Pubic Symphysis Dysfunction (PSD)

Womens Health Pregnancy Physio LondonPubic symphysis dysfunction (PSD) is also known as symphysis pubis dysfunction (SPD) and sometimes it is classified as pelvic girdle pain. This is characterised by pain at the front of your pelvis, at the pelvic joint. It can be mild pain or severe disturbing pain that limits your movement. This is due to the hormone relaxin which prepares your body for the smooth delivery of your baby through your pelvis. This hormone destabilises your pelvis making it hard for your legs to function normally. You may notice you adopt a ‘waddle’ gait to compensate for the instability and going up stairs is difficult.

Diastasis symphysis pubis may also occur. This is when a gap (over 1cm) develops between your pubic bones at the front of your pelvis and consequently your tummy or abdominal muscles. It may take up to 4 months to return to ‘normal’ or pre-baby tummy.  It is characterised by pain, weak tummy muscles (you may notice this when you try to pick up your baby) and a palpable gap in the muscles at the front of your pelvis. Sometimes people also experience referred pain into the groin or hip.

Unfortunately, the role of hormones cannot be reversed but we can help advise you on how to minimise your pain or discomfort during your pregnancy and also help speed up your recovery after the birth.