Osteitis Pubis & Tendinitis in Left Groin

[InjuredStill]

Hi,

Im an elite swimmer who has had osteitis pubis and tendinitis in my left groin for nearly six months now. The pubic symphasis has cleared up well and im pain free but the tendinitis is still haunting me! I have had 2 cortisone injections in both groins, the second worked very well allowing me to start some strength work and also getting back in the pool. Progress was good until a few weeks ago, i am now almost back to square one with a great deal of pain on the tendon insertion point ranging from the adductor to just before the hamstring insertion point. That part is not sore until the physio/doctor puts a thumb on the bone/insertion point. But the main adductor is quite sore from the insertion point til about 10-15cm down the leg. I am now looking at a 3rd cortisone injection but am wanting to avoid this. Im wondering if there is anything else i can do? Being a breastroker im not sure that putting more cortisone in that area will benefit me in the long run. As iv been told/done research that the cortisone takes calcium out of the bone and makes the tendin weaker?

Any help would be greatly appreciated.
Thanks

[Flash]

Hi InjuredStill

first of all there is a ton of infomation in the ostetis pubis and footballing osteitis pubis threads so a quick read there would be helpful.

I was going to say being a swimmer OP shouldnt trouble you as much however i see your a breastroker and yes that would trouble you. First of all

How do you go with freestyle and backstroke pain wise?
Where are you from? If Aust what state?
Are you getting the injections in the pubis symphysis (front on, with a guided x-ray) or in the adductor joint ( in between the legs)?
Have you had any scans (x-ray, MRI) to confirm Osteitis Pubis?

If OP has cleared up and you have had the MRI results to prove it then a good deep massage is what you need i can try to recommend a place near your area, If you havent had the OP cleared up by via a MRI chances are there is still some bone marrow oedema in and around the pubis symphysis. I could also try and get a good massaging place in your area.

If you havent tried a deep massage as yet then thats your next step.

Let us know all the answers the the questions i have asked you

All the best

Flash

[Beams]

Injuredstill,

I have OP and tendonitis on my left side too, except i'm going on 16 months. How did you get your pubic symphasis to clear up?

I think that if you are having doubts about injections, you shouldn't get them. Thats why I didn't. Although a lot of people on these forums say it helps with the pain and some of the discomfort, I haven't read about anyone recovering because of the injections yet...

What do you think, Flash? I know you have had some help from injections.
I agree though, deep massage is the way to go, and if you are in Victoria, you are set! Garry Miritis or Pat Allen are supposed to be the best in the world.

One other option that is supposed to have just as much effect as injections but is safer is acupuncture... although ensure that anyone you see is well qualified.

Good luck!

Beams

[Flash]

First injection was a left adductor shot, which worked really well as most of the pain was from the left side. cured pain in the left adductor and left pubis sumphysis for 4 months, but wore off.

I felt the 2 pubis symphysis injections were pretty much useless, costing roughtly $160 shot is x-ray guided as they put the injection in as it has to be in the right spot and is very uncomfortable you wear a coat that covers all nothing underneath it is a very rare injection, only one lady knew how to do it properly and about another 2 -3 others come in to assist or learn and coat comes off and it takes about 20mins to get everything ready and have the shot.

Had superior results seeing Garry, but who knows the injection may have taken a bit of the bone morrow oedema out of the pubis symphysis