Understanding Pregnancy-Related Pelvic Girdle Pain (PGP) or Symphysis Pubis Dysfunction (SPD)
- Beyond the Bump
- Jun 29, 2023
- 3 min read
Updated: May 22
Pregnancy comes with a whole range of joyful, strange, and sometimes unpleasant surprises — and Pelvic Girdle Pain (PGP) or Symphysis Pubis Dysfunction (SPD) is one of the more uncomfortable ones.
If you're hobbling through your second trimester wondering if it's normal to feel like your pelvis is falling apart — first of all, you’re not alone, and second, no, you don’t have to just put up with it.
Let’s break it down in simple, NHS-backed terms — with a few extra tips from us, because we've seen this one come up a lot in our classes.
What is Pregnancy-Related Pelvic Girdle Pain (PGP) or Symphysis Pubis Dysfunction (SPD)?
PGP or SPD refers to the pain and discomfort experienced in the pelvic region during pregnancy. It occurs due to an imbalance or instability in the pelvic joints, particularly the symphysis pubis joint located at the front of the pelvis. The condition can range from mild to severe and may greatly impact a woman's mobility and overall well-being during pregnancy.
Causes of PGP or SPD:
Several factors contribute to the development of PGP or SPD during pregnancy:
1. Hormonal changes: Hormones released during pregnancy, such as relaxin, soften the ligaments and joints in preparation for childbirth. However, this increased flexibility can lead to joint instability and pain.
2. Weight gain: The additional weight gained during pregnancy puts extra stress on the pelvic joints, potentially causing discomfort and pain.
3. Postural changes: As the baby grows, the center of gravity shifts forward, altering the pregnant woman's posture. This change can place strain on the pelvic joints and lead to pain.
Symptoms of PGP or SPD:
The symptoms of PGP or SPD can vary from woman to woman. Some common signs to look out for include:
1. Pain in the pelvic region, groin, lower back, hips, or thighs.
2. Difficulty in walking, climbing stairs, or turning in bed.
3. Clicking or grinding sensation in the pelvic area.
4. Increased pain after prolonged periods of standing or sitting.
5. Worsening pain during activities that involve spreading the legs, such as getting in and out of a car or bed.
Treatment Options:
Here’s the good news: you don’t have to just grit your teeth and power through. There are things that can genuinely help — and early support can stop it from getting worse.
💡 See a specialist
The NHS recommends seeing a pelvic health physiotherapist, and we’d also strongly recommend looking into a pregnancy chiropractor — ideally someone trained in the Webster Technique. A proper assessment can make a huge difference.
🧘 Adjust your movements
Sit down to get dressed (no hopping on one leg)
Keep knees together when getting in/out of the car or turning in bed
Avoid heavy lifting, pushing trolleys, or long walks
Use a pillow between your legs for sleep support
🔗 Try a pelvic support belt
These help stabilise the pelvis and can take the pressure off when walking or standing. They’re best used under the guidance of a physio or chiropractor.
💪 Gentle movement helps
Staying active is important — but it needs to be the right kind of movement. Think: pelvic floor exercises, gentle stretches, and walking short distances at a comfortable pace.
💊 Speak to your midwife or GP about pain relief
Paracetamol is generally safe, but always double-check before taking anything in pregnancy.
Will It Go Away?
In most cases, yes — PGP resolves after birth as your ligaments tighten back up. But if left unmanaged during pregnancy, it can linger, so don’t hesitate to get help early.
PGP and SPD are very real — and there’s help available. If you’re local to Warwickshire, we’re always happy to recommend trusted pelvic health physios and chiropractors who really understand pregnancy bodies. Just drop us a message or come and chat at one of our sessions!
Looking for more support with your birth?
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