Symphysis Pubis Dysfunction

With all of the beautiful pics that flood our minds when we think of pregnant women, not once do I imagine the face of excruciating pain getting up from a chair or the ever so painful attempt to roll over in bed.  However, 31% of pregnant women report symptoms associated with Symphysis Pubis Dysfunction (SPD).  Reports indicate those numbers could be even higher due to lack of reporting. 

Signs of SPD:

• “shooting” pain in the symphysis pubis;
• radiating pain into the lower abdomen, back, groin, perineum, thigh, and/or leg;
• pain on movement, especially walking, unilateral weight bearing or hip abduction
• pain with activities of daily living, including bending forward, standing on one leg, rising from a chair, go up or down stairs, turning in bed
• pain relieved by rest
• clicking, snapping or grinding heard or felt within the symphysis pubis;
• dyspareunia (painful intercourse)
• occasional difficulty voiding;
• unmotivated fatigue.

Could My Pain Be Something Else?

Yes,  pain in this area can be caused by round ligament pain (stretching of the uterine ligaments that occurs during pregnancy), urinary tract infection, nerve impingement and more. 

What Causes and Exacerbates SPD?

• Biomechanical strain to the pelvis (ie growing baby!)
• Weakness in the core and hips (staying strong during pregnancy is key!)
• Inadequate pressure management (Ie you are straining during daily movement and you may not even be aware!)
• If you were "loose ligamented" prior to pregnancy, you are more at risk during pregnancy
• Previous back or hip injury
• Prolonged sitting or standing asymmetrically

What Can I Do To Manage My Pain

• Proper posture, movement, breathing and lifting is the #1 best strategy for managing your symptoms. (PS- this is critical for ALL pregnant  and postpartum moms for optimal pregnancy and recovery!)9782386276
• Avoid sleeping without a pillow between your knees
• Don't stay in one position for too long. 
• S-I joint stability belts can be helpful. I have found that they can be very helpful if you have a lot of walking to do. They can be uncomfortable if you are sitting and getting up frequently.
• SI joint taping can provide support and stability and has the benefit of lasting up to 3 days! 
• Performing some targeted exercises will help keep the right muscles working to support your pelvis
• Of course there are chiropractors and other supportive healthcare options.  However, during this time of social distancing due to the Coronavirus I am even more amped up to promote self awareness and management.  I have been surprised by how great my Telehealth sessions have been going! Call today for a complimentary phone consult to determine if this is a good option for you!    9782386276