Pubic Symphysis PAIN

Symphysis Pubis Dysfunction (SPD) is pretty common during pregnancy and sometimes postpartum as well.
The most common symptoms are pain at the pubic bone when standing on one leg (like to put on a pair of pants) or asymmetrical movements (lunging, getting up from a kneeling position, stairs)

What causes it?
Usually a combination of things:

➡️Laxity of the pelvic ligaments due to pregnancy hormones.
➡️Weakness of the muscles that stabilize the pelvis (think glutes, deep abdominals and pelvic floor)
➡️Tension from muscles that attach to the pelvis (think adductors and pelvic floor)
➡️Extra weight from the baby ( and blood, fluid etc) increasing pressure on the pelvis.
➡️Changes in posture and core function affecting strength of the muscles that stabilize the pelvis.
➡️The extra “mobility” of the pelvic joints may cause the pubic symphysis joint to be slightly “off” or asymmetrical.

So what can I do about it??

The majority of time, a Pelvic PT can help you reduce or eliminate SPD pain with a combination of manual treatment to reduce muscle tension and correct pelvic asymmetry and targeted strengthening to improve pelvic stability. This is best supported with a consistent exercise routine. Sometimes, external supports or sacroiliac belts can also be helpful.