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Getting around Pregnancy Pelvic Pain: Causes, Symptoms and the Role of Physiotherapy in Relief

Updated: Apr 17

Pregnancy is a remarkable journey filled with joy and anticipation, but for some women, it can also bring discomfort in the form of pelvic pain.


Understanding what pregnancy pelvic pain is, its causes, symptoms and the role of physiotherapy in providing relief is essential for expectant mothers. Here we delve into the intricacies of pregnancy pelvic pain, shedding light on its nuances and offering insights into how physiotherapy can play a crucial role in alleviating this discomfort.

What is Pregnancy Pelvic Pain?

Pregnancy pelvic pain refers to discomfort or pain in the pelvic region experienced by expectant mothers. This discomfort can manifest in various forms and intensities, impacting daily activities and quality of life during pregnancy. The pain may be related to changes in the musculoskeletal system, hormonal influences, or the pressure exerted by the growing uterus on surrounding structures.

Causes of Pregnancy Pelvic Pain - Why does my Pelvic Pain during Pregnancy

  • Hormonal Changes: Pregnancy triggers an increase in hormones, including relaxin, which leads to increased joint laxity. This hormonal surge can contribute to instability in the pelvic joints, leading to pain.

  • Pelvic Girdle Pain (PGP): PGP is a condition characterized by pain in the pelvic joints, often resulting from the increased pressure on the pelvic area as the baby grows. It can affect the symphysis pubis joint, sacroiliac joints, or both.

  • Postural Changes: The changing body shape and weight distribution during pregnancy can lead to altered posture, putting strain on the pelvic muscles and joints.

  • Symphysis Pubis Dysfunction (SPD): SPD involves pain due to excessive movement of the pelvic joints, particularly the symphysis pubis, leading to discomfort and difficulty with movements.

Symptoms of Pregnancy Pelvic Pain

  • Aching or Sharp Pain: Women may experience a range of sensations, from a dull ache to sharp, stabbing pain in the pelvic region.

  • Discomfort While Walking: Pain or discomfort, particularly during walking, climbing stairs, or standing for extended periods, is a common symptom.

  • Painful Movements: Certain movements, such as getting in and out of bed or changing positions, may cause pain.

  • Painful Intercourse: Some women may experience discomfort or pain during sexual intercourse.

  • Radiating Pain: Pain that radiates to the lower back, buttocks, or thighs may occur due to the interconnectedness of pelvic structures.

Pelvic Pain during Pregnancy how Physiotherapy Can Help

  • Pelvic Floor Exercises (Kegel Exercises): Physiotherapy involves specific exercises to strengthen the pelvic floor muscles, providing support and stability to the pelvic region.

  • Manual Therapy: Physiotherapists use hands-on techniques to address musculoskeletal imbalances, release tension, and improve joint mobility, promoting overall pelvic health.

  • Postural Education: Educating expectant mothers about proper posture during daily activities helps reduce strain on the pelvic area and can alleviate pain.

  • Pelvic Support Belts: Physiotherapists may recommend pelvic support belts to provide external support, reducing the pressure on pelvic joints and offering relief from pain.

  • Patient Education: Physiotherapists play a crucial role in educating pregnant women about lifestyle modifications, safe exercises, and strategies to manage and prevent pelvic pain.

Pregnancy pelvic pain is a common concern, but the empowering news is that relief is attainable through physiotherapy. By addressing the root causes and tailoring interventions to the individual needs of expectant mothers, physiotherapy plays a crucial role in enhancing the overall pregnancy experience. Seeking guidance from a qualified physiotherapist becomes an integral part of prenatal care, ensuring that women can embrace the transformative journey of pregnancy with comfort and confidence.


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