| Bill Ferguson
Registered Osteopath, Cranial Osteopath, Acupuncture and Sports Injuries
Tenterden Osteopathic Clinic
|Location: Home | Special Topics | Pelvic Girdle Pain in Pregnancy|
Your pelvis is shaped like a bony basin. At the back the sacrum wedges in between the two pelvic bones and has two joints called the sacroiliac joints. If you look at your back in a mirror you can see two dimples about 3 inches out from the midline at the base of your spine, the dimples are over your sacroiliac joints. At the front the two pelvic bones meet in the midline at the pubic symphysis. You can feel the symphysis quite easily as a slight groove at the top of your pubis, it is often tender when you press on it but when it is misaligned or separated it will be very tender. The sacroiliac joints and the pubic symphysis are the areas that most often cause pain during and after pregnancy.
Pelvic Girdle Pain is such a common problem that it has its own acronym, PGP. The other abbreviation you may come across is SPD (Symphysis Pubis Dysfunction) which is a more specific diagnosis.What can you do to ease the pain
If the pain has just begun try tying a sarong tightly around your pelvis, keep it low so as not to press on your tummy, until you can get something more supportive.
Support the pelvis by wearing a pregnancy support belt such as this Maternity Belt.
Be careful how you move. One of my physio friends gives the following advice "behave as if you are in public, wearing a short skirt and no knickers" Whenever you move keep your knees together and your movements small and careful, especially when getting in and out of chairs, cars and going up stairs.
Avoid activities that aggravate your symptoms, usually twisting activities like hoovering and ironing.
Call your osteopath. The good news is that because everything is so mobile it is easy for your osteopath to realign your pelvis at intervals during the pregnancy and after the birth (ideally within two weeks while the relaxin levels are still raised). The bad news is that you can easily twist your pelvis out of alignment if you are not careful.
I find gentle cranial osteopathic techniques work well. I like to use an air mattress on the treatment couch so that I can ease the pelvis slowly and gradually into a more balanced position while you lie on your back, or in the later stages of pregnancy, on your comfortable side.
If your pain is focused in your low back or hip I sometimes suggest acupuncture, especially in the late stages of pregnancy when your muscles are working overtime just to move you around.
Contact Bill Ferguson for osteopathic treatment in Kent