Pelvic Girdle Pain

Pelvic Girdle Pain (PGP) also called Symphysis Pubis Dysfunction (SPD) commonly affects women during or after pregnancy causing pain and mobility difficulties.

Interestingly, health professionals take note, Vitamin D deficiency is probably one of the commonest risk factors and widely untreated in the majority of cases. This article lists the risk factors: Review of Symphysis pubis dysfunction: a practical approach to management http://www.google.com/url?sa=t&source=web&cd=2&ved=0CBwQFjAB&url=http%3A%2F%2Fonlinetog.org%2Fcgi%2Freprint%2F8%2F3%2F153.pdf&rct=j&q=symphysis%20pubis%20dysfunction%20management&ei=c7VVTfaVIcfBhAexp7jxDA&usg=AFQjCNGBqm-dTxu_s1YHDQdD_avOcQzxJg&sig2=8thnhYP7th6ELzSg1cb-Pg&cad=rja


I found The Pelvic Instability Network recommend the ACPWH Guidelines for Health
Professionals: http://www.acpwh.org.uk/docs/ACPWH-PGP_HP.pdf

On page 5 of the health professional guidelines is a flow chart
recommending a pathway of care for women with PGP. This starts with
recording the fact that a women has PGP in the notes and referring to
the physiotherapist and midwife and then onto other services such as
OT, social services, Pain clinic and obstetrician depending on the
individual needs of the women.

"A misconception is that Pelvic Girdle Pain(PGP) is something that has to be endured during pregnancy and will vanish once the baby is born. This is not the case. Early and appropriate treatment by an appropriately trained manual therapist will aim to reduce pain, increase mobility and lower the likelihood of ongoing problems after the birth."