Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
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Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Stress Fracture of the Pubic Ramus
What is a stress fracture of the pubic ramus?
The pubic ramus refers to a portion of the pubis, one of the three bones that form the pelvis. A stress fracture of the pubic ramus is a small crack in this bone, often caused by repetitive stress or overuse. Physiotherapy plays a crucial role in the rehabilitation process, helping to relieve pain, restore function, and prevent recurrence.
How does a stress fracture of the pubic ramus happen?
When excessive or repetitive stress is placed on the pubic ramus, certain areas of the bone can become damaged. In response, the body initiates a natural repair process where damaged bone is removed and replaced with new bone. However, if the formation of new bone is slower than the removal of old bone, weak areas may develop in regions experiencing repeated stress. Over time, these weak spots can progress into stress fractures if the loading continues. Due to the nature of the forces involved, stress fractures of the pubic ramus are more commonly seen in athletes and individuals who train at high intensities.
What are the symptoms of a stress fracture of the pubic ramus?
A stress fracture of the pubic ramus typically causes groin pain, which is usually localized to a specific point—the site of the fracture. The pain often develops gradually over a period of weeks. Initially, symptoms may only appear after physical activity or exercise, but over time, the pain may become noticeable during activity as well. In some cases, it may even be present at rest. Other symptoms may include:
- Pain when walking, running, or changing direction
- Discomfort when standing on one leg
- Tenderness to touch at the fracture site
- Pain during sit-ups or abdominal muscle activation
- A limp or altered gait pattern
What should I do if I have a stress fracture of my pubic ramus?
If you have, or suspect you have, a stress fracture of the pubic ramus, you should immediately stop any activities that aggravate your symptoms and arrange an assessment with your physiotherapist as soon as possible.
Physiotherapy treatment for a stress fracture of the pubic ramus.
The support of your physiotherapist—alongside other healthcare professionals when necessary—is vital in the management of a stress fracture of the pubic ramus. Your physiotherapist will conduct an initial assessment and may provide a clinical diagnosis. In some cases, to confirm the diagnosis and assess the severity of the injury, you may be referred to an orthopaedic consultant for further imaging, such as a bone scan, CT scan, or MRI. These investigations help determine the extent of the damage and provide a clearer timeline for recovery. Your physiotherapist will then create a personalised treatment plan tailored to your needs. This may include:
- Fracture Treatment
- Manipulation / Mobilisation
- Soft Tissue Treatment
- Core Stability Exercises
- Hydrotherapy
What shouldn’t I do if I have a stress fracture of my pubic ramus?
If you have, or suspect you have, a stress fracture of the pubic ramus, you should stop exercising or participating in sports immediately. Continuing to train or compete can place further stress on the bone, increasing the risk of a larger crack or even a complete fracture. Rest and early intervention are essential to prevent the injury from worsening and to promote proper healing.
Could there be any long-term effects of a stress fracture of the pubic ramus?
A stress fracture of the pubic ramus typically does not result in long-term effects if both the fracture and its underlying cause are properly addressed. However, without appropriate treatment and guidance, there is a risk of the crack worsening into a complete fracture or the development of additional stress fractures when returning to physical activity.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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