Pelvic Girdle Pain During Pregnancy
What is it?
Pelvic Girdle Pain (PGP) is a collection of uncomfortable symptoms caused by a stiffness of your pelvic joints or the joints moving unevenly at either the back or front of your pelvis.
It is not harmful to your baby, but it can cause severe pain around your pelvic area and make it difficult for you to get around.
Around 20% of women suffer from Pelvic girdle pain.
Different women have different symptoms, and PGP is worse for some women than others.
Symptoms can include:
- Pain over the pubic bone at the front in the center
- Pain across one or both sides of your lower back
- Pain in the area between your vagina and anus (perineum)
- Pain in your buttocks.
Pain can also radiate to your thighs, and some women feel or hear a clicking or grinding in the pelvic area.
The pain can be most noticeable when you are:
- Turning in Bed
- Going upstairs
- Standing on one leg (e.g. getting dressed)
- Getting out of car
- Standing up
What Causes PGP:
Sometimes there is no obvious explanation for the cause of PGP.
Usually, there is a combination of factors causing PGP.
Relaxin: During pregnancy, the placenta produces a hormone called relaxin, which softens your ligaments to loosen up your joints. Relaxin is very important as by loosening the joints it allows your baby to pass through more easily during childbirth however it can lead to the pelvic girdle becoming less stable and therefore painful during pregnancy.
Occasionally the position of the baby may also produce symptoms related to PGP.
With PGP the degree of discomfort you are feeling may vary from being intermittent and irritating to being very wearing and upsetting.
Physiotherapy: Advice, Education, Exercises and Manual techniques can help!
The sooner it is identified and assessed the better it can be managed which may help to speed up your recovery, reducing the impact of PGP on your life.
If you have symptoms that do not improve within a week or two, or interfere with your normal day-to-day life, you may have PGP and should ask for help from your midwife, GP, physiotherapist or other health carer.
- Continue to be as active as your can within your pain limits, and avoid activities that make your pain worse.
- Ensure your back is well supported while you sit down. This can be achieved by placing a towel between the curve of your back and the chair.
- Wear flat, supportive shoes and avoid standing for long periods.
- Get help with household chores from friends, partner, and family.
- Rest when you can.
- Sit down to get dressed-e.g. Don’t stand on one leg when putting on jeans.
- Try and make sure any weight you carry is evenly distributed- this means no shoulder bags, and try nit to left your toddler up onto your hip.
- Be careful and take your time doing any activities that may put strain on your pelvis i.e. getting out of a car- keep your knees together and squeeze your buttocks.
- Sleep with a pillow between your legs
- Squeeze your buttocks and keep your knees together when turning in bed.
- Take the stairs one at a time, leading with the less painful leg.
- Standing on one leg
- Bending and twisting to lift
- Carrying a baby on one hip
- Crossing your legs
- Sitting on the floor or in a twisted position
- Sitting or standing for long periods
- Lifting or pushing heavy objects such as shopping bags, supermarket trolley.
- Carrying anything in one hand (try using a small back pack).
It is important if you pain is not manageable with general advise to book into a physiotherapist. Treatment includes:
- Exercises to specifically retrain and strengthen stomach, back, pelvic floor and hip muscles
- Manual therapy to ensure your spinal, pelvic and hip joints are moving normally or to correct their movement.
- Exercises in water.
- Provision of equipment e.g. pelvic girdle support belts, crutches
To Book an appointment with our Women’s Health Physiotherapist Mary-Kate call Personal Health at 01 4964002 or email firstname.lastname@example.org.