TOP SPORTS INJURIES I SEE IN TRIATHLETES…
AND WHAT ARE THE RESULT WITH PROLOTHERAPY.
Ross Hauser, M.D

#7. PUBIC SYMPHYSIS PAIN
Triathletes get a lot of groin pains. When the pubis is palpated it is very painful. Often the adductor muscles (which attach to the pubis) are very painful.

The triathlete gets groin pain that refers down into the adductor muscles. Sometimes doing abdominal work will increase the pain. This occurs because the abdominal muscles also attach to the pubis. If the pubis ligaments or disc is injured then abdominal and adductor muscle spasms occur. If you can’t contract your abdominal muscles, you are not doing any running, swimming, or cycling.

In my opinion, Prolotherapy works great for pubic symphysis injuries. The athlete is seen every two to three weeks for three to six sessions of Prolotherapy. If it is a real bad case (like the case I myself had) I’ll treat someone every week.

If the pubis is injured badly, even bowel movements become very painful, this is why aggressive treatment is sometimes needed.

Typically swimming is the first activity to return, then running, and last cycling. I was 90% healed of my pubis injury when I did Ironman Canada last year. So I had to do most of my cycling in the Ironman upright (not in the aero position). Still I was able to knock 52 minutes of my previous best.

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