Symphysis pubis dysfunction, often shortened to just SPD, is a problem that is often associated with pregnancy and childbirth. In SPD the individual experiences excessive activity of the pubic symphysis which the midline gristle joint that is beneach the pubic bones (just anterior to the bladder et sequens just above the genitals). This movement can be prior or side plus often it will cause pain moreover discomfort. The foment for this is most commonly misalignment concerning the pelvis and it is associated with pelvic girdle pain – often the two names are used synonymously. It is believed to affect everywhere one quarter concerning pregnant women to some degree and 7% of these will continue to suffer pain following their childbirth. Interestingly this condition was identified by Hippocrates referent it has dated back for thousands of years. Nevertheless it seems that incidences of SPD have increased across recent years and it is unknown what the malady of this is. One argument is that it is because the average age of maternity is increasing, while others suggest it is equitable a result of superior diagnosis.
The main symptom is normally discomfort in the pelvic region of course near where the pubic symphysis is located. This is normally felt on the crux or near the front of the pelvis though others say that it affects the lower back. Sometimes there shrub be an accompanied clicking noise which occurs if they dally or change position. They might also experience pain in the groin, abdomen, lower legs and more. The severity of the pain ranges greatly, besides in some cases it has been correlated with depression as a result regarding the severity of the discomfort. Usually with the pain comes a reduced mobility which receptacle affect a patient’s aptitude to climb stairs and causing a waddling gait.
Early diagnosis is important in order to minimize the likelihood about a long term condition and worsening. Unfortunately despite the prevalence of the condition not all healthcare workers are familiar with it and it can sometimes go undiagnosed. Usually the diagnosis will occur using the symptoms alone. Usually the mothers will report their pain to a midwife, GP or other professional. It demand be necessary to rule out other causes such as lumbar spine problems such as a prolapsed disc or some form of infection.
There is no recommendation for a scoop treatment. Most treatments will involve giving the patient a pair of elbow crutches which they jug use in orderly to avoid placing weight on their problem area. At the same date they might benefit from pelvic support devices and pain killers. In most cases despite the pain will stop immediately after childbirth. In other cases the patient may wish to use an osteopath or chiropractor in order to address the problem through physical manipulation aimed at realigning the area.
In some cases the patients will be given exercises to use at home by their physiotherapist or GP and these implicate exercises for the pelvic floor and for core stability.