Are you pregnant and having difficulty rolling in bed, getting in and out of your car, climbing stairs, or walking due to pelvic pain? You may be suffering from a common condition called symphysis pubis dysfunction. The pubic symphysis is located at the front of the pelvis where the two sides of the pelvis meet. This is typically a fairly stable joint, but changes in the hormones during pregnancy relax the ligaments and allow for increased movement, which can result in misalignment and more importantly pain. Pubic symphysis dysfunction is thought to affect up to 1 in 4 women during pregnancy. It can range in severity from mild discomfort during daily activities to inability to bear weight on the legs.
The main symptom of pubic symphysis dysfunction is pain at the front of the pelvic girdle, but many women also complain of lower back pain, leg pain, or lower abdominal pain. Women who are experiencing pain may also walk with a waddling gait and have pain with walking, lifting and carrying objects, rolling in bed, climbing stairs, getting in and out of the car, and standing. Any activity that requires asymmetrical movement of the legs is likely to cause pain due to shearing forces at the pubic symphysis.
Diagnosis can usually be made on symptoms alone as many imaging techniques are not recommended during pregnancy. Ultrasound may be used during pregnancy, and if symptoms persist after pregnancy, a pelvic x-ray or MRI may be indicated.
Physical Therapy as a Treatment Option
Many women suffering from symphysis pubis dysfunction during pregnancy respond favorably to physical therapy. Treatment may include soft tissue mobilization/massage, strengthening and stabilization exercises to improve support of the pelvic girdle, pelvic floor strengthening exercises, postural exercises, and education on body mechanics and strategies to minimize pain with activities of daily living. Anti-inflammatory medication is not recommended during pregnancy, but applying ice to the pubic symphysis regularly may help with pain and inflammation, and heating surrounding musculature may decrease muscle spasm and tightness to decrease pain. Bracing or external supports may also be beneficial in providing additional stability and decreasing pain with activity.
Discussing a birth plan with your doctor or midwife is important to minimize pain and further damage to the ligaments during labor and delivery and postpartum pain. Additionally, it is important to tell nurses and others assisting with your delivery that you have symphysis pubis dysfunction so that aggravating positions such as squatting and reclined sitting with the legs wide apart are minimized. Realize that if you have an epidural you will not be able to feel the pain during labor and delivery, which you may believe is good, but you may be causing further irritation/damage to the area that you will certainly feel once the anesthesia wears off. Alternative pushing positions such as hand and knees or side-lying may be utilized.
Tips to Manage Pain Associated with Everyday Activities:
The good news is that if you can manage your symptoms during pregnancy, the majority of symphysis pubis dysfunction resolves after pregnancy as the hormones return to pre-pregnancy levels. If you believe that you have symphysis pubis dysfunction, discuss with your doctor or midwife.
For more information on Athletico’s services around pelvic pain and other women’s health therapy, please click here.
Thanks for writing about this topic. I had never heard of it until I was pregnant and it happened to me. So my question: My baby is 8 mos. old now and I thought I was better. Now that I am starting a more vigorous work out routine, I’m realizing I still have pain. Especially when my weight is primarily on one leg or if I have to fire my adductors. Any exercises you recommend? I figure bridges with adduction, but anything else?
I am pregnant and have this pain. I have had it since about week 12, I am now 21 weeks. It’s progressively getting worse. In addition to all the positions posted above when it can hurt, it also hurts when I sit certain ways. I’m very scared about how much worse it will get as my pregnancy continues and I get bigger. Also, I thought about the pain it will cause when in labor and delivery.
Kelly Todd, PT, DPT, Women's Health Program Manager
@Dee – If you have been experiencing the pain since week 12 and the pain is progressively increasing, it would be a good idea to speak to your doctor or midwife at this time. The pain may or may not continue to worsen as your pregnancy progresses, but it is important for you to be as comfortable as possible throughout your pregnancy. A referral to physical therapy may also be appropriate at this time to help reduce the pain. A physical therapist can also provide you with stretches, exercises, and positional techniques to help you manage the pain now and as you prepare for delivery. Also, a support belt may be warranted if the pain continues. Please contact one of our women’s health specialists for further information or questions as well. For a list of Athletico locations offering women’s health therapy, click here: http://www.athletico.com/services/womens-health-therapy/
I was wondering if I should tell my doctor about pain?
