Osteitis pubis » Diagnosis

Exclusion of other illnesses via ultrasound, blood work and MRI

Aim of the necessary medical investigations is the reliable diagnosis of an osteitis pubis and the exclusion of other potential differential diagnosis. In addition the medical investigations done in our practice allow us to differentiate between patients that require a conservative therapy and patients in need of a surgical intervention.

Starting point of the diagnostic of osteitis pubis is the thorough investigation of the patients medical history. A focused apparative diagnostic should always be initiated when the symptoms persist for for than 6 weeks and when a possible trauma can be excluded.

Part of the basic diagnostic in my practice also includes ultrasound of the groin. Here pathologies of the groin region (Sports hernia, common hernia) and adductor muscle insertion points are discovered or excluded.

During the examination of the patient, it is important to diagnose the significant diseases of the hip joint that cause groin pain, such as hip dysplasia and FAI (femoroacetabular impingement).

The following MRI of the pelvis (native and with contrast medium) allows the secure proof of an osteitis pubis. In addition to the verification of an edema in the pubic bone the MRI also allows the exclusion of other possible illnesses that could mimic an osteitis pubis.

The Flamingo view x-ray as well as the scintigraphy of the pelvis is an optional investigation.

The routine blood work looks for an increase in inflammation parameters, rheumatic illnesses, chlamydia as well as borrelia infection.

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