A suggested model for physical examination and conservative treatment of athletic pubalgia.

Journal Article (Journal Article;Review)

BACKGROUND: Athletic pubalgia (AP) is a chronic debilitating syndrome that affects many athletes. As a syndrome, AP is difficult to diagnose both with clinical examination and imaging. AP is also a challenge for conservative intervention with randomized controlled trials showing mixed success rates. In other syndromes where clinical diagnosis and conservative treatment have been less than clear, a paradigm has been suggested as a framework for clinical decision making. OBJECTIVES: To propose a new clinical diagnostic and treatment paradigm for the conservative management of AP. DESIGN: Relevant studies were viewed with regard to diagnosis and intervention and where a gap in evidence existed, clinical expertise was used to fill that gap and duly noted. RESULTS: A new paradigm is proposed to assist with clinical diagnosis and non-surgical intervention in patients suffering with AP. The level of evidence supporting this paradigm, according to the SORT taxonomy, is primarily level 2B. CONCLUSIONS: Further testing is warranted but following the suggested paradigm should lead to a clearer diagnosis of AP and allow more meaningful research into homogeneous patient populations within the AP diagnostic cluster. Strength-of-Recommendation Taxonomy (SORT): 2B.

Full Text

Duke Authors

Cited Authors

  • Hegedus, EJ; Stern, B; Reiman, MP; Tarara, D; Wright, AA

Published Date

  • February 2013

Published In

Volume / Issue

  • 14 / 1

Start / End Page

  • 3 - 16

PubMed ID

  • 23312727

Electronic International Standard Serial Number (EISSN)

  • 1873-1600

Digital Object Identifier (DOI)

  • 10.1016/j.ptsp.2012.04.002


  • eng

Conference Location

  • England