I had this with my first daughter, but it was nothing compared to being pregnant with twins right now. The pain showed up about 10 weeks and is so bad now it brings me to tears. Rolling in bed is out of the question, walking is excruciating, and forget sitting on anything resembling a floor. Also carrying anything is miserable. My doctor really is unimpressed with me telling him I’m in pain, so good luck to all of you. Oh and tylenol is a joke, it doesn’t even touch this pain.
I am 25 weeks into my 4th pregnancy and experienced this pain during my 2nd 3rd and this pregnancy. the dr.s thought i had a hernia with #2 and 3 pregnancies. It was so bad at the end that i could hardly manage anything and i loved labor cause I knew my agony would soon be over. when i found out i was pregnant again i sat down and cried cause i dont know if i can do this pain again; every minuet of every day for the last few months of pregnancy. The pain started this time around 12 weeks and is getting so bad I cant sleep. All our bedrooms are upstairs also. I see my OB in 2 weeks and I hope that now that I have a name for my pain he can help me. Im so scared of the next 15 weeks. If anyone has had favorable results talking to their OB that would help. Ive noticed that a lot of the time Drs just think we’re being whimpy. I could do labor pain anytime compared to this constant excruciating pain.
I am so grateful to have come across this page and everyone’s comments. I am 38 weeks into my second pregnancy and the pain only started this evening, but it is so excruciating that I can’t even move. It is constant pain at the bottom of my pelvis, worsened when I merely attempt to move. I can’t even get out of bed to go to the toilet – it’s 1:00am and I am wondering if I should wake my husband to try and carry me to the bathroom. I am praying that the pain subsides in the morning because I have a 2 year old to take care of. I really feel for all of you out there that are experiencing this so much earlier in your pregnancy. With only 2 weeks (or less) to go, I am one of the lucky ones… though I don’t know how I am even going to get through the night.
@Becca-It is not uncommon to have joint pain and discomfort in subsequent pregnencies due to the ligamentous laxity. However, this type of pain may be able to be managed better with Physical Therapy. It is important to continue to verbalize your concerns about your pain and functional limitations to your Physician. You can always ask for a referral to Physical Therapy as well.
@Lauren-I am so sorry to hear about your recent pain. If this pain worsenes or does not subside, you should contact your OB. Try to find rest and relief positions as well. Good luck with you rlast two weeks!
I’m so relieved to have seen this site & everyone’s comments! I have 2 little girls (now 3 & 18mos) & my husband has started talking about having another soon. During my 1st pregnancy I felt great. I couldn’t wait to do it again! Boy was I in for a surprise… not only was I a miserable wretch the WHOLE TIME (can you say psycho, anyone?) But also, by 14 weeks the pubic bone pain started. Then it got worse. And worse & worse & worse. It was so bad that even the simplest tasks sometimes brought me to tears. But I still had a toddler to take care of-to run after. It was horrible. My pubic bone would literally grind & pop in & out of place sometimes when I was walking. When I would tell my doctors about it, they dismissed it every time. & those belts & girdles? Yeah right! They were as helpful as my doctor was. Tylenol? It was useless. In the end, between the time my water broke & my 2nd daughter was born was less than an hour & a half. I delivered naturally (& there was no time for an epidurral). During delivery I felt a hard pop & did even more damage furthur separating my pubic bone. Couldnt even get out of bed in the hospital to go to the bathroom afterwards & needed a walker for the next 6 weeks. Needless to say, I’m terrified to get pregnant & go through that again- & I already have a new obgyn
I have been going through the same problems with my second pregnancy. I am at 30 weeks and have been in physical therapy for 1 month now. I am a pharmacist and would usually be on my feet for 13 hour shifts. But I have been off work since the end of June. I have been diagnosed with SPD, sacroiliac dysfunction and femoral nerve compression. I wear two types of belts plus kinesiology tape as well as Tylenol and ice around the clock. Nothing is helping! I cry every night trying to get to sleep. Does anyone suggest anything else? By the way, the OB office has dismissed the severity of my pain numerous times now.
