Sports pubalgia manifests itself as pain in the groin or the symphysis pubis caused by torn tendons in the abdominal muscles and / or those of the thigh adductors. These muscles attach to the pubic bone. Sports pubalgia occurs in athletes practicing disciplines that are characterized by sudden changes in the direction of running and positions in wide legs combined with torsional movements of the torso (footballers, hockey players, rugby players, tennis players). The pelvis in the area of ​​the symphysis is then subjected to enormous forces related to the tension of the abdominal muscles and the thigh adductors, which leads to an injury. Sports pubalgia also includes damage to the transverse fascia of the abdomen, which can sometimes lead to an inguinal hernia.

Treatment of torn prote muscle attachment to the pubic bone involves properly directed rehabilitation. In the first stage, the aim is to heal the damaged tendon of the muscle. The next goal is to equalize abnormal tensions within the spine-pelvis-lower limb complex and learn to activate the muscles responsible for the active stabilization of the trunk. The last stage includes strengthening exercises and strength and endurance training in patterns typical for a given sports discipline. In most cases, it is possible to return to sports in the 6-8 weeks after starting physiotherapy.

Inguinal hernia may occur only in some cases of damage to the abdominal integuments typical of sports pubalgia. Extensive tearing of the abdominal transverse fascia may be related to the actual bulging of the lower abdominal organs by the damaged area. In most cases, however, pubalgia involves injuries to the attachments of the abdominal muscles and the muscles that add to the thigh to the pubic bone, which is not accompanied by the formation of a hernia.