Pregnancy is a transformative and joyous time for many women, but it can also bring about various challenges and discomforts. One common issue experienced during pregnancy is Pubic Symphysis Pain, which can significantly impact a woman's daily life. Let’s delve into the causes, symptoms, and management of Pubic Symphysis Pain during pregnancy.

Causes of Pubic Symphysis Pain in Pregnancy

Pubic Symphysis Pain, also known as Symphysis Pubis Dysfunction (SPD), occurs due to excessive movement or changes in the pelvic joint, specifically the pubic symphysis. This joint is responsible for connecting the two halves of the pelvic bones at the front of the body. During pregnancy, several factors can contribute to the development of this condition:

• Altered Space In The Pelvis & Postural Changes: Pregnancy often leads to changes in posture to accommodate the growing belly. This altered posture can cause added stress on the pelvic region, resulting in pain and discomfort.

• Increased Weight and Pressure: The growing uterus and the weight of the developing baby can exert significant pressure on the pelvic area, causing strain on the pubic symphysis.

• Hormonal Changes: Hormones like Relaxin are released during pregnancy to relax the ligaments and prepare the body for childbirth. However, this can also impact their supportive role in the pelvic area, leading to pain.

  
  

Symptoms of Pubic Symphysis Pain

Symptoms of pubic symphysis pain can vary in intensity and may include:

• Pain and Discomfort: Sharp or dull pain in the pubic area, which can radiate to the groin, hips, or thighs.

• Difficulty Walking or Moving: Pain and stiffness that make it challenging to walk, climb stairs, or change positions.

• Pain During Activities: Increased pain during activities like standing on one leg, lifting heavy objects, or parting the legs.

Management and Relief Measures

Managing pubic symphysis pain is crucial to ensure a more comfortable pregnancy experience. Here are some effective ways to alleviate the discomfort associated with this condition:

• Physical Therapy and Exercises: Consult a Women's Health Physiotherapist who specializes in Pelvic Health during pregnancy. They can design specific exercises to improve the function of your deep core muscles including the pelvic floor muscles to help increase the support in the pelvis, and perform manual techniques to reduce tension and pain in the region.

• Kinesiotaping: Proper taping techniques can reduce the tension and stress on the pubic symphysis and reduce the pain. A Pelvic Floor Physiotherapist with a focus on Pregnancy Rehabilitation can teach you how to tape the abdominal wall to improve your symptoms.

• Pregnancy Support Belts: Wearing a maternity support belt can provide additional support to the pelvis and help reduce strain on the pubic symphysis.

• Rest and Posture Awareness: Take regular breaks, avoid activities that worsen the pain, and maintain good posture to minimize strain on the pelvic area.

• Heat or Cold Therapy: Applying a warm compress on the muscles or a cold pack on the joint can help alleviate pain and reduce inflammation. Make sure you do not place hot/cold packs directly over the skin in the area. Always place a few layers of towels between the skin and the hot/cold pack to avoid irritation and consult your healthcare practitioner for the correct way to use this technique.

Role of Pelvic Floor Physiotherapy in Pubic Symphysis Pain

Pelvic Floor Physiotherapy is a valuable and effective approach for managing Pubic Symphysis Pain during pregnancy. Here’s how pelvic floor physiotherapy can aid in relieving pubic symphysis pain during pregnancy:

Assessment and Diagnosis:

Pelvic Floor Physiotherapists conduct a thorough assessment to understand the extent of pelvic floor dysfunction and its connection to pubic symphysis pain. This assessment often includes a detailed history, musculoskeletal examination, and an evaluation of posture and movement.

Tailored Exercise Programs:

Based on the assessment, the physiotherapist designs a personalized exercise program. These exercises are aimed to improve the function of your deep core muscles including the pelvic floor muscles and surrounding areas, enhancing stability and reducing strain on the pubic symphysis.

Manual Therapy:

Physiotherapists may use manual techniques to alleviate muscle tension and restore proper alignment of the pelvic bones. Techniques such as soft tissue mobilization and joint mobilizations can help reduce pain and improve mobility.

Education and Posture Correction:

Education about correct posture and body mechanics is a key component of Pelvic Floor Physiotherapy. Proper posture can help minimize stress on the pelvic area, contributing to a reduction in pubic symphysis pain.

Biofeedback:

In some cases, Biofeedback may be used to enhance awareness and control of the pelvic floor muscles. This technique can assist in improving muscle coordination and function.

Pain Management Strategies:

Pelvic Floor Physiotherapists provide guidance on effective pain management strategies, such as taping techniques, and hot or cold therapy, which can be integrated into the treatment plan to help manage discomfort.

We Can Help!

Pubic symphysis pain during pregnancy can be challenging, but with proper management and support, you can ease the discomfort and maintain an active lifestyle throughout this beautiful journey. Don't hesitate to seek professional guidance from a Women's Health Physiotherapist to tailor a plan that suits your specific needs and ensures a smooth pregnancy experience.