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what could be causing aching pain in the pubis symphysis / body of pubis area, during hip flexion exercises?

Question: what could be causing aching pain in the pubis symphysis / body of pubis area, during hip flexion exercises?

I have a client complaining of an "aching"pain in her pubic area when performing squats/lunges, any compound hip flexion exercises. It only hurts when she exercises. She first experienced this pain pre-childbirth (over 9 years ago!).She is a new client and new to Personal training. She appears to have tight adductors. Her knees want to travel medially when lunging. We warm up & stretch the hip and there is still pain throughout the workout. I have referred her to a physio but aminterested in your feedback.

Answer:

Hi there

I am an Australian Kinesiologist/sports therapist

I concur with pilates.neb and think the piriformis muscle is not functioning as it should. This seems to be on the right side only and affects the position of the sacrum. With other words, it misaligns the sacrum-pelvic joint. Weak piriformis causes the sacrum to twist, or 'torque' making the ankle turn in and the knees 'knock'. and the opposite foot turn out. In some people the sciatic nerve passes through the belly of the piriformis and cause heaps of trouble.
I recommend your client see a chiropractor versed in Applied Kinesiology (A.K.) to have this corrected. I do this in 1 treatment and assume other professionals do the same thing. It makes a loud 'clonking' noise when the adjustment takes place, but is without danger.

Good luck.

Hans de Rycke Fr.R.C.
'Bahk-Ge's Retreat'
Natural and Spiritual Healing Center