- Posts: 174
Its caused by a straining of the the Pubic Symphasis which becomes more flexible with the change of hormones during pregnancy and your growing baby. The good news is that most cases spontaneously resolve once baby is born. Some more good news is that physiotherapy treatment can help manage symptoms during pregnancy and help prevent the condition worsening.
Your Chartered Physiotherapist can also fit you for a pelvis support which can be really helpful, and they'll also teach you how to strengthen your own internal pelvis support: your core muscles and pelvic floor.
Its important to avoid activities that put strain on the pubic symphasis, avoiding strenuous exercise, prolonged standing, vacuum cleaning, stretching exercises and squatting. Try to do the following:
* Engage the pelvic floor muscles before performing any activity which might cause pain
* Sit down for tasks where possible (e.g. preparing food, ironing, dressing)
* Avoid lifting and carrying.
* Avoid stepping over things.
* Avoid straddle movements especially when weight bearing.
* Bend the knees and keep the legs 'glued together' when turning in bed and getting in and out of bed.
* Place a pillow between the legs when in bed or resting.
* Avoid twisting movements of the body.
If the pain is very severe, using elbow crutches will help take the weight off the pelvis and assist with mobility.
You should also talk to your Midwife or Obstetrician regarding your birth plan, as SPD does affect what postions you can use in labour.