Pubic bone pain after giving birth, also known as postpartum pubic symphysis diastasis or symphysis pubis dysfunction (SPD), is a condition that affects some women following childbirth. This pain is usually centered around the pubic symphysis, the joint at the front of the pelvis where the two halves of the pelvic bone meet.
What are the causes of post-partum pubic bone pain?
- Hormonal Changes: During pregnancy, the body releases the hormone relaxin, which loosens the ligaments in the pelvis to prepare for childbirth. This can sometimes lead to instability or separation of the pubic symphysis.
- Physical Stress: The process of labor and delivery can put significant strain on the pelvic area, particularly if the baby is large, labor is prolonged, or delivery involves interventions such as forceps or vacuum extraction.
- Pre-existing Conditions: Women who had SPD or pelvic girdle pain during pregnancy are more likely to experience pubic bone pain postpartum.
What are the symptoms of symphysis pubis dysfunction (SPD)?
Pain:
- Burning, shooting, grinding or stabbing
- Mild or prolonged
- Usually relieved by rest
- Radiating to the back, abdomen, groin, perineum and legs
- Disappears commonly after giving birth (not in every case)
- Discomfort sense onto the front of the joint
- Clicking of the lower back, hip joints and sacroiliac joints when changing position
- Difficulty in movements like abduction and adduction
Locomotor difficulty:
- Walking
- Ascending or descending stairs
- Rising from a chair
- Weight-bearing activities
- Standing on one leg
- Turning in bed
- Depression, possibly due to the discomfort
How is pubic bone pain treated?
- Rest and Activity Modification: Reducing activities that exacerbate pain, such as standing for long periods, lifting heavy objects, or walking long distances.
- Pelvic Physiotherapy: A physiotherapist can provide exercises to strengthen the pelvic floor, abdominal, and hip muscles, and help stabilize the pelvic area. Manual therapy may also be used to realign the pelvis.
- Pain Relief: Over-the-counter pain medications such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) may be recommended. Always consult with a healthcare provider before taking any medication, especially if breastfeeding.
- Supportive Devices: Wearing a pelvic support belt can help stabilize the pelvis and reduce pain.
- Heat and Cold Therapy: Applying heat or cold packs to the affected area can help reduce pain and inflammation.
How can a pelvic health physiotherapist help with pubic bone pain?
A pelvic health physiotherapist can be of immense help with symphysis pubis dysfunction (SPD). A pelvic health physiotherapist can provide:
- Guidance on movement techniques for daily activities such as climbing stairs, bending, lifting, and feeding the baby.
- Education on gradually advancing exercises aimed at neuromuscular re-education, core stability, and proper posture.
- Hands-on therapy, including pelvic evaluations and muscle energy techniques to correct pelvic alignment.
- Evaluations to identify tissue dysfunction or lack of coordination.
Where can I find a pelvic health physiotherapist in Mississauga?
We have 8 locations with pelvic health physiotherapists to help you.
- Pelvic Health Physiotherapy Etobicoke – Triangle Physiotherapy Etobicoke
- Oakville Pelvic Health – Triangle Physiotherapy Oakville
- Pelvic Health Physiotherapy North York – Triangle Physiotherapy North York
- Mississauga Pelvic Health – Triangle Physiotherapy Mississauga
- Downtown Pelvic Health – Triangle Physiotherapy King West
- Uptown Toronto Pelvic Health – Triangle Physiotherapy Lawrence Park
- Pelvic Physiotherapy Downtown Toronto – Triangle Physiotherapy Queens Quay
- Mississauga Pelvic Health – Triangle Physiotherapy Erin Mills
Recovering from pubic bone pain after giving birth can be supported through targeted physiotherapy. If you’re looking for specialized care, consider physiotherapy in Etobicoke, Oakville, North York, Toronto, Lawrence Park, Queens Quay, Erin Mills, Mississauga, or Liberty Village. Experienced physiotherapists in these areas can help you manage pain and regain strength and mobility through personalized treatment plans.
