SPD, Pubic Symphysis Dysfunction, Pelvic Girdle Pain......what does it all mean?
Ok so these all mean the same thing - the current term is Pelvic Girdle Pain (or PGP). When pregnant, a hormone called relaxin is released; this hormone softens or 'relaxes' connective tissue. Along with the altered biomechanics of progressing pregnancy, this puts a strain on the ligaments that join the pieces of your pelvis together; these are the two Sacroiliac joints at the back and one Pubic Symphysis at the front (see picture).
Although fairly common in pregnancy and not dangerous, PGP can be painful and in some cases make it very difficult even to walk. Physiotherapy can help with a correct diagnosis, gentle treatments for pain and where indicated, correct fitting of a support belt.
The Pelvic, Obstetric and Gynaecological Physiotherapy (POGP) society offer a free leaflet to download (see link below). Sometimes following this advice early on can avoid worsening of the condition. If doing so does not alleviate your symptoms, please do come in for a consultation - you may need some gentle treatment to realign your back and pelvis in order to reduce pain.
https://pogp.csp.org.uk/system/files/pogp-pgppat_3.pdf
