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Symphysis Pubis Dysfunction (SPD)

16 comments
 
By Christine Hill

What is the common condition that makes standing on one leg or climbing stairs unbearable for some pregnant women? Christine Hill examines spd

What is Symphysis Pubis Dysfunction?
The symphysis pubis is the name given to where two bones meet at the front of the pelvis. The pelvic bone is roughly in the shape of a heart, and is actually formed by three bones, which are held together by very strong ligaments.

The bones meet to form three 'fixed' joints - at the front (the symphysis pubis) and at each side of the bottom of the spine (the sacro-iliac joints).

Normally, these joints are not designed to allow movement. However, when a woman becomes pregnant, a hormone called relaxin is produced which loosens all the pelvic ligaments in order to allow the pelvis slight movement at the time of birth.

For some reason, the ligaments occasionally loosen too much and too early before birth. This means they can't keep the pelvic joints stable so the pelvis moves, especially on weight bearing. All this is made worse by the increased weight of the growing baby and sometimes the symphysis pubis joint actually separates slightly. The result is mild to severe pain, usually in the pubic area, and is called SPD.

What are the symptoms?
The most common is pain and difficulty when walking. Some women describe the feeling of their pelvis coming apart. The pain is made worse when turning in bed or doing something that involves standing on one leg, such as climbing up stairs, getting dressed and getting in and out of a car.

The pain is generally felt in the pubis and/or the sacro-iliac joints, but can also be experienced in the groin, the inner side of the thighs, the hips and in one or both buttocks.

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I was thrown from a horse and fractured my pelvis. long story short. I was diagnosed with SPD and need symphysis plating surgery to stabilize my pelvic ring. I also need screws in my SI joint to stabilize that joint. I've been searching all over the Internet for information on this condition but the only thing I find is information on pregnant woman with this condition. if anyone has experienced SPD while not pregnant please post about your experience.
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Useful article but I have been having physio treatment/advice for SPD during pregnancy and have found it helped massively to reduce pain levels, whilst I still have symptoms they are massively reduced, would advise anyone to get a referral and check out the Pelvic Partnership website too.