Pelvic Pain in Pregnancy - Causes, Symptoms and Treatments

Some women may experience pelvic pain during pregnancy. This is also called pregnancy-related Pelvic Girdle Pain (PGP) or Symphysis Pubis Dysfunction(SPD). PGP is a collection of uncomfortable symptoms caused by stiffness of your pelvic joints or the joints moving unevenly at either the back i.e., sacroiliac joint or front of your pelvis is a symphysis pubis joint. PGP is common, affecting 1 in every 5 pregnant women and can alter your mobility and quality of life. It can cause pain while walking, climbing stairs and turning over in bed.

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What Causes Pelvic Girdle Pain?

Pregnancy hormones make your ligaments lose

Pregnancy hormones make your ligaments lose. This can lead to increased or uneven movements in the pelvis and extra movement can cause pain. As the baby grows this can change your posture, putting a strain on the pelvis and lower back. Your pelvic joint can become misaligned.

What are the Symptoms of PGP?

PGP is not harmful to your baby but can be painful and hard to move around

Women may feel pain:

  • Over pubic bone at the front in the center
  • Across sides of the lower back
  • Within the area between the vagina and anus
  • Spreading to thighs
  • Some may experience or notice a clicking or grinding in the pelvic area.

When Does the Pain Worsen?

  • While walking
  • Going up or down stairs
  • Turning over in bed
  • While moving your legs apart
  • Standing on one leg

What is the Treatment for PGP?

Physiotherapy:

It includes the following:

  • Hands-on therapy to reinstate regular movement of muscles and joints in the pelvis.
  • Exercises to strengthen your pelvic floor
  • Water exercises
  • They may advise you a pelvic support belt or crutches

Medication:

Pain relief medications that are risk-free in pregnancy.

  • Alternative therapies:
  • Hypnosis
  • Acupuncture
  • TENS machine
  • Meditation - Example: Mindfulness or Yoga
  • Complementary therapies such as massage or reflexology

Must Read: Dealing With Pelvic Girdle Pains in Pregnancy

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Frequently Asked Questions

How to treat pelvic pain in pregnancy?

Pelvic Girdle Pain (PGP) Treatment can include physiotherapy, pain-relief medication, acupuncture, yoga, massage or reflexology.

What is the most common cause of pelvic pain during pregnancy?

The most common cause is Pregnancy-related Pelvic Girdle Pain (PGP) or Symphysis Pubis Dysfunction (SPD), affecting 1 in 5 pregnant women. Pregnancy hormones loosen ligaments, leading to increased or uneven pelvic movements. Baby's growth changes posture, straining the pelvis and lower back, causing pelvic joint misalignment and pain.

Does pelvic pain mean the baby is low?

As the baby grows, you may need to change your posture, which can strain the pelvis and lower back. PGP is caused by stiffness of the pelvic joints or uneven joint movement. The pain does not necessarily indicate the baby's position.

What is the best medicine for pelvic pain?

PGP is pregnancy-related pelvic girdle pain caused by hormonal changes, ligament looseness and the baby's growth, affecting posture. Treatment recommendations vary by individual. Consult your gynaecologist or physiotherapist to get relief from pelvic pain caused during pregnancy.

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