What is Symphysis Pubis Dysfunction(Pelvic Girdle Pain)?

Written by Medicover Team and Medically Reviewed by Dr Praveen Sodavarapu , Orthopedics


Symphysis Pubis Dysfunction (SPD), also known as pelvic girdle pain, is a condition affecting the pelvic region, especially the symphysis pubis joint. SPD often occurs during pregnancy due to hormonal and postural changes, but can also arise from pelvic trauma or past surgeries.

Early diagnosis and proper management can ease discomfort and improve mobility.

What are the Symphysis Pubis Dysfunction Symptoms and Warning Signs?

Pelvic Girdle Pain symptoms can range from mild discomfort to severe mobility limitations. Early recognition is key for timely care.

Pelvic Girdle Pain Common Symptoms

  • Pain or discomfort around the pubic bone
  • Lower back pain
  • Radiating pain to the thighs or hips
  • Clicking or grinding sensation in the pelvis
  • Difficulty turning in bed or climbing stairs
  • Pain when walking or moving the legs apart

Severe Symptoms of Pelvic Girdle Pain

  • Sharp or stabbing pelvic pain
  • Limited mobility and difficulty with daily activities
  • Intense pain during basic movements

If you're experiencing ongoing pelvic pain during pregnancy or have difficulty moving due to discomfort in the pelvic area, seek medical attention promptly.


What are the Common Causes and Risk Factors of Symphysis Pubis Dysfunction(Pelvic Girdle Pain)?

SPD often stems from physiological and mechanical changes, especially in pregnancy.

SPD Causes

  • Hormonal changes (increased relaxin levels during pregnancy)
  • Increased fetal weight and pelvic pressure
  • Pelvic trauma or injury
  • Improper posture or gait
  • Previous pelvic surgeries or SPD history

SPD Risk Factors

  • Multiple pregnancies
  • High-impact physical activities
  • Smaller pelvic size or a larger baby in past births
  • Sedentary lifestyle or poor posture

Tip: Individuals with these risk factors should maintain awareness of early symptoms and seek advice during or before pregnancy.


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How Symphysis Pubis Dysfunction (Pelvic Girdle Pain)is Diagnosed?

Diagnosis of Pelvic Girdle Pain involves a clinical evaluation supported by imaging when necessary.

Diagnostic Methods

  • Medical history assessment: Reviewing symptoms, pregnancy status, and any previous pelvic injuries or surgeries.
  • Physical examination: Checking for tenderness and range of motion limitations in the pelvic region.
  • Imaging tests: While not always necessary, X-rays, ultrasounds, or MRIs can be used to assess the degree of separation in the symphysis pubis joint.

Our skilled gynecologists and orthopedic specialists provide precise evaluations and safe diagnostic methods for expecting mothers and non-pregnant individuals.


What are the Treatment Options for Symphysis Pubis Dysfunction?

SPD treatment focuses on relieving pain, improving joint stability, and enhancing daily function.

Pelvic Girdle Pain Treatment Includes

Rest and Activity Modification:

    • Avoid heavy lifting or prolonged standing
    • Use side-lying positions for resting

Pelvic Support Belts:

    • Helps hold pelvic joints in place and reduces strain

Physical Therapy:

    • Manual therapy for pelvic alignment
    • Stretching and strengthening exercises for the core and pelvic floor

Pain Relief Options:

  • Paracetamol (as prescribed during pregnancy)
  • Safe topical gels (menthol-based)

Physiotherapy and maternal care experts create personalised care plans to reduce discomfort and promote safe mobility.


When to See a Doctor?

SPD can escalate if not addressed early. Seek professional care if

  • Pelvic pain lasts more than a few days
  • You experience difficulty walking, climbing stairs, or getting in/out of bed
  • There's a history of pelvic injury or prior SPD
  • Pain affects daily or nighttime routines during pregnancy

Prompt consultation ensures better pain control and safer pregnancy outcomes.


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What is the Recovery Process After Symphysis Pubis Dysfunction Treatment?

Pelvic Girdle Pain recovery depends on general health, the severity of the condition and compliance with treatment.

  • Follow-up Care: Regular visits with your gynecologist or physiotherapist
  • Lifestyle Adjustments: Improved posture, rest, and continued exercises
  • Long-Term Outlook: Many women recover after childbirth, while others may require postnatal rehab

Support Services at Medicover:

  • Postnatal physiotherapy
  • Nutritional counseling
  • Mobility support and guidance for new mothers

What Precautions Can Help Prevent Symphysis Pubis Dysfunction?

SPD Prevention

  • Maintain good posture, especially during pregnancy
  • Perform regular pelvic floor and core strengthening exercises
  • Avoid heavy lifting or high-impact sports
  • Use ergonomic body mechanics during daily activities
  • Wear flat, supportive shoes
  • Use pelvic support belts as recommended

SPD Complications (if untreated)

  • Chronic pelvic instability
  • Limited mobility during pregnancy
  • Long-term postpartum pain or gait issues

Our Experience Treating Symphysis Pubis Dysfunction

At Medicover, we support women through every stage of pregnancy and beyond.

Our team of gynecologists, physiotherapists, and orthopedic specialists work together to diagnose and manage Symphysis Pubis Dysfunction.

With evidence-based treatments, compassionate care, and holistic support to ensure comfort, safety, and well-being.


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Frequently Asked Questions

Yes, but stick to gentle, low-impact exercises guided by a physiotherapist. Avoid movements that put strain on your pelvis, like lunges or wide-leg squats.

In many cases, symptoms ease after delivery as hormones stabilize. However, some women may need postpartum therapy to fully recover pelvic strength and function.

Yes, SPD can also occur due to trauma, pelvic surgeries, or joint instability, not just pregnancy. It's important to get a proper diagnosis to address the underlying cause.

Yes, wearing a pelvic support belt can help reduce discomfort by stabilizing the pelvis and easing pressure during daily activities.

It may make labor more uncomfortable, but with proper positioning and medical support, most women are able to deliver safely.

Avoid lifting heavy objects, standing too long, or movements that involve twisting or wide leg separation, as these can worsen symptoms.

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