>Dear Ian,
>Last summer I went to a one day seminar, about injuries of hip and groin.
>Graham Smith (tutor) told us the following:
>Osteitis pubis is sclerosis of symphysis pubis, but pts. have that long
>before they get problems. Symptoms: vague aches and pains in pubic area and
>inside legs, very tight adductors, recurrent groin injuries over a long
>period of time. Main problem: low endurance of adductors causing fatigue,
>which causes high tone in adductors.
>Treatment: Conditioning of adductor endurance: Repetitative adduction and
>abduction in sling suspension with pulley over symphysis pubis. Do this
>until patient needs rest. After the rest he has to continue until he has
>done 200 repetitions. Carry on this programme until pt. can do 200 reps
>without a rest. (Make sure pt. does not lift his legs, it should be done in
>the hor. plane.
>This Rx does not cure the osteitis pubis, but cures the symptoms.
>Hope this is helpful. I have never come across a pt. with this problem, so I
>do not know if it actually works.
>Good Luck,
>Bernadette.
>
I am interested in this treatment but can't visualize where the pulley is.
This is my attempt at a drawing without doing an attachment to the
file--see drawing below. The person is in sidelying (please reference the
smiling face). Is the "X" located where you are suggesting the pulley
is--ie above the pubis? If that is correct, the next question is "where is
the resistance--at the ankle or above the knee? And I imagine this is very
light resistance in the range of not reproducing any symptoms after at
least 20 reps--correct?
\ X
\
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Herb Silver
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