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Hello, I am a lady of 46. I have 2 kids of 20 & 21. Both normal delivery. I am suffering from acute pain in my pubic bone since 12yrs. The pain started during my 4 months of pregnancy. After delivery there was no pain while walking. I realized the pain only in laying positions. After 10 years of delivery the pain has increased to such a level, that my daily life has crippled. I am turning out to an invalid person. Pls advice. Is there any solution to this problem? X ray report- Both sacroiliac joints are normal. Break is seen in PARS inter articularis at level of L- 5 without any forward subluxationof L- 5 over S-1 - Suggestive of pre Spondylolisthesis (Lumber spondylolysis) at level of L-5. Both sacro - iliac joint are normal. No obvious bony lesion is seen in pelvis and hip joint (both sides). Sclerosis is seen in the region of pubic symphysis in pubic artery. Ray Blood report-CRP (c- reactive protien) -- 2.6 mg/l RA factor-- 5.20 IU/ml Anti CCP --0.38 OD ratio. ESR 05 mmHLAB- 27 -- positive (method: flowcymetry) Regards.
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The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflamed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful pubic bone and that would automatically reduce the pain.
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