Pelvic Girdle Pain (PGP) is pain in any one of the 3 pelvic joints or a combination of two or all three (Symphysis Pubis Joint at the front or the two Sacro-Iliac Joints (SIJ) at the back).
SIJ pain is often described by women as low back pain and is present in one or both of the dimples on the posterior pelvis. Up to 50% of pregnant women can be affected to varying degrees.
These joints become more mobile in pregnancy due to hormone changes and mobility is increased further by repetitive activity i.e. excessive walking and stairs which stretches the surrounding soft tissue causing inflammation and pain.
Maintain good posture (standing, sitting and sleeping); get in and out of bed without straining. To relieve PGP symptoms log roll to turn in bed with self bracing of the core stability muscles (see below) and maintain normal work, household and exercise regimes. Avoid carrying children on your hip and long periods of inactivity.
Core stability muscles are the Pelvic Floor Muscles, the deep abdominal muscle Transversus Abdominis, the inner thigh hip adductor muscles and Gluteus Medius buttock muscles.
Exercises for these muscle groups can be taught by a Women’s Health Physiotherapist before, during and after pregnancy. Pilates and Yoga use all of these muscle groups to strengthen prior to, during and after pregnancy.
Liz Laverick, Specialist Physiotherapist for Women's Health and Continence
The Portland Hospital for Women & Children
For more information on Women's Health at The Portland Hospital please call our dedicated Women's Health Enquiries Line on 020 7390 6200 to speak to one of our advisors.