![]() ![]() This includes recommendations from your physical therapist on how to reduce that tension and pull on the pubic symphysis. When treating SPD, we typically start with activity modifications. “I think I have pubic symphysis dysfunction, how do I make it better?” Lunging activities or stepping out to the side.Standing on one leg like when getting dressed or performing certain exercises.Movements that typically make pubic symphysis pain worse include: It does not typically go away with rest and will often get worse if not addressed ASAP. For instance, you may get the sharp, shooting pain in the front of the pelvis every time you roll, try to get dressed, go up and down the stairs, or step out to the side. ![]() It most often occurs with single leg or transitional activities and will be present the majority of the time when trying to perform those movements. On the other hand, pubic symphysis dysfunction is typically at the very front of the pelvis and sometimes radiates off to one side along the groin or inner thighs. Sometimes it may come on without rhyme or reason and is not typically replicated with specific movements like with SPD. The key though is that rest, heat or and/or breathing should alleviate the discomfort within a few minutes. It can be triggered with quick movements, rolling, or getting up from a chair. Round ligament pain is a sharp, quick pain that you typically feel on the sides and front of the low abdomen. Great question! And it’s good to know the difference so you can seek appropriate treatment if necessary. “How do I know if it’s round ligament pain or pubic symphysis dysfunction (SPD)?” The hips and abdominals also connect to the front and side of the pelvis, often contributing to the pain and difficulty of SPD. Each side of the pelvis with those three bones is called an innominate of the pelvis, so we say the pelvis has three innominates brought together by that sacrum. The pelvis is made of three bones, the ilium, the pubis, and the ischium, which come together like puzzle pieces to form three joints: two sacroiliac joints, one pubic symphysis. But it can also occur outside of pregnancy, stick around postpartum, or be caused by a traumatic accident or injury to the pelvis. Most frequently, SPD occurs during pregnancy with experts estimating that up to 25% of people will experience it at some point during those 40-weeks. SPD occurs when there is a shifting or pulling happening at the pubic symphysis joint, which can lead to irritation, inflammation, and dysfunction. When we get that sharp, shooting pain at the front of the pelvis, especially if it’s chronic or consistent with certain activities, it’s more likely that it’s pubic symphysis dysfunction, also called SPD (the pubic symphysis joint is also called the symphysis pubis, hence SPD and not PSD). But 0dds are, that’s not actually the case. Your OB or your local moms’ facebook group may have told you that it’s your round ligament…. ![]() If you’ve ever been pregnant before, you may have experienced the sharp, shooting pain in the front of your pelvis that many refer to as “lightning crotch.” Most often, it happens with a quick step out to the side or with rolling or getting up after sitting for a while.
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