PHYSIO Relief for Pelvic Girdle Pain During Pregnancy

Pelvic girdle pain during pregnancy typically gets worse as pregnancy progresses. Correct Physiotherapy management can help relieve pelvic joint pain and help you move freely again. Physiotherapist Michelle from https://www.pelvicexercises.com.au shows how to stop pelvic girdle pain with the correct garment, pelvic bracing and the best ways to relieve pelvic girdle pain when sitting, walking and resting.

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Pelvic girdle pain in pregnancy usually comes from one or both of the sacroiliac joints (SI joints). These joints usually don’t move much however during pregnancy they can start to more as the tissues supporting these joints (pelvic ligaments) soften for childbirth. When you take weight through one leg e.g. walking or taking stairs the SI joints can move and become irritated. The buttock muscles around these joints stop working correctly and usually develop painful spasm.

SI joint pain can start any time during pregnancy and it usually worsens as your baby grows bigger and your weight increases.

SI joint pain is usually located in the middle of one or both buttocks (SI Joint pain) or where the pubic bones meet at the front (symphysis pubis). This condition can occur along with lower back pain during pregnancy.

How to Relieve Pelvic Girdle Pain

Physiotherapy treatment aims to stabilize or hold the pelvic joints together and stop them from moving too much.
Pelvic joint stability in pregnancy is achieved:
Wearing appropriate pregnancy support garments (maternity leggings) such as the SRC pregnancy compression garments for mild to moderate SI Joint pain and instability
Wearing a pregnancy support belt (or brace) for severe pelvic girdle pain and joint instability
Resting lying down with the body supported and the painful sacroiliac joint uppermost
Sitting with good posture in the correct height supportive chair i.e. sitting in a chair with firm back support rather than a soft low lounge chair
Standing with weight evenly distributed between both feet
Walking with good upright posture and taking small steps to reduce pelvic forces
Avoiding stairs wherever possible
Avoiding standing on one leg for example sitting to dress

#pelvicgirdlepain #pregnancy #SIJointpain

References:
Pelvic ligaments image
https://commons.wikimedia.org/wiki/Fi... https://upload.wikimedia.org/wikipedi...
Henry Vandyke Carter, Public domain, via Wikimedia Commons

A Quasi‐Experimental Study To Evaluate The Use Of Compression Garments To Manage Prenatal Pelvic And Low Back Pain Szkwara J, Hing W, Pope R, Rathbone E, Bond University, Robina, Australia November 2017

Ghaderi F, Mohammadi K, Amir Sasan R, Niko Kheslat S, Oskouei AE. Effects of Stabilization Exercises Focusing on Pelvic Floor Muscles on Low Back Pain and Urinary Incontinence in Women. Urology. 2016 Jul;93:50-4. doi: 10.1016/j.urology.2016.03.034. Epub 2016 Apr 5. PMID: 27059833.

Kluge, Judith & Hall, David & Louw, Quinette & Theron, Gerhard & Grové, Debbie. (2011). Specific exercises to treat pregnancy-related low back pain in a South African population. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 113. 187-91. 10.1016/j.ijgo.2010.10.030.

Clinton, Susan C. PT, DScPT, OCS, WCS, FAAOMPT1; Newell, Alaina PT, DPT, WCS, CLT-LANA2; Downey, Patricia A. PT, PhD, DPT3; Ferreira, Kimberly PT, PhD, MSPT4 Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Physical Therapy Association, Journal of Women's Health Physical Therapy: May 2017 - Volume 41 - Issue 2 - p 102-125 doi: 10.1097/JWH.0000000000000081
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