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SPD (symphysis pubis dysfunction)

Pregnancy symptoms

SPD can be an uncomfortable companion during your pregnancy.
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SPD (Symphysis Pubis Dysfunction) or PPGP (Pregnancy-related Pelvic Girdle Pain) is severe pelvic pain which results from excess levels of relaxin softening your pelvic ligaments in preparation for labour and childbirth.

Pelvic pain is normal during pregnancy, however, SPD is a severe case which can make daily activities challenging. It usually begins anytime between the middle of your second trimester and just after birth. Fortunately, it is treatable, but usually involves limiting many of your daily activities.

SPD is usually diagnosed based on the symptoms you report to your doctor or midwife, who will then refer you to a physiotherapist. Your physiotherapist will determine if you are indeed suffering from SPD and in the event that you are suffering from SPD your physiotherapist will then prescribe a course of treatment.

Once you have given birth your SPD will gradually ease and it is best to continue physiotherapy treatment until your pelvis has fully returned back to normal. It is also quite normal for you to continue to feel pelvic pain as part of your monthly PMS symptoms, but it shouldn’t be unbearable.

SPD Symptoms

SPD Risk Factors

SPD Treatment

Coping with SPD

SPD and Labour