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What Is Pelvic Girdle Pain?

Pelvic girdle pain (PGP) is pain in the joints that make up your pelvic girdle, which is the ring of bones at the base of your spine. This includes the joints at the back of your pelvis (sacroiliac joints) and the joint at the very front (pubic symphysis). It is a very common problem, especially during pregnancy.

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What Is Pelvic Girdle Pain?

Pelvic girdle pain (PGP) is pain in the joints that make up your pelvic girdle, which is the ring of bones at the base of your spine. This includes the joints at the back of your pelvis (sacroiliac joints) and the joint at the very front (pubic symphysis). It is a very common problem, especially during pregnancy.

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What Causes Pelvic Girdle Pain?

The most common cause is pregnancy. The body makes hormones that soften the ligaments in your pelvis to prepare for birth. This can make the joints less stable. The weight and position of the baby can also put extra strain on the area. It can also be caused by an injury to the pelvis or uneven movement of the joints.

What Are the Symptoms?

The main symptom is pain, which can be in the pubic bone at the front, or across your lower back. Some people feel it on one side or both, or in the area between your legs. The pain is often worse when you are active. It can hurt to walk, climb stairs, turn over in bed, or stand on one leg.

How Is Pelvic Girdle Pain Diagnosed?

A doctor or a physical therapist can diagnose PGP by talking to you about your pain and symptoms. They will gently examine your back and hips. They may also ask you to do certain movements that bring on the pain, which helps them find out which joints are being affected. You usually do not need an X-ray.

How Is Pelvic Girdle Pain Treated?

Treatment is focused on managing the pain and keeping you mobile. The most common treatment is physical therapy. A therapist can give you exercises to strengthen the muscles that support your pelvis. They can also give you a pelvic support belt to wear. You may need to change how you do some activities, like sitting down to get dressed.

FAQs on Pelvic Girdle Pain

Will this hurt my baby?

No. Pelvic girdle pain is a problem with your joints and ligaments. It is not harmful to your baby in any way.

Will it go away after I give birth?

For most women, the pain gets much better or goes away completely in the weeks or months after the baby is born. Some women may need follow-up physical therapy.

Can I still have a normal vaginal birth?

Yes. You should tell your doctor and medical team that you have PGP. They can help you find a birthing position that is more comfortable for you and does not put extra strain on your joints.

When to See Your Doctor

You should talk to your doctor or midwife as soon as you start to feel this kind of pain during pregnancy. Do not assume it is just a normal "part" of being pregnant. The earlier you get a diagnosis, the sooner you can start physical therapy and learn how to manage it. If you are not pregnant and have this pain, you should also see a doctor.