Non-surgical treatment of pubic overload and groin pain in amateur football players: a prospective double-blinded randomised controlled study

Schöberl, Michael; Prantl, Lukas; Loose, Oliver; Zellner, Johannes; Angele, Peter; Zeman, Florian; Spreitzer, M.; Nerlich, Michael; Krutsch, Werner

doi:10.1007/s00167-017-4423-z

Cited by 32 publications

(47 citation statements)

References 48 publications

(75 reference statements)

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“…It hardly ever demonstrates histological evidence of inflammation but rather degenerative changes [49]. Despite limited evidence, non-surgical treatments including eccentric exercises, shock wave therapy, and injections of platelet rich plasmas are sometimes used as therapy [50][51][52]. Glucocorticoid injections should be used with caution given the risk of tendon degeneration.…”

Section: Mechanical/degenerativementioning

confidence: 99%

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

Baumbach

Pfahler

Pozza

et al. 2020

JCM

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Bone marrow edema (BME) is a descriptive term for a common finding in magnetic resonance imaging (MRI). Although pain is the major symptom, BME differs in terms of its causal mechanisms, underlying disease, as well as treatment and prognosis. This complexity together with the lack of evidence-based guidelines, frequently makes the identification of underlying conditions and its management a major challenge. Unnecessary multiple consultations and delays in diagnosis as well as therapy indicate a need for interdisciplinary clinical recommendations. Therefore, an interdisciplinary task force was set up within our large osteology center consisting of specialists from internal medicine, endocrinology/diabetology, hematology/oncology, orthopedics, pediatrics, physical medicine, radiology, rheumatology, and trauma surgery to develop a consenus paper. After review of literature, review of practical experiences (expert opinion), and determination of consensus findings, an overview and an algorithm were developed with concise summaries of relevant aspects of the respective underlying disease including diagnostic measures, clinical features, differential diagnosis and treatment of BME. Together, our single-center consensus review on the management of BME may help improve the quality of care for these patients.

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Section: Mechanical/degenerativementioning

confidence: 99%

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

Baumbach

Pfahler

Pozza

et al. 2020

JCM

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“…In a recent prospective double-blinded controlled level I study, Schöberl et al31 analyzed amateur football players with osteitis pubis and divided them into three groups. Patients in groups 1 and 2 received an intensive 3-phase rehabilitation program.…”

Section: Treatment and Return To Sportmentioning

confidence: 99%

Management of osteitis pubis in athletes: rehabilitation and return to training – a review of the most recent literature

VIa¹,

Frizziero²,

Finotti³

et al. 2018

OAJSM

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Osteitis pubis is a common cause of chronic groin pain, especially in athletes. Although a precise etiology is not defined, it seems to be related to muscular imbalance and pelvic instability. Diagnosis is based on detailed history, clinical evaluation, and imaging, which are crucial for a correct diagnosis and proper management. Many different therapeutic approaches have been proposed for osteitis pubis; conservative treatment represents the first-line approach and provides good results in most patients, especially if based on an individualized multimodal rehabilitative management. Different surgical options have been also described, but they should be reserved to recalcitrant cases. In this review, a critical analysis of the literature about athletic osteitis pubis is performed, especially focusing on its diagnostic and therapeutic management.

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“…39 The use of adjunct treatments, such as manual adductor manipulation or shockwave therapy, in addition to exercises seems to result in a faster return to play, 80,106 but not higher overall treatment success, than a supervised active physical training program alone. 39 Around 50% to 75% of athletes with adductor-related groin pain will return to their previous pain-free level of activity using a general exercise approach.…”

Section: Athletes With Adductor-and Pubic-related Groin Painmentioning

confidence: 99%

“…The clinical difference between adductor-related and pubic-related pain in the current literature seems minimal. 10,11,25,39,80,89,103,106 Therefore, pubic-related pain should be treated in a manner similar to adductor-related groin pain.…”

Section: Athletes With Adductor-and Pubic-related Groin Painmentioning

confidence: 99%

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Thorborg¹,

Reiman²,

Weir³

et al. 2018

J Orthop Sports Phys Ther

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[ clinical commentary ] U U SYNOPSIS: Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions, and classification of groin pain in athletes. This has made clear communication between clinicians difficult, and the results of research difficult to interpret and implement into practice. However, during the past decade, the field has evolved rapidly, and an evidence-based understanding is now emerging. This clinical commentary discusses the clinical examination (subjective history, screening, physical examination); imaging; testing of impairments, function, and performance; and management of athletes with groin pain in an evidence-based framework.

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Non-surgical treatment of pubic overload and groin pain in amateur football players: a prospective double-blinded randomised controlled study

Abstract: I.

Cited by 32 publications

References 48 publications

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

Management of osteitis pubis in athletes: rehabilitation and return to training – a review of the most recent literature

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

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Non-surgical treatment of pubic overload and groin pain in amateur football players: a prospective double-blinded randomised controlled study

Abstract: I.

Cited by 32 publications

References 48 publications

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

How We Manage Bone Marrow Edema—An Interdisciplinary Approach

Management of osteitis pubis in athletes: rehabilitation and return to training &ndash; a review of the most recent literature

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

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Management of osteitis pubis in athletes: rehabilitation and return to training – a review of the most recent literature