Ngokuyisisekelo, i-pubalgia ingaba ngenxa yezindlela ezintathu:

• Ukonakala kwelunga le-pubic.

I-pubis ngokuvamile ibhekisela ethanjeni le-pelvic elitholakala ngaphambi kwesinye nangaphezulu kwezitho zangasese. Eqinisweni, kuwukuhlangana kwamagatsha amabili angamathambo, kwesokunxele nakwesokudla, ahlangana, phakathi, ngelunga elibizwa ngokuthi i-pubic symphysis futhi elingahambi kahle. Kule ndawo, kungaba ne-joint and bone pathology, ebizwa ngokuthi i-pubic osteoarthropathy, futhi efana ne-osteoarthritis.

• Imvelaphi enemisipha.

Imisipha emibili ingabandakanyeka ku-pubalgia: imisipha yesisu kanye nemisipha ye-adductor.

Eyokuqala yakhiwe ngamaqembu emisipha ahlukene njengemisipha ye-rectus eqala ezimbanjeni ukuze ifinyelele okhalweni (ama-chocolate bars adumile), kodwa futhi ama-obliques nama-transverse, atholakala eceleni; ubuthakathaka obuhlobene balokhu bokugcina kungaba semvelaphi ye-pubalgia.

Imisipha ye-adductor itholakala ohlangothini lwangaphakathi lwamathanga futhi ifakwe ku-pelvis: umsebenzi wabo ukuvumela ukunyakaza kwesitho esingaphansi kusuka ngaphandle kuya ngaphakathi. Kweminye imidlalo, bagcizelelwa ikakhulukazi futhi bangakwazi ukuheha i-pubalgia.

• Ukuhluleka kodonga lwesisu.

Ukuboshwa kwamaqembu emisipha ngaphansi kwesisu akudali udonga olulinganayo. Ngakho-ke kunezindawo ezithile ezintekenteke kakhulu ezingase zivuleke futhi zivumele ukuvela ngaphandle kokuqukethwe kwesisu (i-hernia). Lokhu ikakhulukazi endaweni ye-inguinal (ebuye ibizwe ngokuthi i-groin noma imbobo phakathi kwethanga ne-pubis) okungaba indawo ye-hernia yokuqukethwe kwesisu, ebizwa ngokuthi i-inguinal hernia. E-pubalgia, yile ndlela efanayo engase idlalwe, nakuba ngokuvamile, ayikho i-hernia yangempela, kodwa "ukuvulwa" kwalesi sifunda nje.