134 Comments Show Are you pregnant and having difficulty rolling in bed, getting in and out of your car, climbing stairs, or walking due to pelvic pain? You may be suffering from a common condition called symphysis pubis dysfunction. The pubic symphysis is located at the front of the pelvis where the two sides of the pelvis meet. This is typically a fairly stable joint, but changes in the hormones during pregnancy relax the ligaments and allow for increased movement, which can result in misalignment and more importantly pain. Pubic symphysis dysfunction is thought to affect up to 1 in 4 women during pregnancy. It can range in severity from mild discomfort during daily activities to inability to bear weight on the legs. The main symptom of pubic symphysis dysfunction is pain at the front of the pelvic girdle, but many women also complain of lower back pain, leg pain, or lower abdominal pain. Women who are experiencing pain may also walk with a waddling gait and have pain with walking, lifting and carrying objects, rolling in bed, climbing stairs, getting in and out of the car, and standing. Any activity that requires asymmetrical movement of the legs is likely to cause pain due to shearing forces at the pubic symphysis. Diagnosis can usually be made on symptoms alone as many imaging techniques are not recommended during pregnancy. Ultrasound may be used during pregnancy, and if symptoms persist after pregnancy, a pelvic x-ray or MRI may be indicated. Physical Therapy as a Treatment Option Discussing a birth plan with your doctor or midwife is important to minimize pain and further damage to the ligaments during labor and delivery and postpartum pain. Additionally, it is important to tell nurses and others assisting with your delivery that you have symphysis pubis dysfunction so that aggravating positions such as squatting and reclined sitting with the legs wide apart are minimized. Realize that if you have an epidural you will not be able to feel the pain during labor and delivery, which you may believe is good, but you may be causing further irritation/damage to the area that you will certainly feel once the anesthesia wears off. Alternative pushing positions such as hand and knees or side-lying may be utilized. Tips to Manage Pain Associated with Everyday Activities:
The good news is that if you can manage your symptoms during pregnancy, the majority of symphysis pubis dysfunction resolves after pregnancy as the hormones return to pre-pregnancy levels. If you believe that you have symphysis pubis dysfunction, discuss with your doctor or midwife. For more information on Athletico’s services around pelvic pain and other women’s health therapy, please click here. When should I be concerned about pelvic pain during pregnancy?Can Pelvic Pain During Pregnancy Be Serious? Sometimes pelvic pain during pregnancy can be serious. If your pain is coupled with certain symptoms, such as fever and bleeding, call your health care provider right away.
Does pelvic pain indicate normal delivery?Most women with pelvic girdle pain (PGP) have a normal vaginal birth. You may find that certain birthing positions are more comfortable than others.
Can barely walk due to pelvic pain during pregnancy?PGP used to be known as symphysis pubis dysfunction (SPD). PGP is common, affecting 1 in 5 pregnant women, and can affect your mobility and quality of life. Pain when you are walking, climbing stairs and turning over in bed are common symptoms of PGP. However, early diagnosis and treatment can relieve your pain.
How do I make my pelvic area Stop hurting during pregnancy?How to Reduce and Treat Your Pelvic Pain During Pregnancy. Exercise in water. ... . Use pelvic physiotherapy to strengthen your pelvic floor, stomach, back, and hip muscles.. Use equipment such as a pelvic support belt or crutches, if necessary.. Rest when possible.. Wear supportive, flat shoes.. |