AKA – Symphysis Pubis Dysfunction, or SPD, is a condition that affects the joint connecting the two pelvic bones, causing pain and discomfort. It’s most commonly associated with pregnancy but can also occur due to trauma or repetitive stress. In this article, we’ll explore what SPD is, its symptoms, and most importantly, how to manage it effectively.
What is SPD?
SPD occurs when the ligaments supporting the pubic symphysis joint become overly relaxed, leading to excessive movement and pain. This instability can cause inflammation and discomfort, making everyday activities challenging.
- Symptoms of SPD
Pain: You might experience sharp (lightening sensations) or aching pain in the pubic area, groin, lower back, or thighs. - Movement discomfort: Activities like walking, climbing stairs, rolling over in bed, or getting in/out of a car can exacerbate the pain.
- Functional challenges: You might notice clicking or grinding sensations, difficulty standing on one leg, or uneven weight-bearing.
Causes of SPD
- Pregnancy hormones: Relaxing and progesterone can loosen ligaments, sometimes causing premature joint instability.
- Trauma: falls or accidents can lead to SPD.
- Biomechanical factors: Poor posture, uneven pelvic loading, or muscle weakness can contribute to the condition.
Managing SPD -Lifestyle Adjustments
- Walking: Take shorter steps and carry heavy items close to your chest or in a backpack.
- Sleeping: Use a pillow between your knees to reduce pelvic rotation.
- Rolling in Bed: Bend your knees, engage your core, and move your hips and shoulders together like a log as you turn.
- Getting in and out of the car: Sit sideways, swivel your legs in/out while keeping your knees together.
- Stairs: Climb sideways, one step at a time, facing the railing.
- Sitting: Distribute your weight evenly; avoid crossing your legs or leaning to one side.
Activity Modifications
- Avoid triggers like standing on one leg or heavy lifting.
- Use heat or ice therapy for pain relief.
By understanding SPD and implementing these strategies, you can significantly reduce discomfort and improve your quality of life. If you suspect that you may have SPD, consult your Chiropractor for personalized guidance and support.
Wishing you all the best,
Dr. Raidoo