@Rachel. Oh my goodness! I am so sorry to hear about how much pain you had during your second pregnancy! I hope that you are feeling better now. If you are planning on having a third baby, you may not have as much pain, discomfort or dysfunction that you had during your second. Since you have a new OB, it would be a good idea to speak with them about what you went through duirng you second pregnancy. It also may be helpful to do some core strengthening and stability exercises or see a Women’s Health PT to help make sure that your core and pelvic floor are strong prior to getting pregnant to help increase your overall pelvic stability to decrease the possiblity of pain.
@Amanda. Keep doing what you are doing, it will get better! Continue to be diligent about your PT and your home exercises. Try to find rest and relief positions and be off of your feet as much as you can. Walking with a walker may help as well. Hang in there!
I’ve been having this pan since about week 25 (34 wks now). Such intense groin and pelvic pain and burning. My first pregnancy was so easy…the only difference this time is that I’m on Progesterone injections to prevent per term delivery. I’m guessing this could be the reason for this condition. I go to the gym regularly in an attempt to ease my pain. But I find bedtime is the worst for me, especially changing positions. I’m looking forward to this pregnancy being over!!! I wish everyone else all the best….and forget about the OBGYN on this condition…just find a PT location with someone who has experience in pregnancy or even a chiropractor who has a prenatal certification to help address these dysfunctions…..
I am currently 35 wks w/ second child (1st pregnancy was a breeze) and have been complaing to my DRs about my pelvic pain since I was 9 wks pregnant. They first diagnosed me with a bladder infection & possible Interstitial cystitis because even after a round of antibiotics & negative test results on infection, I still had a dull ache in my pelvis. @ 22wks I had to start seeing my DRs weekly due to an incompetent cervix, alternating weeks on stirrups between FFMs & vaginal U/Ss. The pubic pain was getting worse after each visit. @ 31 wks my DRs cleared me of my incompetent cervix saying it must just be my body & on the same day the DR pressed very hard on my pubic bone when measuring my uterus & I literally jumped off the table in excruciating pain. She then said looks like you have pubis separation & then preceded to press on my pubic bone again! I was unable to walk out of the DRs office afterwards. She told me there was nothing ‘she’ could do & to take Tylenol for the pain. By the time I got home that afternoon, not only was I unable to walk, but unable to sit without having Urinary incontinence & Tylenol was a joke. My husband was livid and called the DRs office to find out our options & was told if she is unable to walk then there is nothing that can be done until after I deliver. This wasn’t an option for us, so we both researched SPD online & found physical therapy & chiropractor were options. So a wk later I say the Chiro & he was able re-align my pelvis, instantly relieving the pelvis pain & minimizing my groin pain. Couple of days later started PT. unfortunately PT did not last long. Due to my Drs having me on bed rest since 22 wks my muscles were so week that after a week of muscle training I ended up in the hospital due to muscle strain in my core (belly) whiched caused preterm labor. So, muscle strength isn’t is out for me right now, but continue to see the Chiro twice a week which has minimized the pain substantially! Now my only concern is choosing to have a vaginal birth & risk permenant damage or csection… I can’t have a vaginal delivery without pain meds because when I’m in excruciating pain it affects the baby’s heart rate. I’m scared to death of a csection because my last abdominal surgery proved to a very long recovery for me & have 1 special needs child & a newborn, I just don’t know how I’d manage….
@Michelle- You are absolutely right in saying that the best things to do to ease your pain and make you more comfortable are to find rest and relief position, complete regular gentle exercises and stretches and find a Physical Therapist that is specialized in treating Women’s Health conditions and/or pregnancy! PT can really help! Good luck with the rest of yoru pregnancy!
@Dawn.I am so sorry to hear about all of the pain you have been experiencing during this pregnancy. I hope that you are able to find and achieve pain relief during the last few weeks of your pregnancy. I think it would be best to have a conversation with your OB regarding your concerns about your delivery and try to obtain all the pros and cons of each option to help you make the decision that is best for you. Also, if you are still experiencing pain, discomfort or symptoms after your delivery, talk to your OB as it may be appropriate for you to start PT again to help you build back up the muscle stregnth and enduracne that you may have lost during this pregnancy.
