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Sharp pain at the front of the pelvis when you walk, climb stairs, or turn over in bed. It is common in pregnancy, and it is not something you simply have to endure.
The symphysis pubis is the joint where the two halves of your pelvis meet at the front. Normally it barely moves. During pregnancy, the hormone relaxin softens the ligaments throughout the pelvis in preparation for birth, and that joint becomes more mobile than it is designed to be.
When the two sides begin moving unevenly, the joint becomes irritated and inflamed. The result is the sharp, specific pain at the front of the pelvis that patients describe, sometimes with an audible or palpable clicking.
Sharp pain at the front of the pelvis, sometimes radiating into the groin or down the inner thighs. Pain that flares with walking, climbing stairs, standing on one leg to get dressed, getting in and out of a car, and turning over in bed.
Many women describe a grinding or clicking sensation and find that their walking pattern has changed. Nighttime is often the worst, because rolling over is one of the most provocative movements there is for this joint.
This is Dr. Eveline's area. She has focused on prenatal care throughout 24 years of practice and is trained in the Webster Technique, which is a gentle analysis and adjustment developed specifically for pregnant patients.
Treatment is entirely low force. The aim is to restore even, balanced movement across the pelvis so one side is not pulling against the other, and to release the muscles that have tightened in response. Positioning on the table is adapted for a pregnant body so you are properly supported throughout.
We also go through practical things that make a real difference day to day, such as how to get out of bed, how to get dressed, and which movements to avoid until the joint settles.
Medically reviewed by Dr. Eveline Onkels, DC and Dr. Michael Onkels, DC, Onkels Chiropractic, Bountiful, Utah. This page is for general information and is not a substitute for an examination.
SPD is irritation of the joint at the front of the pelvis, where the two halves of the pelvis meet. During pregnancy the ligaments soften and that joint becomes more mobile than usual, and when the two sides move unevenly the joint becomes painful and inflamed.
It is common, which is not the same as something you have to put up with. Pelvic girdle pain affects a significant number of pregnant women, and it usually responds well to gentle chiropractic care.
Yes. Care is low force throughout, and positioning is adapted for a pregnant body. Dr. Eveline is trained in the Webster Technique, developed specifically for pregnant patients. Let your obstetric provider know you are receiving care.
Movements where your legs move apart or work independently. Climbing stairs, standing on one leg to dress, getting in and out of a car, and rolling over in bed are the most common triggers. We will go through practical ways to work around these.
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