Athletic Pubalgia — Non-Operative Management

iOrtho

Weight-Bearing

FWB throughout; avoid activities that increase intra-abdominal pressure

Key Restrictions

Avoid lifting or activities increasing intra-abdominal pressure throughout; no running until pain-free jogging; hip (flexion/abduction/adduction) LSI <20% before return to running

Timeline & Phases

Phase I (Acute - pain control/ROM/isometrics), Phase II (Subacute - PRE/return to running), Phase III (Early RTS - plyometrics/sprinting/agility), Phase IV (Unrestricted RTS)

Notes

Criterion-based; covers adductor/pubic/inguinal/iliopsoas-related groin pain per DOHA 2015 terminology; HAGOS questionnaire >90% for RTS

Published

August 2024