Pubic bone pain is very common during pregnancy and is also called as Symphysis Pubis Diastasis. Again the hormones are to be blamed particularly “Relaxin” which causes pubic bone to loosen. There is misalignment of pelvis and excessive movement of Pubic Symphysis. The gap between pelvic bones increases, this when exaggerates causes pain in the pelvis particularly during walking, standing or other movements. It is located right around the mons pubis. Gait also changes during pregnancy which is called as “waddling gait” due to relaxing and loosening of pelvic ligaments.
How is diagnosis done of Pubic Pain in Pregnancy?
The diagnosis is made clinically on the basis of symptoms. X Rays are usually not done.
Symptoms associated with Pubic Pain in Pregnancy:
Pubic bone pain
Swelling in pubic bone
Feel or hear a clicking noise while walking or moving legs
Routine movements become difficult
Treatment associated Pubic Pain in Pregnancy:
It is usually relieved after delivery.
A maternity binder stabilises your pelvis as much as possible. A flexible belt or binder works better. It stabilises the pelvis and prevents further injury
Avoid the situation that causes pain. You can change your posture or stance
Avoid standing for long periods
Use proper supporting shoes
Hot water bottle can help a lot. It is safe and can be done 3-4 times daily
Exercise can help. Swimming is beneficial
Sleep on your side with legs bent and a pillow between your legs
Sitting on a birth ball or getting down on your hands and knees helps to take weight off the pelvis
Don’t do heavy lifting or pushing
Climb stairs one step at a time
Find out your “pain free range of movement” and move within that range only. Don’t try to open your legs wider than this
Pain medication can also be taken if there is too much discomfort. Local pain relievers can also be applied
Risk factors associated with Pubic Pain in Pregnancy:
Second, third or higher order pregnancy
History of pubic pain in previous pregnancy
Normal delivery can be done if you suffer from this but certain precautions are to be taken so that the pain doesn’t worsen. It can make the basic tasks also very difficult so take help to minimise pain. After delivery once the hormones come to normal levels, you will be also normal. Building muscle strength around the pelvic bones can help.