Pubic Pain: Could Exercise Be the Cause? - Urology

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Pubic pain?


Hello doctor, I've been experiencing some discomfort in my left pubic bone recently.
It hurts a bit when I press on it, and my inner thigh feels a bit sore, but I have no issues with urination, no frequent urination, nighttime urination, and both erection and ejaculation are normal.
I have a sedentary job that requires long periods of sitting, but I usually run on weekends.
Could this possibly be caused by exercise? Thank you.

KK, 20~29 year old female. Ask Date: 2012/11/14

Dr. Xu Weikai reply Urology


KK: Hello, it may be caused by exercise or other reasons.
You can apply a local heat compress to see if it helps improve the condition.
If the pain persists, it is advisable to seek medical evaluation.

Reply Date: 2012/11/14

More Info


Hello! Thank you for reaching out with your concerns regarding the discomfort you're experiencing in your left pubic area and inner thigh. Based on your description, it is indeed possible that your exercise routine, particularly running, could be contributing to the discomfort you're feeling.

Pubic pain can arise from various causes, and in your case, it may be related to muscle strain, overuse, or even issues with the pelvic floor. When you engage in activities like running, especially if you're returning to it after a break or increasing your intensity, the muscles and tendons in the pelvic region can become strained. This can lead to discomfort in the pubic area and the inner thigh, as these areas are interconnected through muscle groups and ligaments.

Additionally, prolonged sitting, as you mentioned in your work routine, can also contribute to tightness and discomfort in the pelvic region. Sitting for extended periods can lead to muscle imbalances, particularly in the hip flexors and adductors, which can exacerbate any discomfort you may feel when you do engage in physical activity.

Here are a few considerations and recommendations to help you manage and potentially alleviate your symptoms:
1. Rest and Recovery: If you suspect that your running may be contributing to your discomfort, consider taking a break from high-impact activities. Allow your body some time to recover, especially if you notice that the pain worsens with activity.

2. Gentle Stretching and Strengthening: Incorporate gentle stretching exercises for the hip flexors, adductors, and lower back. Strengthening exercises for the core and pelvic floor can also be beneficial. Focus on movements that promote flexibility and strength without causing pain.

3. Cross-Training: If you enjoy running, consider cross-training with lower-impact activities such as swimming or cycling. These can help maintain your fitness level while reducing strain on your pelvic area.

4. Posture and Ergonomics: Pay attention to your sitting posture at work. Ensure that your chair supports your lower back and that your feet are flat on the ground. Taking regular breaks to stand and stretch can help alleviate tension.

5. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall muscle function and recovery.

6. Consult a Professional: If the discomfort persists or worsens, it would be wise to consult a healthcare professional, such as a physical therapist or a sports medicine specialist. They can provide a thorough assessment and tailor a rehabilitation program specific to your needs.

7. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity of pain, any new symptoms, or changes in urinary function. If you experience significant changes, seek medical advice promptly.

In summary, while exercise can indeed contribute to pubic pain, it is essential to consider all factors, including your activity level, posture, and any underlying conditions. By taking a proactive approach to manage your symptoms and seeking professional guidance if necessary, you can work towards alleviating your discomfort and maintaining an active lifestyle.

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