Im 40 weeks pregnant and i hav been having these unbearable symphysis pubis pain since i was 6 months pregnant.i tried some analgesics bt nothing helped.im scared of going in to labor with these pain and worried if it will heal after delivery.it hurts.
Last August I was in an accident and fractured my pelvic. Now I’m pregnant and I’m only around 10 weeks. I’m already having pelvic pain. When I roll in bed, or walk. Sometimes I walk with a bad waddle. I don’t know what to look forward to. I’m pretty nervous and wonder if anyone knows just what I should expected through out my pregnancy?
I am nearly 31 wks and have had the SPD pains now since about wk 20. Sometimes it’s like knives on my pelvis and it seems to be mostly on my right side for whatever reason. My OBGYN was also dismissive and told me it was my sciatic nerve. When I finally went to my chiropractor 2 weeks ago, which helped quite a bit, albeit temporarily, he told me my OBGYN needed to go back to his anatomy book because the sciatic nerve is nowhere near where my pain is. Has anyone in here had relief from a belt??? I saw another site that said belts would likely provide some immediate relief, but what I’ve read in this forum, it hasn’t helped anyone here. I will also likely be heading back to the chiro soon since that seems to have helped a few in here and will also look into PT. Also, does anyone in here do prenatal yoga? Did it help or make it worse? I went to a couple sessions before the pain got bad, and just wondered how it might affect me now. And one other thing, and I haven’t heard anyone else mention this, and it’s probably completely unrelated, but I have been a long time sufferer of endometriosis – which basically doubles me over nearly causing me to pass out from pain unless I medicate (usually with Aleve) at the beginning of each period. Damned if I do, damned if I don’t!!! My goal was for natural birth without an epidural, but after reading some of the other accounts on here I may have to rethink that. I don’t want to injure myself but I also don’t know if I could do a walker for 2 months either!
@Kheleli-Often times after labor, the pain form the pubic symphysis dysfunction decreases as the ligaments are no longer needing to be lengthened to allow your pelvis to be ready to deliver the baby. If the pain does linger, speak with your Physician to recieve a referral for PT to help you strengthen the muscles around your pelvis and core to help relieve the pain.
@Jamie- Pain in yoru pelvis during pregnany can vary from person to person and throughout the stages of yoru pregnancy. I would communucate often and consistenly with yout OB/GYN about your symptoms of pain.
@Julie-Continue to seek treatment for you SPD as it will help to make your more confortable during the last trimester of your pregnancy. Physical therapy can help with stretches, exercises and postures/positions that can help relieve some of the pain. A belt can help, but it depends on which type you get. (based on what your acticity/work level is like). There are many belts out there, from ones you can buy at baby stores to ones that you can buy online. You may have to try them on to see if they are a right fit for you. As for the prenatal yoga, t may be very helpful to further allow your body to stretch and be strengthened to further reduce your pain.
@Lauren – My situation sounds identical. I had no pain at all for 36 weeks, then one night woke up unable to walk, support my own weight, or even lift my leg at all and the pain was so intense, worse than labor! I ended up being admitted to the hospital and on 100% bedrest for 3 weeks until I had my baby (vaginally), and had a walker for about 3 weeks after delivery, but worked with physical therapist and now am pain free 1 year later (except sometimes when I sleep on my side, I’ll feel it a little). My questions for @Kelly Todd, I would like to have another child, but am worried to go through this again, because I have heard SPD can start sooner and be more severe in subsequent pregnancies. Is there anything I could do before getting pregnant again, to prepare my body or lessen the chance of it happening or at least of it being so severe as the first time. Would core strengthening exercises and seeing physical therapist now, pre-pregnancy, be helpful or should I just wait and see if it even happens again? I am not in your area (I’m near Baltimore) or I would come see you! It is VERY hard to find a therapist with experience treating this condition.
