Osteitis pubis (groin injury)

About osteitis pubis (OP)

Osteitis pubis is a condition noted for causing severe and often crippling pain in the groin which can profoundly inhibit physical performance – but it can be cured.

Pain most often originates from inflammation of the insertion of the large adductor muscles into the pubic bone deep in the groin – so-called adductor tendonitis. These muscles are located on the inside of the thigh and are responsible for pulling the leg in towards the midline. (See figure) Pain can occur while exercising or even at rest and the affected area may be very sensitive to the touch.

One of the least understood injuries in sports medicine, OP can create a major challenge for doctors, physiotherapists, trainers and other sports-related health professionals.

Why? Because they know there is little can be done about curing it other than surgery which cannot be guaranteed to work and may keep the athlete off the field for several months.


There are all manner of treatments such as ice, heat, rest, exercise, massage, oral and topical anti-inflammatory medication and so on, but results are often disappointing so OP can persist for a long time.

Wheatgrass for OP

A 40 year old jockey had suffered groin pain since age 10 came to see if I could help him because his pain was so bad his quality of life was virtually ruined. Surgeons had even explored inside his scrotum as they thought the pain may be coming from his testicle, but everything was normal.

Examination revealed a classic case of OP, with marked pain and limitation of leg movement and exquisite tenderness over the insertion of the adductor muscle tendon – the site of OP pain.

I applied a little wheatgrass extract over the tender area. About ten minutes later the patient had regained full movement of his leg and walked without pain – as he said: “For the first time in 30 years!” At follow up a month later, he was still pain-free.

Hard to believe? Of course, but this patient was only one of a numbert I have treated successfully with wheatgrass.

How Does Wheatgrass Work?

I have spent many years trying to figure this out.

Laboratory research has shown that wheatgrass extract can inhibit Substance P – the most widely spread pain transmission molecule in the body. If for instance you burn yourself on a hotplate, Substance P is rapidly released at the site resulting in rapid transmission of pain to the brain so you feel the pain and pull your hand away from the heat.

Wheatgrass has been proven to be a powerful inhibitor of Substance P, so it can help prevent pain sensation reaching the brain, so no pain is felt. So, it is likely in the same way, by applying wheatgrass to the groin for OP, it prevents the pain reaching the brain.

Considering how rapidly wheatgrass worked in this and many other cases, the often stated “disordered musculo-skeletal mechanics” theory of the cause of OP pain, possibly needs to be reviewed.

Wheatgrass has helped many of my patients recover from this condition, often within a few minutes of application, even though it had been present for a long time, as in this case. Probably, the jockey came to the right place!

Dr. Chris Reynolds.