SYMPHYSIS PUBIS DYSFUNCTION (SPD) during pregnancy
Like SI Joint Pain, SPD is another type of pelvic girdle pain. However, while SI joint pain occurs in the back of the pelvis. SPD pain occurs in the front of the pelvis. The most common symptom is wrenching pain in the pubic area. However, in some cases, the pain radiates beyond this area down to the upper thighs and perineum (the area in between the anus and vagina).
Similar to SI joint pain, the pain due to SPD typically worsens with weight-bearing activity – especially unilateral activity. Anterior pelvic tilt can also increase the pressure on the pubic symphysis. Hormonal changes such as relaxin can increase the laxity of the ligaments and reduce the support that can cause the joints to become hypermobile.
How to prevent SPD?
Just like with prevention of SI joint dysfunction is to practice natural alignment, develop strong core muscles of your diaphragm, transverse abdominis, and pelvic floor with breathing exercises and pelvic floor exercises. Working on strengthening your glutes also helps to support pelvic stability. Also, try to avoid single leg movements such as lunges.
How to manage SPD?
If you are experiencing SPD pain follow the advice above but also avoid doing exercises where you abduct both legs at once because that will put a lot of excess strain on the pubic symphysis.
Hi! I'm Sara, the founder of Withsara. I have been a fitness group instructor, Barre teacher and Yoga teacher for over 10 years. I am also a certified Nutritional Health Coach from IIN in New York, USA.
After giving birth to my two beautiful daughters, I have had to build up my body twice after my pregnancies. With my experience, I have created a workout that is a great combination of low impact, functional movement, pilates, barre, and yoga. It builds up deep core strength, creates sustainable and lasting change, relieves physical tension and mental stress, and gives you an overall healthier and happier body.