Sorry if this posts twice…it didn’t seem like it took it the first time. @Kelly Todd…I had VERY severe SPD that came on almost overnight at 37 weeks and ended up having to be in the hospital until I delivered, and then walked with a walker for about a month after delivery. Now, 1 year later, I feel almost no pain, except when lay on my side sometimes. I am thinking of having another child, but worried it might be too risky because I heard SPD can be worse and start sooner in next pregnancies. Do you find truth to that in your experience? Is there anything I could be doing now, pre-pregnancy, to lessen the likelihood of getting it (or getting it so severe) again? Would seeing a physical therapist now, doing certain core strengthening exercises, etc, for a year or so before becoming pregnant be likely to help or should I just wait and see if I even get it again? Thank you for the advice you have been giving people writing in…it is soo hard to find people familiar with this condition, and I remember feeling very isolated while I was in the hospital, until I found support groups online. If I were near you, I’d definitely come to you for treatment, but I’m in Maryland unfortunately!
wow. im experiencing this and it has gotten a lot worse in the past week or so. IM 38+4 and just walking one block is hard. I was complaining that something felt stuck, but its actually the pressure of the baby on my pubic bone. Sitting on toilet is painful and getting back up. This is my 3rd baby and i did not experience this with my first two. I really wanted to go walking but i dont think its gonna happen. it feels like my bones are gonna crack apart
@Shelly- Yes! Exercise can definetly help! It is often the case (but not all the time) that SPD can occurer in subsequent pregnancies. The best thing that you can do prior to becoming pregannt again is exercise! It would be best to do strengthening and stablity exercises for your core, hips and pelvic floor. Doing Yoga or Pilates may help as well. The stronger your core and pelvic floor muscles are prior to pregancy, the best chance you have to have a stonger and mroe stable pelvis during your preganancy!
My first pregnancy I did not have any pain like this, although I hemorrhaged. Since about week fourteen I have been experiencing pain in my entire pelvis area right above the bladder. I can’t walk, roll over, climb stairs, move suddenly or shift positions without pain. Sometimes it hurts so bad I want to cry…and hey… I went through sixteen hours of labor without any pain medication so my pain tolerance is pretty good. I feel like all I can do is literally lay down. But that concerns me because I can feel my muscles going to mush and I know this next delivery is really gonna hurt if I don’t strengthen myself. Everyone thinks I am being a sissy about it, but I know this pain is awful because I can hardly even walk.
So for all you other girls out there experiencing this pain, it’s definitely not all in your head! We all are in the same boat!
First thanks for putting this information out there I knew there was something bigger going on other than just being pregnant. All the comments helped me confirm that this is what I have and now I know to ask about my delivery options and recovery. I have two boys ages 4 and 6 and they are full of energy keeping up with them is hard especially with this pain. I just took them to school 30 minutes late because I could not get out of the bed due to this pain. I have called into work more than I am proud of because of pain and I felt like such a wimp. With my previous pregnancies I experienced my back killing me all the time it felt like my sciatic nerve was pinched and I thought that was the worst pain ever. With this pregnancy I am having a girl and it is completely worse. I still have the back pain but it is nothing compared to this pelvic pain. The Doctors always make it seem like it is just normal because our hormones are causing the ligaments to move to get ready for birth but I know it is not suppose to be this severe. I did physical therapy for my back for 3 weeks because that is all that Medicaid would cover and it seems like it caused my pelvic pain to get worse. I know I am not in as good of shape as I was with my previous pregnancies and had I been exercising more before I got pregnant it may not have been this bad. I am going to the doctor in a few days I will be sure to mention this to her. The pain has only gotten worse and worse and now I am 36 weeks pregnant I am terrified of being put on bed rest especially because it is when I am in bed that the pain seems to be at its worst. I have to pee through the night but find it near impossible to get out of bed and walk. I sleep on my side with so many pillows and yet when I need to roll over due to my arm falling asleep I find it excruciating. Good luck to everyone in this pain I am glad I am not the only one as bad as that sounds but I am not glad ya’ll are going through this I wouldn’t wish this on anyone.
@Victoria-I am so sorry to hear that you are having so much pain! Please keep talking and discussing your pain and symptoms with your doctor. A referral to a Women’s Health or Pelvic Floor Physical Therapist may help you relieve you symptoms even in the last few weeks. I wish you lots of luck and a more comfortable rest of your pregnancy!
