Pubic Pain in Pregnancy

This week I thought I would touch on a subject that I have only very recently encountered.. With being pregnant, sometimes you feel like your body is still the same as before you were pregnant. It is not until something happens and you get some severe pain that you know your body is changing dramatically.

This happened to me a short while ago with the gym, doing my usual routine, it wasn’t until I got home a relaxed and sat in a strange position that it all fell apart. As I tried to stand up and walk my pubic bone had separated and twisted, due to my expanding muscles a changes in the “Relaxin” hormone changing those muscles.

This is called Symphosis Pubis Dysfunction (SPD). Pubic Dysfunction in pregnancy happens because of the hormone “Relaxin” that causes the muscles to soften in the pelvic area to help get the uterus ready for the baby to move down through the birth canal. Relaxin starts coming into play from about 12 weeks, so anytime from here it is important to be careful of those ever softening muscles.

The Symphysis pubis plays a huge part in holding the pelvis steady during activity, so you can imagine the pain you can suffer when that is not aligned properly (whilst also carrying a very heavy load).

Some of the symptoms that can come with this condition vary from women to women. The pain may just stay in one place at the front of the pelvis, in other cases it can move from different areas in your pelvis.

  • Pain over the front joint
  • Pain described as deep bruising, burning or stabbing
  • Tender to touch
  • Lower back pain, especially in sacro area
  • Hip, groin and lower abdominal pain
  • Reduced hip range of motion
  • Radiating pain to inner thigh
  • Waddling/shuffling gait
  • Increased pubic pain on normal activity eg. walking, parting and lifting legs
  • Audible clicking/grinding sound coming from the pelvis (at the symphysis joint)
  • Bladder dysfunction (temporary incontinence with changes in position)

Chiropractors often hear from their patients that they have difficulty rolling over in bed, going up or down stairs, getting in or out of the car, bending over to put clothes on, lifting legs, getting in and out of the bath.

Getting Treatment:

As I have had this problem during my pregnancy the help of Chiropractor has been evidently beneficial.

The majority of women who receive Chiropractic treatment for SPD, will experience a positive response. Chiropractic aims to address the root cause of the problem. It is recommended that you start getting treatment early on to prevent the the problem from becoming more severe later in your pregnancy.

Treatment may involve:

  • Work on the soft tissues
  • Ligament release techniques
  • blocking techniques (using a wedge shaped blocks placed under pelvis to relieve pressure)
  • Activator techniques
  • Webster’s Technique
  • Exercise advice
  • recommendation of a pelvic joint stability belt

Some self help techniques for at home may be:

  • Resting
  • Using a body pillow between legs whilst lying on side in bed
  • Not sitting with your legs crossed
  • Keeping legs symmetrical when moving and sitting
  • Avoid lifting, twisting, prolonged standing, vacuuming
  • Avoid straddling or squatting
  • Move both legs whilst getting out of car, do not separate
  • Avoid breaststroke

Your Chiropractor can advise more techniques to help after they have assessed your case.

pelvis-symphysis-pubis

For more information or to book an appointment give us a call on (02) 9418 9031 or visit our website http://www.chiropracticcentral.com.au

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