ʻO ke kumu, hiki i ka pubalgia ma muli o ʻekolu mau hana:

• Ka ino o ka hui pubic.

ʻO ka pubis ka mea maʻamau i ka iwi pelvic aia ma mua o ka ʻōpū a ma luna o nā ʻōpū. ʻO ka ʻoiaʻiʻo, ʻo ia ka hui ʻana o nā lālā iwi ʻelua, hema a ʻākau, e hui ana, ma waena, e kahi hui i kapa ʻia ʻo ka pubic symphysis a ʻaʻole hiki ke neʻe. Ma kēia wahi, hiki ke hoʻomohala i kahi hui a me ka iwi pathology, i kapa ʻia ʻo pubic osteoarthropathy, a e like me ka osteoarthritis.

• He kumu muscular.

ʻElua mau ʻiʻo hiki ke komo i ka pubalgia: nā ʻiʻo ʻōpū a me nā ʻiʻo adductor.

Hoʻokumu ʻia nā hui mua i nā ʻiʻo like ʻole e like me nā ʻiʻo rectus e hoʻomaka ana mai nā iwi ʻaoʻao a hiki i ke pelvis (nā pahu kokoleka kaulana), akā ʻo nā obliques a me nā mea transverse, aia ma hope; hiki i ka nawaliwali pili o ka hope ke kumu o ka pubalgia.

Aia nā ʻiʻo adductor ma ka ʻaoʻao o loko o nā ʻūhā a hoʻokomo ʻia i loko o ke pelvis: ʻo kā lākou hana e ʻae i ka neʻe ʻana o ka lālā haʻahaʻa mai waho a i loko. I kekahi mau haʻuki, koʻikoʻi lākou a laila hiki ke hoʻoulu i ka pubalgia.

• ʻAʻohe pā o ka ʻōpū.

ʻO ka hoʻopili ʻana o nā pūʻulu ʻiʻo i ka ʻōpū o lalo ʻaʻole ia e hana i kahi pā homogeneous. No laila, aia kekahi mau ʻāpana palupalu ʻē aʻe e wehe a ʻae i ka puka ʻana o nā mea o loko o ka ʻōpū (hernia). ʻO kēia ka hihia o ka ʻāpana inguinal (i kapa ʻia ʻo ka groin a i ʻole hollow ma waena o ka ʻūhā a me ka pubis) hiki ke lilo i kahua o kahi hernia o ka ʻōpū o ka ʻōpū, i kapa ʻia ʻo hernia inguinal. I loko o ka pubalgia,ʻo ia keʻano likeʻole e hiki ke pāʻani,ʻoiai aia, pinepine,ʻaʻohe hernia maoli, akā he "wehe" wale nō o kēia māhele.