SYMPHASIS PUBIS DYSFUNCTION SPD

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 often  prescribed in acute cases. We keep these in stock in Swords Physiotherapy.  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.