I have been paddling for about 7-years now. I am 55 I have about 9-boards I like to SUP surf but really enjoy long 8-12 mile ocean and harbor SUP's on my 14'. I recently began having some pain in SI joint that morphed over time into lower abdominal and adductor pain. The pain became so bad that I could not walk. I practiced physical therapy for about 11-years worked on professional cycling teams etc. I thought I had pretty good knowledge of the human body but I am clearly out of my league here.
My MRI came back positive for Osteitis Pubis? Say what? I had never had this come across my desk in all my years and I thought I had seen a lot. I went to the hospital when I could not walk on Feb 14th 2016. I'm looking at 15-weeks since this first began and I still can't walk up the stairs without dragging myself up. I waddle when I "walk" like a penguin. I have had it!
I started physio therapy about 2-weeks ago and it helps a little but I'm afraid to do too much because I don't want a set back. I just feel like the PT does really not know what he is treating. Not many PT's have much experience with OP I am really starting to lose it and need some help from people that understand. I live on the ocean and am a leader in my community when it comes to SUP.
I believe that I may have SUPed so much that I overdeveloped certain muscles causing a strength imbalance that was so severe that it could have caused it. At first I thought it was caused by a misstep and it may have been I'm not sure.
Has anyone out there shared this?? 
I read an earlier post that gave me some hope.
Thanks,
Jeff
Newport Beach, CA
BoardWagon.com
Hi Jeffi'm a physiotherapist (physical therapist) in AUS. I'd find someone who does have experience with OP like conditions, rather tricky thing to treat, but physical therapists are the best equipped to help you. Perhaps a visit to a sports medicine doctor / sports physician wouldn't be a bad option also.OP now is really an umbrella term for that pubic bone area pain. It could be an adductor enthesopathy, conjoint tendon tendinopathy, pubic symphysis pathology, rectus abdominus issue etc etc. Make sure the MRI specifies a particular pathology - is there erosive changes on your pubic bone, if so that's a long term issue. etcGood luck
Thanks for the reply Carter! Actually I am seeing a specialist for the hip area in the morning. I am going to print out a copy of your suggestions for him!
I had a feeling this forum would be helpful.
Cheers!
Jeff
Yeah, what *exactly* did the MRI show?
Is there any other form of exercise you can do that does not cause pain (eg. certain swimming strokes)?
Well I went to the MD and he verified that I had OP and said it was actually pretty common among hockey and soccer players. He was a younger guy fortunately who understand SUP. He said that most likely injury was caused by SUP as it can put high levels of torque on a joint that really is not designed for the excessive or long distance stress.
He suggested a cortisone injection into the pubic symphysis and then muscle reeducation (PT). Going in today for the big shot (ugh) then looking forward to a steady recovery and hopefully back to a normal summer!
I went back and counted how many days I was down from onset... 108. What a rotten situation hoping for the best. Will keep findings posted.
very common in soccer and in Australia it's very common in our AFL players. Absolutely - interesting as a long term thinking - your adductor muscles are probably working mega hard to stabilise your pelvis on the board, indicating that something else might not be working as well as it should - likely your gluteus medius - I'm sure your PT will get cracking on your glute strength! the cortisone won't be the most fun thing you've ever done, but it will give you a therapeutic window where the stuff the PT does will actually work well!
