Pubialgia
|
Dr. Wagner Castropil |
"Pubalgia,
pubialgia or pubeíte" are synonymous terms to identify the pain in the area of the
low abdomen, where the musculature interferes in the "pubis" bone, in the
pelvis.
The origin of the problem is the excessive requirement of the abdominal
musculature, necessary to stabilize the torso when kick.
This fact, added to a retraction of the thigh's posterior musculature,
commonly found in soccer players, originates an inflammatory process of difficult solution
and take it to a chronicity.
Many times we also have an unbalance between the abdominal musculature and
the aductur muscles, what has to be researched to apply the treatment.
Since the necessary rest for the treatment cannot be accomplished once an
athlete's to keep on training, the inflammatory process is not solved, and an area of
fibrous tissue is created that, after some period, won't react to ordinary treatments.
Some other problems can disarray the diagnostic so they must be dismissed.
Abdominal hernias can cause pains in the area, and have a direct relation with physical
effort, being the first pathology that should be dismissed.
We should also remember the infections of urinary treatments (cystitis,
uretrites, prostatites, etc), that eventually can cause pains in the area of the low
abdomen confounding the diagnostic.
In male athletes we must remember the problems in the testicle area
(varicocele), and in female athletes the ovarium and uterus pathologies must also be
dismissed.
For sustaining the diagnostic, we can use the magnetic resonance of the
area, that will show an area with a located inflammatory process, close to the pubis (bone
of the abdomem).
The treatment is traditional: trainings removal and physiotherapy sessions
in the area, objectifying to relief the pains and extend the thigh's posterior musculature
and leg; then, later, extend of the abdominal musculature.
In chronic cases, if the traditional treatment doesn't take effect, a
surgery can be necessary to remove the formed cicatricial tissue and liberation of the
abdominal musculature that comes reserved, with good results and return to the activity in
about 2 months after the procedure, with total re-establishment of the athletic
conditions. |
