SPD (pubic bone pain) during pregnancy and what to do?
Symphysis pubis dysfunction (SPD) is a common condition during pregnancy that affects the pelvic area. It occurs when the ligaments that normally keep the pelvic bone stable and aligned become overly relaxed, leading to pain and discomfort at the pubic bone. We see this often in the clinic and love to help moms get out of pain as fast as possible and either resolve symptoms or learn to manage as pregnancy progresses. Typically when we evaluate we notice muscle imbalances, one side that is tight and one side that is week which can put extra stress on the pubic bone.
We love to hear a mom who was in a lot of pain at 26 weeks pregnant, who feels better at 30+ weeks pregnant after completing pelvic floor therapy and making modifications to their routine and exercise program! You deserve to feel as good as possible during pregnancy and not suffer in pain.
So what can we do in pelvic floor therapy to help?
Manual Therapy: we use hands-on techniques to release tension and tightness in the pelvic floor muscles and surrounding tissues, and help improve joint alignment to decrease stress at the pubic bone. This can include a combo of massage, joint mobilizations, and cupping.
Exercises: exercises to improve overall pelvic stability and mobility, such as hip stretches and core strengthening to help stabilize joints.
Relaxation Techniques: We want to make sure you learn techniques like diaphragmatic breathing, and feel confident relaxing your pelvic floor muscles which can help reduce muscle tension in the pelvic area, and is super important for labor preparation which starts at 35 weeks pregnant where we need to be able to do a lot of hip openers which is impossible when pain is severe from SPD.
Education and Lifestyle Modifications: Patients receive information about pelvic health, proper body mechanics, and lifestyle adjustments to support their joints during pregnancy. This can include using a yoga block between your knees as you transition from lying down to sitting in bed, and when moving in and out of the car, and avoiding single leg activities as much as possible. Using pillows to support when sleeping by placing one between your knees and making a cradle for your belly with a towel roll especially as it grows to build bed up to belly typically helps with comfort.
Stability and Support: Pelvic support braces are designed to stabilize the pelvis, providing support to the ligaments and joints in the pelvic region. This can help reduce pain and discomfort associated with conditions like SPD. There area many brands available. Check in with your medical provider to see if this is a good option for you.
If you're experiencing pelvic pain or discomfort during pregnancy or postpartum, it's essential to consult with a healthcare provider or a pelvic floor therapist to determine the best course of action to get you out of pain! We are happy to help if you are struggling with pubic symphysis pain during pregnancy or postpartum, give us a call.