PGP (Pelvic Girdle Pain) formally known as SPD (Symphysis Pubis Dysfunction), is a painful condition thought to affect 1 in 4 pregnant women. The severity varies between women allowing some women to enjoy a perfectly normal pregnancy and birth experience with no long term effects whilst for others it can prove to be so debilitating that long term care and support is needed.
Most cases of PGP are perfectly treatable. It can be safely treated in pregnancy. PGP is assessed, managed and treated generally in the same way, whatever the cause and whenever it started. So if you have pelvic pain during or after a pregnancy, ask for treatment. You will need to be determined and strong when asking for help. Unfortunately many midwives, health visitors and doctors still continue to report that PGP is normal. It is not normal, but it is common. The difference is it should be treated.
Once diagnosed with PGP you should ask to be referred to a physiotherapist that deals in pregnancy. Most women will then be issued with a support belt - ask for a 3 way support belt they are slightly better then the cheaper standard one strap that is normally issued. You may also be given crutches if you are finding it particularly difficult to get about. In severe cases you may need a wheel chair, depending on your hospital though they may not always provide one. You may need to contact your local Red Cross.
PGP once diagnosed is often referred to as osteitis pubis, and pelvic girdle relaxation. The name really depends on whom you talk to about it.
PGP can occur at any stage in pregnancy. It usually does not start before the end of the first trimester but many women on second and third pregnancies report it starting from much earlier.
PGP can improve with a few days rest (no hoovering, shopping or being on your feet for too long!)
However, in most cases this does not happen and you need to ask to be referred for treatment from a physiotherapist.
PGP can also occur during a difficult birth. It does also (much less frequently) start after birth, sometimes weeks or months later. It is all assessed, managed and treated in the same way, whatever the cause and whenever it started. So if you have pelvic pain during or after a pregnancy, ask for treatment.
Sports injuries
PGP can also be found in sports man and women. Most commonly Rugby players and some martial arts specialists have reported PGP. The treatment is usually the same and sporting PGP has a relatively high successful surgery rate.
