Understanding Pubic Symphysis Pain in Pregnancy: Causes & Treatment
/Understanding Pubic Symphysis Pain in Pregnancy: Causes & Treatment
Pubic Symphysis Dysfunction (PSD) — also known as Symphysis Pubis Dysfunction (SPD) — is a condition many pregnant women experience, often without knowing what’s causing the discomfort. This pain typically occurs at the front of the pelvis, where the two halves of the pelvic bone meet at the pubic symphysis. The pain can range from mild discomfort to severe, sharp pain that makes walking, standing, or even turning in bed difficult.
What Causes Pubic Symphysis Pain in Pregnancy?
During pregnancy, your body produces a hormone called relaxin, which loosens the ligaments in the pelvis to prepare for childbirth. While this is necessary, the increased joint mobility can sometimes lead to instability in the pubic symphysis, causing pain and inflammation.
Other contributing factors include:
Misalignment of the pelvis or sacroiliac joints
Weight gain and altered posture from the growing belly
Uneven movement between the two pelvic bones
Previous pelvic injury or trauma
According to a 2012 review published in the journal BMC Pregnancy and Childbirth, pelvic girdle pain (PGP), including pain at the pubic symphysis, affects up to 45% of pregnant women and can significantly impact daily function and quality of life.
Signs and Symptoms of Pubic Symphysis Pain
Sharp or shooting pain in the pubic bone area
Pain radiating to the groin, inner thighs, or hips
Difficulty walking, climbing stairs, or standing on one leg
Clicking or grinding sensation at the front of the pelvis
How Chiropractic Care Can Help
Chiropractors trained in prenatal care, especially those certified in the Webster Technique, can provide safe and effective treatment for pubic symphysis dysfunction.
Benefits of Chiropractic Care:
Pelvic Alignment: Gentle adjustments realign the pelvis and reduce pressure on the pubic symphysis.
Joint Stability: Chiropractic care supports balanced movement between the pelvic bones.
Pain Relief: Mobilizing tight muscles and stabilizing loose joints helps alleviate discomfort.
Improved Mobility: Treatment often helps restore function, making walking and other movements easier.
A 2016 study published in The Journal of Alternative and Complementary Medicine showed that chiropractic care significantly reduced pain and disability in pregnant women suffering from pelvic girdle pain.
Additional Supportive Strategies
Pregnancy support belts to stabilize the pelvis
Pelvic floor physical therapy
Modifying movement: Avoid activities that require lifting one leg at a time, such as lunges or climbing stairs unevenly
Warm compresses and prenatal massage therapy
Final Thoughts
Pubic symphysis pain is common but treatable. With the right support, including chiropractic care focused on pelvic balance and function, most women experience significant relief and improved mobility throughout pregnancy.
If you’re pregnant and experiencing groin or pelvic pain, don’t wait. A chiropractor experienced in prenatal care can help your body move more comfortably and prepare for a smoother birth.