9 Tips for Those With Symphysis Pubis Dysfunction

Symphysis Pubis Dysfunction (SPD) is a condition that causes excessive movement of the pubic symphysis, either anterior or lateral, as well as associated pain, often due to a misalignment of the pelvis. Commonly associated with pregnancy and childbirth it is thought to affect up to 25% of pregnant mothers, some (7%) of sufferers continuing to experience serious symptoms postpartum. SPD is associated with pelvic girdle pain (PGP) and the names are often used interchangeably.

Typical treatment advice usually given to women includes avoiding strenuous exercise, prolonged standing, vacuum cleaning, stretching exercises and squatting. Nothing with the legs apart in an open stride or straddle type position.

Chiropractors experienced with treating SPD, pelvic pain and dysfunctions in the pelvis and spine will assess the instabilities and adjust the pelvis and spine accordingly. The sacroiliac joint is typically always involved and will need to be assessed as well. This will reduce the stress to the pelvic floor and alleviate the tension in the ligaments, nerves and musculature involved. Women are often placed in a trochanter belt or a pelvic lumbar pregnancy brace to stabilize the symphysis from shearing. Often the baby is in a malposition and after a specific chiropractic adjustment, the SPD pain is alleviated and the baby can move into a better, optimal position. The Webster technique can also be used to help this process.

Some home treatments that can also help include:

1.     Bracing the pelvic floor muscles before performing any activity which might cause pain

2.     Resting the pelvis and ice the involved area

3.     Using arnica to help with inflammation and pain

4.     Sitting down for tasks where possible (e.g. preparing food, ironing, dressing)

5.     Avoiding lifting and carrying items

6.     Avoiding any straddle movements especially when weight bearing.

7.     Bending the knees and keeping the legs 'glued together' when turning in bed and getting in and out of bed.

8.     Placing a pillow between the legs when in bed or resting

9.     Avoid twisting movements of the body.