What Causes SPD? Tip and Tricks to Treat SPD During Pregnancy

Symphysis Pubis Dysfunction (SPD), also known as pelvic girdle pain, is a condition that can occur during pregnancy due to several factors:
  • Hormonal Changes: The hormone relaxin, which increases during pregnancy, causes the ligaments in the pelvic area to become more elastic, preparing the body for childbirth. However, this can lead to instability in the pelvic joints.
  • Weight Gain: As the pregnancy progresses, the extra weight can put additional strain on the pelvic area, particularly the symphysis pubis.
  • Posture Changes: The shift in posture to accommodate the growing belly can alter the alignment of the pelvis, contributing to pain.
  • Previous Pelvic Injury Before or During Pregnancy: Women who have previously injured their pelvic area might be more susceptible to SPD. Be careful to avoid slipping/tripping during pregnancy to avoid pulling any muscles that could lead to SPD.
  • Genetics: There might be a genetic predisposition where some women are more likely to develop this condition.
How to Recover/Care for SPD:
  • Rest: Modify your activities to avoid those that exacerbate the pain. Rest when needed, especially after activities that might increase discomfort.
  • Physical Therapy: A physiotherapist specialized in prenatal care can provide exercises to strengthen the pelvic muscles without overloading them. Techniques like pelvic stabilization exercises can be very beneficial.
  • Support Belts: Using a pelvic support belt can help stabilize the pelvis and reduce pain by compressing the joint.
  • Correct Posture and Movement: Learn techniques to get out of bed, sit, and stand that minimize stress on the pelvic joints. Avoid activities that involve wide leg movements like stepping over objects.
  • Heat and Cold Therapy: Alternating between heat packs to relax muscles and cold packs to reduce inflammation can provide relief.
  • Pain Management: Over-the-counter pain relievers like acetaminophen can be used if advised by your healthcare provider. Avoid NSAIDs like ibuprofen due to risks during pregnancy.
  • Swimming: Water supports your body weight, reducing the load on your pelvis. Swimming or water aerobics can be very soothing.
  • Massage: Gentle massages or prenatal massage can help manage pain and improve circulation.
  • Sleeping Position: Sleeping with a pillow between your legs or using a pregnancy pillow can help keep your hips aligned and reduce discomfort.
  • Education: Understanding your body's changes and the temporary nature of SPD can also help in managing stress and pain.
  • Leg Position: Make a concerted effort to keep your legs parallel and avoid twisting your pelvis throughout the day. This includes actions like getting in and out of you bed, car etc... 
Recovery generally improves post-delivery as hormonal levels return to normal, and the pelvis regains stability. However, in some cases, pain might persist, requiring further physiotherapy or medical consultation. If symptoms worsen or if there's severe pain, it's crucial to consult with your healthcare provider to rule out other conditions or to get more aggressive treatment if needed.

Disclaimer: Jessie is not a doctor; please consult one. Don't share information that can identify you.

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