Symphysis pubis dysfunction
This is usually caused by pregnancy during which hormonal changes cause the ligaments holding the pelvis together to loosen/stretch. The pain is felt at the front of the pelvis on the pubic bone. Walking and particularly standing on 1 leg worsen the symptoms. In mild/moderate cases the pain settles within a few weeks of childbirth. In more severe cases the pain can persist and the patient may need further physiotherapy management.
Management; a sacro-iliac belt which wraps around the whole pelvis is usually prescribed in acute cases. This supports the painful joint and usually gives instantaneous relief. This is worn when walking / standing and taken off at night and when sitting. Exercises to strenghten the pelvic floor and deep abdominal muscles are also prescribed. Heat/ice and / or T.E.N.S. can be used for pain control.