this case they are not important.) For example, there are three Adductor muscles that attach to the pubes and are vital in squeezing the thighs against each other and stabilising the legs during running, jumping etc. It is these adductors that can become extremely painful in association with pubic bone pain.
TREATMENTChiropractic management of pubic bone pain would include the following:
IT WORKS - TRY US! From the coalfaceMiss van Jaarsveldt, a slightly obese 30 year old woman began a course of treatment for acne some nine months ago. According to her doctor the medication is known to have muscular and joint side-effects though he omitted to warn her. Within weeks she began to experience sacral and coccyx pain and could not sit without extreme discomfort.A short of course of acupuncture and a Coccyx Pillow relieved the coccyx pain, but the pain in the sacro-iliac joints, spreading down the front of her thighs, rapidly worsened even after she stopped the medication. Prolonged sitting and walking became increasingly painful. Her doctor referred her today for chiropractic care. On examination, extension of the sacro-iliac joints was limited and painful, and the adductor muscles of the thigh are extremely, and I mean extremely, tender on palpation. Watch this space! Chiropractic FirstWhether or not the medication is the cause of Mrs van Jaarsveldt's problems is really from our perspective irrelevant. It's now up to the chiropractor to once again show that chiropractic can treat these sorts of conditions more cheaply, faster, and more safely than medicine. Put our mouths where our money is, so to speak.We suggest you put your money there too before trying dangerous drugs and surgery. If Chiropractic doesn't help your condition, you can always resort to the more drastic measures. But if you resort first to Medicine, undoing the side-effects of drugs and surgery can be a nightmare. Do you know what "Iatrogenic Disease" is? According to Wikipedia it's the third leading cause of death in the USA. Doctor-caused disease. In all honesty, any and all forms of treatment, including chiropractic, can aggravate your condition. It does make sense though to start with conservative care, not so?
For more information about Pubic Bone Pain click here.
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