Pelvic Girdle Pain in Pregnancy

Pelvic girdle pain (PGP) is a common condition during pregnancy. It refers to pain or discomfort in the pelvic joints, usually around the front (pubic bone), hips, or lower back. It occurs because pregnancy hormones loosen ligaments and the growing uterus places extra strain on the pelvis.

1. What Is Pelvic Girdle Pain?

• Pain or discomfort in the pelvic joints.
  • Often felt in the pubic bone, hips, thighs, or buttocks.
  • Caused by loosening ligaments and extra strain on pelvic joints.
  • Ranges from mild discomfort to severe pain affecting mobility.

2. Causes

• Hormonal changes: Relaxin softens ligaments, reducing joint stability.
  • Weight and posture changes from the growing belly.
  • Uneven movement (climbing stairs, turning in bed, standing on one leg).
  • Previous back or pelvic injuries.

3. Symptoms

• Pain in the front of the pelvis (pubic bone).
  • Pain in the hips, groin, thighs, or buttocks.
  • Clicking or grinding sensation in the pelvic area.
  • Pain worsens with walking long distances, climbing stairs, standing on one leg, or turning in bed.

4. Coping Strategies

• Rest frequently and avoid activities that trigger pain.
  • Use a pelvic support belt to stabilize the pelvis.
  • Maintain good posture, keeping hips aligned when sitting, standing, or turning.
  • Gentle exercise such as swimming, water walking, or physiotherapy exercises.
  • Sleep with pillows between the knees and under the bump.

5. When to Seek Medical Help

• If pain is severe or persistent.
  • If mobility becomes very limited (difficulty walking).
  • If pain is accompanied by fever, bleeding, or contractions.

6. Treatment Options

• Referral to a physiotherapist specializing in pregnancy.
  • Prescribed exercises to strengthen pelvic floor and core muscles.
  • In severe cases, crutches or mobility aids may be recommended.
  • Safe pain relief may be discussed with a healthcare provider.

Summary

Pelvic girdle pain is common in pregnancy due to hormonal changes and strain on the pelvic joints. It can usually be managed with posture adjustments, physiotherapy, and support belts. Severe cases should be evaluated by a healthcare professional.