I’m not gonna lie, it was kind of nice reading about other womenwho are experiencing the same pain as me!! I’m 35 weeks (2nd pregnancy) and in excruciating pain. This has only been for about a week and a half, but I have a 30 lb toddler and its very hard to take care of her! I have been seeing a chiropractor for about a week and I’m not feeling too much better. In fact, I might be worse. @Kelley Todd- I’m trying to figure out, is this pubic symphysis or is it sciatic nerve pain? My pubic area hurt earlier in pregnancy but that amazingly went away! Now my main pain stems from my lower right back, butt, and hip. I feel a lot of pressure on my sit bone. I should also say that I experienced pain while sitting for about 4-6 months after my first pregnancy from what felt like a bruised tail bone. Is this all related?? My pain is stopping me from walking without a limp, picking up heavy things, making any quick movements… Laying on my side and rolling over is the WORST. One wrong move during the day and I’m audibly groaning in pain!
I’m 14 weeks pregnant with my 5th baby and I have all the symptoms of pubic symphysis dysfunction.
It’s a bit frightening to me because I had the same pain with my 2nd pregnancy, only I was nearly 28 weeks when my symptoms began. My midwife put me on bed rest for several weeks because I began to dilate and efface very early, but to my complete shock (and relief) my daughter wasn’t born until I was induced at 40 weeks and 3 days.
Thankfully, I didn’t have any problems with my 3rd and 4th pregnancies. I hope that gives some hope to those who are concerned. Also, it might be worth noting that I exercised 5-6 times a week before this pregnancy. I ran, played basketball and did strengthening workouts for nearly three years before this pregnancy. I think this is related to hormones and not a lack of core strength.
Thank you for writing about this. I am 17 weeks pregnant with my second child. My SI joint went out at the beginning of my pregnancy while rolling over in bed. The OBGYN won’t do anything. She said it is up to the orthopedist. The orthopedist refuses to do anything except send me to physical therapy. He said after I have the baby he will MRI my back and give me the proper drugs. I’ve already done a lot of physical therapy and have stopped for the past month because it isn’t helping and costing me a lot of money. I am in pain 24 hours a day and trying to keep up with my three year old. I had to quit my job because I babysit children at a gym and can’t bend down, lift anyone or even get up and down the stairs easily. Please tell me it will get better. I wear an SI belt but it really isn’t working anymore. And I use heat but I feel practically crippled.
@Kait-This pain all sounds related. The pain in the buttock and tailbone could be sciatica, however it also sounds like instability throughout your pelvis which is caused by the ligamentous laxity during pregnancy (which is increased in subsequent pregnancies). Tailbone-like pain would fall into this category as well. Have you been to PT? You would more than likely benefit from completing core and hip stability exercises along with body mechanics training, posture education during pregnancy, and lifting training. Also, a pregnancy support belt may help as well.
Iam about 23weeks and have had this problem from about 10weeks. It however subsided for about two weeks but is back with more pain. My gynae said it is not an issue. Do you think i should get very worried?
@Sarah-I think that anytime that you have pain or discomfort during your pregnancy that you should discuss it with your doctor. Continue to tell him or her your pain and symptoms and overall concerns. Also, you can always ask for a prescription/referral for PT explaining that you would like to seek treatment to make you more comfortable during your pregnancy.
With my first, I started developing this pain by 12 weeks and it was excruciating. Out of desperation, I decided to see a chiropractor who specialized in prenatal manipulation. I’d never been to one before and honestly thought they were quacks before that point. Wow, I’ve never been so grateful to be proven wrong. It took a couple visits, but the pain faded away and I continued seeing her regularly for the rest of my pregnancy. It’s ironic, but my body felt better during my pregnancy than it ever had before. Even the day I went into labor, I was comfortable crawling around under the desks at my work and climbing up and down a step ladder (and I was HUGE). If you’re having pain and can find a chiropractor in your area that specializes in pregnancy, it’s definitely worth checking out. Just be aware, you won’t feel better immediately, it takes a few visits for the inflammation to settle down, but it’s SOOOO worth it.
I have been diagnosed with SI Joint Dysfunction as well as SPD. I went to my pain management doctor, who is giving me my first steroid injection on Monday (okay’d by my OB). I’m 23w and cannot take the pain of both issues for another 17 weeks.
