Accessibility View Close toolbar

1444 E. Washington Blvd.

Pasadena, CA 91104 US

626-449-0900

Open mobile navigation

Symphysis Pubis Dysfunction

image1

What exactly is Symphysis Pubis Dysfunction (SPD)? During pregnancy or birth, about one in 35 women will experience intense pelvic pain and may find it difficult to walk, climb stairs, and other movements that involve the pelvic bones. This pain is a result of separation of the pubic symphysis which is a joint in the very front part of the pelvic bone structure. There is cartilage that fills the gap in the bones. During pregnancy, hormones such as relaxin soften this cartilage allowing the pelvic bones to be more flexible for delivery. Some women, however, have too much play in the pelvis causing a large gap between the bones. This makes the symphysis pubis area extremely sensitive to touch.

When does separation of the symphysis pubis occur? Some women will notice pain beginning as early as the first trimester of pregnancy while others experience this separation during the birth or even a few days postpartum. Women who have experienced SPD with previous pregnancies will not necessarily have the problem with subsequent pregnancies however, some will.

How do you know if you have SPD? If you have SPD, you may notice pain in the front of the pelvis that hurts when touched. You may also feel pain in the lower abdomen, hips, inner thigh and groin areas. Marked increased pain with activities such as walking, climbing stairs, lifting your legs or any other large movements involving the pelvis are key symptoms. You may even experience a clicking type noise with movement as well. If you experience any of these symptoms, you should contact your caregiver for further testing.

Chiropractic Treatment of SPD

Dr. Kolleen will take a thorough medical history and do a full chiropractic and orthopedic examination to diagnose the condition.

Chiropractic treatment may involve:

  • Evaluation / treatment of the sacroiliac joints and pubic symphysis
  • Work on the soft tissues (muscles / ligaments)
  • Ligament release techniques
  • Diaphragmatic release
  • Blocking techniques (using wedge-shaped blocks placed under the pelvis to relieve the pressure on the joints)
  • Activator techniques (non-manipulative techniques for the dysfunctional joints)
  • Webster's technique (to treat malpositioned babies, often associated with SPD)
  • Application of ice
  • Exercise advice
  • Supply a sacroiliac (pelvic joint) stability belt

The majority of women who receive chiropractic treatment for SPD, before and after the baby is born, experience a positive response, particularly if the cause lies in pelvic misalignment. From the Chiropractic point of view, it is always better for a woman with mild SPD to get treatment early on to prevent the problem from becoming more severe later or impeding the birth of your baby.

Self-Help Information

It is important to ask for help and accept help at every opportunity. The key points to remember are:

  • Take tiny steps to go upstairs one at a time, setting off with your better leg if you have one and bringing the second leg to meet the first before going up another step. Walking sideways upstairs is often easier!
  • Use a pillow between the legs when sleeping and under the 'baby bump'
  • Sit without crossing the legs and sit evenly on both buttocks
  • Stand with even weight on both feet
  • Keep the legs symmetrical when moving, sitting, standing, and laying down
  • Avoid lifting, twisting, prolonged standing, strenuous activity, vacuum cleaning etc.
  • Bend the knees and keep the legs 'glued' together when turning in bed and getting in/out. Silk/satin sheets can help to make it easier to turn over in bed
  • Avoid straddle movements and squatting
  • Move slowly and without sudden movements. Be extremely careful not to slip
  • Rest - take the weight of the body off the pelvis whenever possible
  • Sit down for tasks usually completed standing e.g. getting dressed, ironing, preparing food etc.
  • If possible, shower rather than bath
  • Obtain a pelvic support belt (Focus Chiropractic keeps these in stock).

Listen to your body - do not do too much of any one thing, i.e. Do not walk too far, do not sit for too long, do not exercise for too long - if it hurts, don't do it!

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Monday:

9:00am-12:30pm

2:00pm-4:00pm

Tuesday:

9:00am-12:30pm

2:00pm-4:00pm

Wednesday:

9:00am-12:30pm

2:00pm-4:00pm

Thursday:

9:00am-12:30pm

2:00pm-4:00pm

Friday:

9:00am-12:30pm

2:00pm-4:00pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • ""I can't describe what Focus has done for me. I was in so much pain, especially the way my baby was positioned. After our visit, I went to the OB and he did an ultra sound. My baby literally turned right after I saw you and is now head down. We are both much happier and more comfortable. Not only that, but my fluids were low but after being adjusted they increased. Now his kicks don't hurt as much and he is even moving and kicking more now that the adjustment made room for him. After experiencing an adjustment, my muscles are more relaxed. You guys are amazing and I feel so grateful that you helped me and I look forward to my next visit. I have been to many chiropractors and no one has helped me like Focus Chiropractic. They really know what they are doing and I felt so comfortable there.""
    -Michelle C

Featured Articles

Read about interesting topics

  • Chiropractic and Breech Babies During Pregnancy

    If you are experiencing back pain during your pregnancy or have a breech pregnancy, chiropractic can help. ...

    Read More
  • Natural Remedies for Sciatic Pain

    Do you experience sciatica pain? Both chiropractic care and at-home remedies can help alleviate that pain in a natural way. ...

    Read More
  • Chiropractic Care For Pets

    You know how chiropractic can help you, but what about your pets? ...

    Read More
  • Should I Use Heat or Ice for Pain?

    When you're feeling pain, sometimes it's difficult to determine if heat or ice will treat that pain best. This article will help you learn which is best for different types of injuries and pain. ...

    Read More
  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More

Newsletter Sign Up