Understanding Pubic Rami Fractures
Pubic rami fractures might not be a household name, but if you or someone you know has experienced pelvic pain following trauma or a fall, it’s worth knowing what they are and how a chiropractor can assist in recovery.
The pubic rami are parts of the pelvic bone that form the front arch of the pelvis. There are two pubic rami on each side—the superior and inferior, which connect with other pelvic bones and contribute to the pelvic ring.
If you’ve fractured your pubic rami, you probably didn’t need a Latin lesson on top of everything else… but here it is anyway. The word *rami* is the plural of *ramus*, meaning “branch” in Latin, and refers to the bony arms that extend from either side of the pubic bone. Unusual name? Sure, but then isn’t every medical name when you think about it? (And there’s no need for an inferiority complex; in anatomy ‘superior’ just means ‘above’ and ‘inferior’ means ‘below.’)
Pubic rami fractures can be extremely painful, especially in the days immediately following the injury. They’re common in older adults after a fall, but younger people (especially athletes or those involved in high-impact sports) can experience them too. Call Bayside Chiropractic on (02) 9523 9940 if you suspect a pelvic injury. Our chiropractors may be able to support your recovery alongside your wider care team.
Anatomy of the Pubic Rami
The pelvis is a ring of bones made up of the ilium, ischium, and pubis. The pubic bone is at the front of the pelvis, and each side has a superior and inferior ramus. These ‘branches’ connect to other parts of the pelvic ring. This structure is critical for bearing weight and stabilising the trunk during movement. Because the rami form part of a ring, a fracture on one side can sometimes be accompanied by another injury elsewhere in the pelvis, even if it’s not immediately visible on an X-ray.
Causes of Injury
In older adults, pubic rami fractures often occur due to low-impact trauma, such as a fall from standing height. In younger adults, the injury is more likely to occur during high-impact events like car accidents or contact sports. Occasionally, stress fractures can develop in athletes from repetitive strain. Osteoporosis is a key risk factor as it weakens the bone, making it more susceptible to breaks.
Symptoms and Diagnosis
Pain in the groin or lower pelvis is the most common symptom, especially when standing or walking. Some people report difficulty moving their leg or bearing weight. Swelling or bruising might also be present. Diagnosis typically involves an X-ray, but CT or MRI scans are sometimes needed to identify subtle or non-displaced fractures.
Management and Chiropractic Support
Most pubic rami fractures are stable and do not require surgery. Management typically includes rest, pain control, and gradual return to movement. Our chiropractors aim to support mobility and reduce discomfort during healing. Gentle techniques and targeted rehabilitation exercises may assist with alignment, posture, and muscle imbalances that arise from altered movement patterns.
Recovery Timeline
Recovery varies depending on the severity of the fracture, age, general health, and other underlying conditions. Most people begin to feel significant improvement within six to twelve weeks. However, regaining full mobility may take several months, particularly for those with additional injuries or mobility limitations.
A Final Note
If you’ve had a pubic rami fracture, we’re here to help you get back on your feet. Call Bayside Chiropractic on (02) 9523 9940 to book an appointment with one of our chiropractors. And remember, when it comes to bones, sometimes the branches hurt more than the trunk!
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Information provided here (including text, graphics, images, outbound links, and other material) is for informational purposes only. It is general in nature and is not to be used or considered as a substitute for personalised professional medical advice, diagnosis, or treatment. Always seek the advice of your qualified allied health provider regarding any symptoms, medical conditions, or treatments and before undertaking any new health care regimen.
