Pelvic girdle pain in pregnanc

Some women develop pelvic pain in pregnancy. This is often sometimes called pelvis pain (PGP) in pregnancy) or symphysis pubis dysfunction (SPD).

Symptoms of PGP in pregnancy

PGP in pregnancy may be a collection of uncomfortable symptoms caused by a misalignment or stiffness of your pelvic joints at either the rear or front of your pelvis. PGP isn't harmful to your baby, but it can cause severe pain around your pelvic area and make it difficult for you to urge around.

Different women have different symptoms, and in some women PGP is worse than in others. Symptoms can include:

Ø  pain over the pubis at the front within the centre

Ø  pain across one or each side of your lower back

Ø  pain within the area between your vagina and anus (perineum)

Pain also can radiate to your thighs, and a few women feel or hear a clicking or grinding within the pelvic area. The pain are often most noticeable once you are:

Ø  Walking

Ø  going upstairs

Ø  standing on one leg (for example when you’re getting dressed or going upstairs)

Ø  turning over in bed

It also can be difficult to maneuver your legs apart, for instance once you get out of a car.

There is treatment to assist , and techniques to manage the pain and discomfort. If you get the proper advice and treatment early, PGP in pregnancy can usually be managed and therefore the symptoms minimised. Occasionally, the symptoms even clear up completely. Most girls with PGP in pregnancy can have a traditional childbirth.

Who gets pelvic pain in pregnancy?

It’s estimated that PGP in pregnancy affects up to 1 in 5 pregnant women to a point . It’s not known exactly why pelvic pain affects some women, but it’s thought to be linked to variety of issues, including previous damage to the pelvis, pelvic joints moving unevenly, and therefore the weight or position of the baby.

Factors which will make a lady more likely to develop PGP include:

Ø  a history of lower back or pelvis pain

Ø  previous injury to the pelvis, for instance from a fall or accident

Ø  having PGP during a previous pregnancy

Ø  a physically demanding job

Ø  increased body mass index

Ø  emotional distress and smoking

When to urge help for pelvic pain in pregnancy

Early diagnosis can help keep pain to a minimum and avoid long-term discomfort. Treatment by a physiotherapist usually involves gently pressing on or moving the affected joint, which helps it work normally again.

If you notice pain around your pelvic area, tell your midwife, doctor or obstetrician. Ask a member of your maternity team for a referral to a physiotherapist who is experienced in treating pelvic joint problems. These problems tend to not recover completely until the baby is born, but treatment from an experienced practitioner can significantly improve the symptoms during pregnancy.

Treatments for pelvic pain in pregnancy

Physiotherapy aims to alleviate or ease pain, improve muscle function and improve your pelvic joint position and stability, and should include:

Ø     manual therapy to form sure the joints of your pelvis, hip and spine move normal

Ø     exercises to strengthen your pelvic floor, stomach, back and hip muscle

Ø     exercises in water

Ø     advice and suggestions including positions for labour and birth, taking care of your baby, and positions for sex

Ø     pain relief, like TENS

Ø     equipment if necessary, like crutches or pelvic support belts

Causes

Sometimes there's no obvious explanation for the explanation for PGP but usually there's a mixture of things such as:

Ø     The pelvic joints moving unevenly.

Ø     A change within the activity of the muscles within the pelvis, hip, abdomen, back and pelvic floor.

Ø     A history of pelvic trauma.

Ø     The position of the baby altering the loading stresses on the pelvic ligaments and joints.

Ø     Strenuous work.

Ø     Previous lower back pain.

Ø     Previous pelvis pain during pregnancy.

Ø     Hypermobility, genetical ability to stretch joints beyond normal range.

Ø     an occasion during the pregnancy or birth that caused injury or strain to the pelvic joints or rupture of the fibrocartilage.

Ø     The occurrence of PGP is related to twin pregnancy, first pregnancy and a better age initially pregnancy.

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