SPD known as synthesis pubis dysfunction is common and effects 1 in 5 women in the UK who develop pelvic pain during their pregnancy.  This can cause some uncomfortable symptoms throughout pregnancy; SPD can give you symptoms such as:

  • You may feel pain directly over your pubic bone which can be very localised pain but can also be stabbing or shooting pain
  • Pain around your buttocks or into your lower back this can be one sided or both sides.
  • You may also feel your pain start to extend into your thighs
  • You may have audible clicking or grinding noises from your pelvis


The symphysis pubis joins your pelvic bones at the front of your pelvis which is stable joint however during pregnancy these joints widen as your ligaments start to become relaxed as your body prepares for labour.  SPD can occur when your joints become too relaxed and your joint mobility can increase in your pelvis.


But what causes SPD?

As you progress through your pregnancy your body will secret hormones one including the hormone Relaxin which allows your ligaments to relax to improve your flexibility and mobility in your joints to prepare your body for labour. This process helps to prepare your body for labour however when these ligaments become too relaxed they can give us too much mobility and this is when pain and discomfort can occur. Our bodies try and counteract the various changes which happen through pregnancy which can alter your pelvic function and what we do in day to lives can affect how our pelvis function such as:

  • Physical occupation or activity
  • Lack of Exercise
  • Walking and weight baring from one leg to another can aggravate symptoms
  • Getting in or out of the car and driving can aggravate symptoms
  • going up or down stairs and turning over in bed.


What can osteopathy do?


As you progress into your pregnancy your hips rotate to allow more room for your baby to grow but this can increase weight and strain onto your pubis synthesis. Your Osteopath will assess your body’s mobility and use techniques to work through your body’s movement as well as easing any muscle tightness you may have, to help gain equal movement throughout your body, which can help your body adapt to changes throughout your pregnancy.

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