There is a multitude of musculoskeletal issues than can occur during pregnancy and following birth. Fortunately, these can be helped with treatment from an experienced women’s health physiotherapist. Pelvic Girdle Pain (PGP) can be one of the more severe and disabling.
The pelvic girdle is a ring of bones at the base of your spine. Pelvic girdle pain can be experienced in the hips, lower back, pelvis, pubic bone, groin, lower abdomen and legs. PGP affects 1 in 4 pregnant women. Pain when you are walking, climbing stairs, turning over in bed, getting in and out of a car are common features of PGP. PGP arises from excessive movement of the pelvis during pregnancy. Excessive movement of the pelvis is caused by:Hormonal changes which alters the stretchiness of your ligamentsPostural and loading changes from your tummy growing Pelvic floor muscles being stretch with the weight of the baby Certain activities will continue to aggravate PGP until you gain good control of movement in the pelvic joints. These include pushing loaded shopping trolleys, standing on one leg to dress, running, prolonged walking, walking on uneven or soft ground, carrying a toddler on your hip, getting in and out of the car, vacuuming and mopping.Thankfully you can get help for PGP. Evidence supports Physiotherapy in managing PGP. This may include release of tight muscles around the pelvis, dry needling, exercises to strengthen the muscles around your pelvis and advice about pelvic support garments. A patient specific Clinical Pilates program is also very effective at managing PGP during pregnancy, with the use of stabilization and stretching exercises.