Symphysis Pubis Dysfunction

Symphysis pubis dysfunction (SPD) is a variety of symptoms characterized by pelvic pain in the back and in the front of the pelvis. Symptoms often include pain in the front of the pelvis at the pubic bone, which can radiate into the groin, and is often worsened by standing on one leg, rolling over in bed, getting in and out of the car, and walking up or down stairs.

SPD primarily affects pregnant women, with studies estimating 31.7% of women will experience SPD during their pregnancy. This condition can be caused by muscle weakness, muscle imbalance, and hormonal changes and fluctuations (specifically the increase in the hormone Relaxin).

Pelvic health physical therapy can address the underlying causes by strengthening weak muscles and providing education on optimal body mechanics and use of support belts, which can help to alleviate symptoms. Certain exercises for strengthening the core and hips can be very beneficial and a pelvic health physical therapist can determine what exercises are most appropriate for each person.