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Lower Abdominal Injury Help
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Yes, I know that I need to go to a doctor for this and was already referred to a specialist but had it pushed back with COVID-19.

I started having pain that seem to originate very low and flares up immediately when I started trying to run. There was nothing I could figure out that caused it and even took several weeks completely off and no improvement. After this I went to the doctor worried about something more serious and they checked for hernias, testicular exam, and just generally pressed around to feel for anything. I was then referred to an orthopedist.

For a while the pain was constant, and much worse when I ran. Zero pain when riding my mountain bike around the neighborhood. Some pain when doing lunges. Pain during running.

I have included a picture of where it is. Any general ideas of how I could have injured this area? Like I said before, I am still going to the doctor, just trying to narrow things down.


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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Sort of the same thing.. Flare up and feel very tight at the start of a run, would generally loosen up, but then get painful after some rest. Would mostly go away after 24-36 hours. Felt like something was pulling the abs down from the pubic bone area. I also started getting some adductor (?) groin soft tissue pain on the opposite side.

Happened a couple years ago as well, had a hernia specialist look at it, not a hernia. Had a PT "tele-session," she looked at range of motion in and out on each side. She thinks it's an alignment issue, with twist perhaps as well. So my pelvic tilt was pulling the ab down on one side and the adductor (?) up on the other.

Haven't run since about 4/3, trying to just let it all simmer down, doing daily exercises to try to reset the pelvis muscularly (as I understand it). I've done ART and acupuncture for this before, but hands on stuff obv out.
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Re: Lower Abdominal Injury Help [ChrisM] [ In reply to ]
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Its sure an interesting spot to be injured. Hopefully I can get back to the specialist and get an answer soon, but being cooped up and not able to run is really not good for this quarantine 15 I'm working on putting on my frame.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Google "osteitis pubis." Hope this isn't it, but I have had this with MRI confirmation and your symptoms sound familiar. Good luck.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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I 2nd the motion on Osteitis Pubis
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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It could be from more miles than your body can handle. I’ve gotten pain in that area during a 50M trail ultra run (starting at 35mi) and the only way to make it feel better was to do side to side footwork exercises. This might work for you. Just some light side to side to see if it makes you feel any better. You’re going to have to rehab the area in some way to get back to full recovery.

Also, I think flutter kicks and scissor kicks can help to strengthen this area when you’re better, but might be painful now.

https://www.strava.com/...tes/zachary_mckinney
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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I have had some issues in that general area that have been psoas related and perhaps pelvic tilt/twist. Local PTs have helped me work through flare ups generally showing up after big run blocks.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Dude I’m so sorry but it sounds an awful lot like Osteitis pubis. Do a search on this forum and several threads have extensive discussions on it. OP has a long and frustrating road to recovery, but you can beat it with hard work, patience, and time.

I know you’ll get an appt with a sports med doc when you can, I fear you’ll get confirmation.
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Re: Lower Abdominal Injury Help [caamano] [ In reply to ]
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Well, those symptoms match. Hopefully I get a diagnosis soon and can start a true road to recovery. With how easy I have been raking it lately and avoiding the pain, I barely ever feel it day to day, unless I run for even a few steps. Thanks for throwing that out there everyone.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Yeah, I hope we are all wrong but I agree with the OPs, this sounds like osteitis pubis.

The picture you posted is pretty much the exact area where I had pain. Just sitting around, it did not bother me. If I tried to run, even 100m, it was this terrible tight dull ache. Cycling did not bother it, unless I pushed really hard, but I also could not swim (I guess the downward pressure on my hips aggravated the area). Took me about 6 months to recover from this injury so I hope your issue is something different
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Re: Lower Abdominal Injury Help [EyeRunMD] [ In reply to ]
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Were there any exercises or specific stretches that helped with your recovery?
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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BHicks wrote:
Were there any exercises or specific stretches that helped with your recovery?


Part of it was simply rest but I also focused on core work (as tolerated). Glute bridges were a big one for me. I continue to do them to this day. Sit ups and/or crunches were too painful at the start so I stayed away from those. I used machines at the gym to increase my adductor strength.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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I posted a long list of what was given to me for Athletic Pubalgia (a related condition):

https://forum.slowtwitch.com/...ost=7035462#p7035462

It took a long time to recover (6 months), and then to go away completely (1 year). But, there were a few good side effects of the exercises above. Notably, I'm now "bullet proof" on the run. knock-on-wood.
Last edited by: Tom_hampton: May 6, 20 9:38
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Any resolution? Mine didn’t resolve with PT stuff and has gotten a bit worse even tho I haven’t run since,,,,, who knows when.

Seeing a sports doc Monday to try to figure it out.
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Re: Lower Abdominal Injury Help [BHicks] [ In reply to ]
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Closing the loop on mine, MRI shows Core Muscle Injury, tears of abs and adductors.
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