Clinical and Radiological Recovery of Osteitis Pubis: Spontaneous or Steroid-Induced?

On our physical examination, there was tenderness on pubis. After delivery, plain radiograph showed erosions all through both pubic rami, which were more prominent at the inferior part. Her numeric rating scale for pain was 7/10. Symphysis pubis injection with fluoroscopic guidance was performed with 40 mg methylprednisolone and 1 mL 0.5% bupivacaine. One hour after this injection, her numeric rating scale decreased to 3/10, which remained at the same level throughout the first three weeks. At seventh week, she was symptom free after a second injection with the same technique.