PRP for pubalgia/osteitis pubis

Pubalgia is a fake condition, doesn't exist. PRP and physical therapy are useless unless you enjoy wasting your money. Stop running and take up walking. Your need to use your muscles in a more functional way until they heal. It could take 1+ years. When you find yourself walking in a more balanced way without pain, slowly reintroduce running first on flat stretches then on more hilly terrain.

You used the word "heal" - does PRP not assist that??

Well, this sounds very familiar! I've had OP for around two years, on and off. I, too, had a cortisone injection which worked great for about a month. I've used a few different PT's, only to have recurrence of the problem.

This past Monday I got a PRP injection to the area. I know there's not a lot of literature out there on PRP for osteitis pubis, but I thought it was worth a try. I was instructed by the doctor to do nothing for a week and then slowly get back into PT. I'm quite sore, so something is definitely happening down there!

Hit me up if you have any questions. We can trade notes on this. I agree, it's definitely the worst running related injury I've ever experienced.

I had osteitis pubis about 10 years ago. The x-rays were really scary. I could see how the bones were beginning to get thinner. At the doctor's instruction, I took (IIRC) about 6 weeks off and then 6 weeks of water running. I also identified the cause... going too fast down steep downhills... and eliminated them from my workouts. I also took some supplements to speed up bone healing. I can't remember what they were... probably MSM, glucosamine, and chondroitin.

I am scheduled to have PRP inj Monday. The fact that it is roughly 6cc of volume should make for some soreness.

I have not run in 4+ months. Have been water "running", swimming - both no pain. When I walk fast, or more than 3 miles, get achy soreness but does not last. Phys Med guy doing injection says that soreness is OK, but my plan is to have injection, wait few weeks, ease into walking again.

z-man, how was the injection? What kind of restrictions were you put on? What is the plan for PT? When can you resume running?

I'm a little over one week out from my injection and still have a little residual soreness. I have done nothing, literally nothing. It's driving me crazy to not even be able to bike or swim. Doc said to lay off for another week and resume PT from ground zero.

Sorry, just saw this. Injection(s) were sometimes brutal. 20cc of local is a lot of volume for that area - lots of tissue tearing. He injected 6cc PRP, both adductors and along/into symphysis. One of the areas hurt pretty bad going in. Achy that night. Pain next day. I cannot take Tylenol so I took nothing. Told 2 weeks of nothing. Did do some easy aqua jogging, felt no pain. Saw him again Friday - same advice: start slow, start over with PT. I go this week. I need goals, so hoping to "hobby jog" Oct. 1. Tired of this crap.

Any follow up on your PRP injection? Been dealing with same since June and considering PRP.

I had this for over a year too. Finally did the PRP during a marathon break. Injection was a [redacted]. The key to recovery was consistent PT in conjunction with the PRP, until I was doing eccentric exercises with weight (meaning I got aggressive with it). Full recovery over a couple months, one of my best ever racing seasons a year and a half later including a marathon PR at age 35. All that to encourage you - one doctor told me I needed two years of bed rest. You can fix this.

Osteitis Pubis is one of the most debilitating injuries/conditions for a runner. It caused me to retire from competitive running in my late 20's after suffering through training and still competitive efforts with huge amounts of anti-inflammatory drugs (mostly aspirin type drugs...this was quite a while ago) . It actually took almost 6 months for a doctor to properly diagnose what was going on. I stopped running altogether for about 6 months and every time I would try I would feel the same symptoms although a bit reduced. I was able to jog a bit over the years with tolerable discomfort. But never with any intensity required for any kind of competitive effort. It is now over 30 years later and even though I don't run, I still feel some discomfort after a day of walking around. I only bike/swim these days. Totally anecdotal based on my experience: I believe it has to do with the basic running mechanics imbalance (leg length discrepancy eg) over-wearing running shoes; and high intensity training. That torque at the Pubic Symphysis is just incompatible with what you are trying to accomplish. They know a lot more about it these days so I wish you luck.

I am having the same issue and am hoping PRP addresses it along with other hip dysfunction and weakness I am experiencing. Had a right hip arthroscopy May of 2017 and PT was right on track for about 9 months, then I took to the driving range one balmy January day and ever since then I've had knots flare up in my glutes and as of Sept 2018 some dull pain on the bone above my public region. I was on the elliptical and bike almost every day beginning June 2017 through Oct 2018 until I had to lay off because of pain.

Stretching and muscle relaxers seem to help along w Ibuprofen. PRP is scheduled for end of Jan 2019 so I'll let you all know how it goes. Have a feeling I'm going to need multiple sessions.

OPsucks wrote:

Well, this sounds very familiar! I've had OP for around two years, on and off. I, too, had a cortisone injection which worked great for about a month. I've used a few different PT's, only to have recurrence of the problem.

This past Monday I got a PRP injection to the area. I know there's not a lot of literature out there on PRP for osteitis pubis, but I thought it was worth a try. I was instructed by the doctor to do nothing for a week and then slowly get back into PT. I'm quite sore, so something is definitely happening down there!

Hit me up if you have any questions. We can trade notes on this. I agree, it's definitely the worst running related injury I've ever experienced.

Hi, how was the prp injection? Was it helpful?

I am over two years suffering op!

Pls update if that can be a good solution.

Thanks