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What Causes Pubic Bone Pain During Pregnancy?
One of the common occurrences during pregnancy is the pubic bone pain. This condition is referred to as 'Symphysis Pubis Dysfunction' or SPD. This usually occurs during the later period of the pregnancy, when a woman is far along into her third trimester. At the later stages of pregnancy, the hormone relaxin makes the pelvis loosen, especially the pubic bone.
Loosening of the pelvis is a good sign as this makes the process of birthing easier for both the mother and the baby. However, the separation might get exaggerated causing the pubic bone region to become extremely painful for the pregnant lady. This pain can also continue during the early postpartum period.
Is It Normal To Feel Pubic Pain During Pregnancy?
This kind of pubic bone pain is extremely common during the final stages of pregnancy. A pregnant lady usually experiences this kind of pubic bone pain while standing, walking or when trying to move the legs apart. The pain is centred right at the front of the pubic bone area. This annoying pain is associated with the loosening and relaxation of the pelvic ligaments.
Diagnosing SPD
As X-rays are not recommended during pregnancy, diagnosis of SPD is usually done through an ultrasound. This scan focuses on monitoring and observing the space between the bones of the pregnant lady's pelvis. Nevertheless, your doctor could also begin the treatment just by observing your symptoms. In case you continue to have the pain even post delivery, then an X-ray would usually be recommended.
What Are The Symptoms Of SPD?
Pubic bone pain is the most common symptom of SPD. There could be swelling around the region of your pubic bone. You may notice that you find it difficult to bring your legs together. You might notice waddling when walking. You might also hear a mild clicking noise when walking or trying to move your legs.
There could be certain movements that can turn out to be extra painful when you have SPD. Activities like getting out of the bed, getting into the bathtub or car, putting on your pajamas, or sitting for long hours, can be quite painful around your pubic bone indicating the presence of SPD.
Causes Of Pubic Pain During Pregnancy
During the later stages of pregnancy, your body begins to prepare itself for childbirth. When preparing for childbirth, your body begins to release a hormone, relaxin. This hormone softens and loosens the ligaments. When ligaments turn loose, the pelvic outlet begins to widen so that space can be created for the baby's head for delivery. During this process, plenty of ligaments in the pelvis begin to stretch. The most stretched ligament is the one present at the centre of the pubic bone or otherwise referred to as pubic symphysis.
In general, the pubic pain during pregnancy occurs when there is a misalignment of the pelvis and a great amount of movement of the pubic symphysis.
Ideally, the midline cartilaginous joint is able to create a 2 to 3 mm of gap between the bones. But, when pregnancy happens, these become quite flexible making the connective tissues to widen up as much as 9 mm. This ligament stretching in itself causes a lot of pain and discomfort. The increasing weight of the baby also puts additional strain on the muscles causing ample pain in the front area of the pubic bone. At times, the ligaments can also stretch such that it becomes unbearable to bear the pain caused due to the growing weight of the baby.
How To Manage And Treat SPD?
Usually, all your issues with SPD are sorted once you deliver the baby. Nevertheless, there are some methods that you can consider to treat and ease the symptoms.
•
Use
a
pregnancy
binder
to
stabilize
your
pelvis.
A
flexible
binder
is
recommended
than
a
rigid
one.
It
works
like
an
ankle
or
knee
brace
that
are
used
to
keep
joints
in
place.
•
Your
doctor
can
suggest
physical
therapy.
•
Do
not
swing
over
both
your
legs
together.
•
Avoid
standing
for
long
periods
of
time
at
a
stretch.
Wear
good
shoes
when
walking
around.
•
You
can
use
a
hot
water
bag
to
provide
heat
to
your
pelvis
to
ease
the
pain.
You
can
do
this
multiple
times
in
a
day.
You
can
also
use
a
rick
sock
as
a
heating
pad.
•
There
are
certain
exercises
that
when
done
during
pregnancy
can
ease
a
lot
of
aches
and
pain.
You
can
reach
out
to
a
professional
to
acquire
knowledge
about
pelvic
floor
exercises
that
can
be
performed
during
pregnancy.
•
In
case
the
pain
is
severe,
your
healthcare
provider
might
prescribe
painkillers.
But
ensure
to
never
take
over-the-counter
medication
as
this
could
cause
life-threatening
effects.
The
most
common
pain
relievers
prescribed
are
anti-inflammatory
drugs
and
analgesics.
•
Prefer
sitting
down
on
a
chair
when
dressing.
Do
not
try
dressing
while
balancing
on
one
leg.
Risk Factors Associated With SPD
Pubic pain is more when one is carrying multiples or if it's the second or third baby. Other reasons could be a very large baby or if you had SPD in your previous pregnancy. However, as the production of relaxin stops after delivery, there are chances that this form of pubic bone pain would also subside. In case your condition does not improve post delivery, you would need to consult your practitioner so that additional screening could be performed. Additional therapies might be required to build up muscle strength in the pubic bone region.
Public bone during pregnancy can make some of the day-to-day tasks difficult to perform. Talk to your doctor to find out ways by which the pain can be reduced so that you can perform the normal life activities with more ease and smoothness. Including physical therapy in your daily routine can help you immensely in sorting out the pubic bone pain during pregnancy. It is important that you take ample rest during pregnancy and do not stress over minor things.
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