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Pelvic Girdle Pain & Pregnancy (Part-1)

Have you ever been told that nothing can be done to help your pubic bone pain, pelvic pain, or lower back pain on one ,or the other side of pregnancy? Have you ever been told that “your pubic joint is separating”, or “ your pelvis is unstable” (which does sound scary to hear) Did you ever got the advice that “if it hurts, don’t do it”, “ it will probably get better after your delivery”? We get to hear this quite often from patients who we see for pelvic girdle pain

Pelvic Girdle Pain is -pain over the pubic bone at the front in the center -pain across one or both sides of your lower back -pain in the perineum (area between your vagina and anus) -Pain can also radiate to your thighs, and some women feel or hear a clicking or grinding in the pelvic area.

The pain can be most noticeable when you are: -walking -doing stairs -standing on one leg (for example when you’re getting dressed or going upstairs) -turning over in bed -Moving your legs apart while getting out of the car -changing positions What causes PGP during pregnancy and after having a baby? During pregnancy,  many changes that occur in our body including: • Stretching of the abdomen and stomach muscles • The weight of the baby sitting on your pelvic floor muscles throughout the pregnancy leads to stretching of the pelvic floor muscles • Posture also changes with the growing baby which ends up putting extra stress on the pelvis. During pregnancy, our body naturally produces a hormone called “relaxin”. This hormone has a generalized relaxing effect on ligaments and tendons of the lower back and pelvic region. Relaxin has an important role to play in pregnancy and childbirth, as the hormone allows the pelvis to expand to better accommodate the baby. 

While relaxin comes with its’ benefits, the production of the hormone results in the ligaments of the body to relax, resulting in excessive, or at times abnormal mobility of the joints in the lower back and pelvis. The joints in the pelvis normally share the transfer of weight evenly between them, but due to abnormal mobility one side can become stiff causing the other side pelvic joints to become overworked, inflamed, and painful. Patients with PGP commonly experience pain in the front or the back of your pelvis. In addition to excessive movement at these joints, being pregnant causes the muscles in your tummy and pelvic floor to stretch and weaken, which results in lesser support for the pelvic joints. It is very common in pregnancy for the muscles not to recognize the need to change the way they work. This leads to poor control of the extra movement available to the joints, further stressing the ligaments and resulting in inflammation and pain. If you are experiencing PGP, when you have been walking around your pelvic joints may be sore, as they have experienced the same kind of stress.

At Harmony Physiotherapy we are Experts in Pelvic Physiotherapy. We work with and coordinate all patient care with your obstetrician, midwife, physician, and other health care professionals to maximize results and effectiveness. Harmony Physiotherapy Ottawa will assist you in achieving a full and healthy recovery. Book an appointment with our Harmony Pelvic Physiotherapy Experts today. We can help get you back on your path of recovery!


Dr. Richa Rehan

Harmony Physiotherapy

"We Help Women Through Pelvic Pain, Pregnancy, Postpartum And Beyond So They Can Live Active, Confident, And Healthy Lives With The Help Of Conservative Management."