Osteitis pubis is a common cause of groin pain syndrome, and its incidence is elevated particularly in some sports in which the pubic symphysis is subjected to an excessive mechanical overuse. The clinical picture of osteitis pubis often includes adductor tendinopathy as well as the onset of inguinal pathologies such as hernia, inguinal canal posterior weakness and occult hernia. There exist precise clinical and imaging parameters for the diagnosis of osteitis pubis. The first line treatment is conservative and is based, besides specific FKT, on instrumental and pharmacological therapies.