Symphysis Pubis Dysfunction

Symphysis Pubis Dysfunction (SPD) refers to a range of symptoms that cause discomfort and pain in the pelvic area, often radiating to the upper thighs and perineum. It commonly occurs during or after pregnancy due to changes in the body, particularly the relaxation of ligaments and increased joint mobility caused by the hormone Relaxin. This hormone is released during pregnancy to allow the pelvis to widen for childbirth, but it can also lead to instability and pain.

Symptoms of SPD

The pain associated with SPD can vary in intensity, but it is often described as sharp, burning, grinding, or stabbing. You may also experience a clicking sensation in the lower back, hip joints, or sacroiliac joints, particularly when changing position.

Common activities that may increase the pain include:

  • Walking

  • Climbing stairs

  • Getting in and out of a car

  • Weight-bearing on one leg

Pain from SPD is usually relieved with rest, but it can significantly affect daily activities and mobility, making normal movement difficult.

Causes and Impact

During pregnancy, the increased mobility of the pelvic joints, combined with the relaxing effects of Relaxin, can cause the pelvic ligaments to loosen and become less stable. This contributes to discomfort and dysfunction in the pubic symphysis area. The pelvic region is highly impacted by the growing uterus and changes in posture, which further exacerbate the discomfort.

Treatment and Management

During pregnancy, physiotherapy can provide significant relief from SPD pain. We offer support through:

  • Pain relief techniques

  • Advice on the use of support devices, such as pelvic belts

  • Sleeping positions to reduce discomfort

  • Limiting certain activities to prevent further strain

  • Birth planning and positioning tips to help avoid exacerbating SPD during delivery

Postnatally, the focus shifts to:

  • Limiting activities that may cause strain on the pelvic area

  • Working on stability exercises for the lower back and pelvis to promote recovery and restore normal function

Physiotherapy plays a crucial role in the recovery process, helping you regain strength, mobility, and stability in the pelvis and surrounding areas.

Here to help