Osteitis Pubis is a relatively uncommon cause of pubic bone pain in runners. However, when it occurs it can be a real nightmare to get rid of it. A few months back I received a question about it from a listener...

"Hi Matthew, I’ve been watching your podcasts on YouTube they’re really good. I can’t come to see you as live in England. I’m a 51 year old ________ trying for 5 years to beat 1hr45 for trail half marathon. Not sure if you can help but had to stop due to bilateral pubic rami osteitis (diagnosed on MRI) with medial groin pains radiating down my adductors during runs and for days afterwards. Literature is confusing, rest for 3/12 and lose all my conditioning? stretch or not to stretch? Continue weight training? Run to below 4/10 or not? Try cycling or rowing machine? Please can you advise, understand if you can’t for professional reasons etc. Thanks Adam _____"

Since I had little experience dealing with this problem I took to the internet. It's very hard to find any good information about managing pubic bone pain in runners. I did know just the person to ask though.

My guest today is an expert in the management of hip and groin pain. Benoy Mathew is a Physiotherapist and Extended Scope Practitioner, specializing in the management of complex lower limb pathology. Benoy completed his Masters in advanced physiotherapy from the University of Hertfordshire in 2014. He currently works in a senior clinical role in the NHS and privately at the Life Plus Clinic in London, UK consulting on complex hip and groin pain cases that have failed rehabilitation elsewhere. Benoy teaches his hip pain and running injury management courses to Physiotherapists and other clinicians all over the world.

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