Pubic Symphsis Pain

Pubic Symphsis Pain is pain at the center of the pelvis at the symphysis pubis joint.  It is also sometimes called Pubic Symphysis Dysfuction (PSD) or Pelvic Girdle Pain (PGP). It is a result of an influx of the hormone relaxin. The benefit of the influx of the hormone relaxin is that it relaxes the pelvic ligaments aiding in easing the baby out during delivery. The downside is that, at times, it can cause a misalignment of the pubic bones and cause inflammation and discomfort.  It is most commonly felt in the third trimester, but can begin as early as the first. It can also begin in the postpartum period, usually felt most commonly in the days immediately after birth and slowing resolving thereafter. It is often described as:

• A sharp pain right at the pelvic brim
• A shooting sensation associated with movement, like getting up from the car or a chair or turning in bed
• A general pelvic soreness or ache that originates in the center of the pelvis

 It is often felt upon:

• Prolonged periods of standing or sitting
• Turning over in bed or rolling side to side
• Long walks
• Walking up and down stairs

Relief is usually not complete until after delivery and therefore symptomatic or temporary relief is where treatment is focused.  Some ideas for symptomatic relief include.

• Pelvic support girdle. Can be purchased online or in a surgical supply shop
• Brace the pelvic floor muscles before performing any activity which might cause pain
• Rest the pelvis
• Sit down for tasks where possible (e.g. preparing food, ironing, dressing)
• Avoiding heavy lifting
• Avoiding steps over things.
• Avoid straddle movements especially when weight bearing.
• Bend the knees and keep the legs 'glued together' when turning in bed and getting in and out of bed.
• Place a pillow between the legs when in bed or resting.
• Avoid twisting movements of the body

Yoga is another great way to relieve some of the aches with pubic symphsis pain. Always consult your healthcare provider before doing any exercise routines

For further resources see

• Pelvic Girdle Pain in Pregnancy