Understanding Symphysis Pubis Dysfunction

 Symphysis Pubis Dysfunction
21 February, 2017

During pregnancy the joint at the front of your pelvis, the symphysis pubis joint, can become very unstable and cause excruciating pain with every step you take.  It will not recover spontaneously and as you become more pregnant the increasing strain may result in needing crutches to move around or complete bed rest to reduce inflammation.

Recognise the First Signs of SPD

Pain from a dull ache to a shooting pain is felt low down at the front of your pelvis, and it may also radiate across your low belly area and down the inside of your thighs when …

·               you take the first few steps after you've been sitting down

·               roll over or move around in bed

·               take weight on one foot

·               sit cross legged or any movement which moves your legs apart.

·               at the end of exercise, a walk or run.

Minimise SPD Pain With a Pregnancy Support Belt ASAP

As soon as it becomes evident you have this problem, find a support belt to suit you. It must be worn low around your pelvis with firm support felt at either side of your hips. Try wearing it for the next 3-4 days as much as possible, including at night to give your joint and soft tissues a chance to ‘settle down’.  Then wear it when you are active and at night if this is a problem for you.

If your SPD is easily reinjured, you will need to wear your support belt most of the day and night. This may be because the cause is a previous pelvic or back injury, an underlying asymmetrical pelvis or the amount of relaxin hormone you release. You may need to wear a support belt after birth too.

Figure Out Your SPD Triggers

Once it has settled down think about what might be causing this problem, eg work style, prolonged walking or standing, up and down stairs, looking after a toddler, moving toys etc with side of foot!

Stop SPD Pain and Keep Active

A support belt as well as understanding what aggravates your symptoms will help control the progression of SPD and this will enable you to stay on your feet and manage your home and work for longer during your pregnancy.