There are several pains and symptoms associated with pregnancy. The symphysis pubic joint, located in front of the pubic bone, is one of the most commonly experienced ailments.
During pregnancy, laxity of ligaments, hormonal changes, and changes in alignment can cause pain in this area. Pelvic discomfort, commonly referred to as pelvic girdle pain (PGP), may indicate a condition called pubic symphysis dysfunction (SPD).
In fact, up to 60% of pregnant women report stomach discomfort. pubic symphysis. Although SDP is uncomfortable, it is not harmful to you or your unborn baby. Thankfully, the discomfort of SPD goes away after birth.
Here’s everything you need to know about SPD in pregnancy, including its causes, signs, and possible treatments. If you want to know more, read on.
What is pubic symphysis dysfunction (SPD)?
Pubic symphysis dysfunction (SPD), also known as pubic symphysis dysfunction, is pelvic pain during pregnancy. Sometimes called PG (pelvic girdle pain).
The symphysis pubis is a joint located in the middle of the pubic bone, just above the vulva. During pregnancy, the ligaments around this joint become more elastic and flexible, allowing the baby to pass during birth. However, if the ligament is too loose before that, it can cause discomfort and instability.
SPD can range from mild pain to severe pain that limits mobility. Both the anterior and posterior parts of the pelvis are susceptible.
How does SPD affect pregnancy?
Depending on the severity, it is believed that up to 1 in 5 pregnant women will experience SPD. SPD can occur at any time during or after childbirth, but many pregnant women begin experiencing pain in the second trimester.
Pain in the anterior region of the pelvis where the SP is located is one of the symptoms of SPD. Pain in the legs, hips, groin, and lower back are additional symptoms of SPD. A distinctive “click” sound in the hip or lower back (sacroiliac joints) is frequently observed during physical exertion, especially during postural changes.
The disease is highly variable and in some cases can be chronic and permanently disabling. Although most cases resolve themselves after the baby is born, it is important to treat the problem as soon as possible to reduce the severity and duration of SPD.
What Causes SPD During Pregnancy?
Pregnancy is the most common of the various possible causes of SPD.
Your body’s center of gravity shifts during pregnancy, which can affect your posture and cause pain. To loosen the ligaments and expand the pelvis to facilitate childbirth, the body also secretes the hormone relaxin. This effect can also cause SPD.
Doctors don’t know why some pregnant women get SPD and others don’t. However, some factors can increase your risk, such as:
- Obese or overweight before pregnancy.
- There is damage to the pelvis.
- Back pain background.
- In previous pregnancies, she had some discomfort in her pelvis.
A study published in the Canadian Chiropractic Association Journal found that 31.7% of pregnant women experience SPD.
SPD can result from arthritis or pelvic trauma, but it is much more common during pregnancy and after childbirth.
What are the symptoms of SPD during pregnancy?
The intensity and appearance of SPD symptoms may vary from person to person. The following signs are most often felt:
- Discomfort in the front center of the pubic bone.
- You may experience discomfort on one or both sides of your lower back.
- Discomfort in the perineum between the anus and vagina.
In some cases, the discomfort spreads to the thighs, and a crunching or clicking sound may be heard or felt in the pelvis.
Discomfort is often more pronounced when:
- walk.
- up stairs.
- The act of standing on one leg.
- Rocks back and forth on the bed.
Additionally, it can be difficult to spread your legs. This can complicate routine household chores like getting out of bed and getting dressed.
What are the complications of SPD during pregnancy?
Most women with SPD are able to deliver vaginally and the condition is not medically dangerous for the baby. However, persistent discomfort can cause depression and depression and is sometimes considered harmful to a developing baby.
Although symptoms of SPD usually don’t go away completely until after giving birth, there are some things you can do to lessen your suffering. For this reason, it is important to get help.
If you are working with SPD, the UK Pelvic, Obstetrics and Gynecology Physiotherapy Group advises avoiding activities such as:
- Put your entire weight on one leg.
- Bend and twist as you lift.
- Take your child.
- Bend your knees.
- Difficulty sitting on the floor.
- Twist your body.
- Sitting and standing more often.
- Lift heavy objects such as infants, shopping bags, and wet clothing.
- vacuum.
- pushing heavy objects.
How can SPD be treated during pregnancy?
- Hot or Cold Compression: Use an ice pack on the pubic bone. Use a heating pad instead. (Apply to the pubic area, not the abdomen, for 10-15 minutes.)
- Kegel exercises and pelvic tilt exercises help strengthen local muscles.
- Use a pregnancy pillow to identify your ideal sleeping position. Putting a cushion between your knees will help ease your lower back and hips.
physical therapy
Your pelvic floor, back, stomach, and hips can all benefit from strengthening exercises like those suggested by your physical therapist. It can also recommend comfortable postures during daily tasks, sex, and childbirth.
acupuncture
According to one study, acupuncture may reduce pelvic girdle discomfort during pregnancy. Make sure the acupuncturist you choose has expertise in treating pregnant women.
Soft tissue therapy.
Chiropractic treatments, including spinal manipulation and massage to increase pelvic joint stability and coordination, are a common type of soft tissue treatment.
Wear a belt for support.
A pregnancy belt provides support and helps maintain the correct position of the pelvis. A belt may provide temporary pain relief.
In a study of 46 pregnant women experiencing pelvic girdle discomfort, a pregnancy support belt effectively reduced pain, but only when worn frequently for short periods of time.
medicine
Many people worry about using painkillers during pregnancy. However, certain medications, such as paracetamol, are safe for you and your unborn baby as long as you take the prescribed dose.
stretch.
SPD affects everyone differently, so a stretch that works for one person may not work for another.
It’s a good idea to talk to your doctor about which stretches are safe during pregnancy.
Conclusion
Pain in the front or back of the pelvic joint is a symptom of symphysis pubis dysfunction. Walking can become difficult and extremely uncomfortable.
Although SPD does not directly affect the fetus, it can make pregnancy more difficult due to reduced mobility. Additionally, some women may find it difficult to have a vaginal birth.
Treatment can help reduce discomfort and increase mobility.
Symptoms of SPD often disappear after delivery. If symptoms are severe, consult a doctor.
