Management of chronic recurrent osteitis pubis/pubic bone stress in a Premier League footballer: Evaluating the evidence base and application of a nine-point management strategy

Background/Aim: The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent chronic groin pain and evaluate the evidence of the interventions. Methods: A professional footballer presented with chronic recurrent OP/PBS. The injury was managed successfully with a nine-point programme -. 1. Acute pharmacological management.2. Tone reduction of over-active structures.3. Improved ROM at hips, pelvis and thorax.4. Adductor strength.5. Functional movement assessment.6. Core stability.7. Lumbo-pelvic control.8. Gym-based strengthening.9. Field-based conditioning/rehabilitation.The evidence for these interventions is reviewed. Results: The player returned to full training and match play within 41 and 50 days, respectively, and experienced no recurrence of his symptoms in follow up at 13 months. Conclusion: This case report displays a nine-point conservative management strategy for OP/PBS, with non-time dependent clinical objective markers as the progression criteria in a Premier League football player.