I’m 31 weeks and for the past 3weeks I’ve been feeling soo much pain! I struggle getting of bed without feeling excruciating pain. I rather stay in bed. I feel horrible because I have a 2 year old I suck it up &handle the pain, I’ve cried from the pain but my girl needs me. I hate when my OB told me it’s normal! I never felt this with my first pregnancy! I can’t lift my leg to walk w/o pain or move my body in bed to get comfortable. There has to be something I have to say to my ob!
I feel like such a baby with this pain. After reading about others I am feeling better. I hurt soo bad. I’m now 33 weeks n my dr says everyone handles pain differently nothings wrong. I can’t walk or move nothing is getting done and I have a two year old. I’m using heat and sitting in a reclined position but if I stand or move I’m on my knees crying. No one seems to understand the pain. I’m a stay at home mom and my husband is working 6 10’s and expects everything to be done and I can’t do it. Luckly I did christmas shopping early! If any one finds something that works let me know. Oh yes tylonal is a joke no relief.
I am 22 weeks and have had increased pain in the last week. I injured a ligament in my SI joint region years ago- and had instability in my hip/joint region for years- until I saw a Chiropractor who treated me and was able to get it stabilized.
I thought because I am having twins/and a planned C-section that I would not deal with hip/joint issues. I guess I am wrong. Could the former issue be causing SPD? I have tremendous pain in my pelvic region and I pretty much fall into the description of someone who has this. I have pain when standing, getting out of the car, and when walking. I am so frustrated to know I have a problem- knowing that I have so much time left in my pregnancy. Did I mention that I am having twins? I don’t even know where to begin. I am going to call my doctor’s office tomorrow. I just don’t want this condition to get worse….however it has been worse in the last 3 days. I feel like I am walking funny and limited as to what I can do. Thanks for sharing your stories.
@ Nancy- please continue to communicate to your OB your pain. There are options that you have to help relieve some of your pain during this last trimester and make you more comfortable. Talk to him/her about a referral for PT.
@Rebecca-having both SI joint dysfunction and SPD can lead to a good amount of instability in your pelvis and subsequent pain in your lower back, hips and pelvis. Strengthening and stability exercises may help; however, you may be appropriate for an SI belt or pelvic stability belt to help improve the position and stability of your pelvis and decrease your pain.
@Kim- yes, your symptoms sound like SPD. Especially with your history of a ligament injury in the past and now having twins, you are more susceptible to increased laxity in your pelvis and pain. Talk to your doctor about your symptoms and speak with her about a referral for PT. You still have long way to go and would benefit from learning or having rest and relief positions, stretches, exercises and possibly a stability belt.
@Kerry- I feel repetitive but have you looked into a stability belt? You may benefit from one especially since you are on your feet all day and active with your two year old. Also, try some general lower back and hip stretches and avoid positions that make the pain worse.
I’m currently 31 weeks pregnant, 33 years old (almost 34) and this is my first pregnancy. I’ve been experiencing this pain for over 3 months now. I can’t spread my legs to roll over in bed, or do anything that requires me to stand on one leg; like put my pants on in the morning or walk up stairs. Walking is suuper painful.
Not only is it pain in front of the pelvis, which makes me waddle and take really short, small steps, but the pain is also between my legs. I know this may be tmi, but my vagina also is in a ton on pain. It feels like I’ve been horseback riding without a saddle for 3days.
Not only this, but I’m active duty in the army and so I’m expected to do physical training (pt) every morning. I’m supposed to be doing “maternity pt” which is light exercise, like walking 2 miles or “Zumba” at 0630 in the morning, but I just can’t manage simply the walking. I’m in trouble right now because I’ve been missing pt lately due to pain. I’m being told I should have gone to the doctor to complain rather than just not going to pt…but just like everyone else here, it seems that no one seems to give credence to my severity of pain and they just send me right back out to pt…or they say “you’re pregnant; you’re expected to have aches and pains”.
I feel so desperate. I have so many other physical pains. Back pain and increased pain from previously injured joints. I’m a paratrooper in the army and so I have injured my ankle and feet in parachute jumps and now, those injuries are flaring up due to the relaxin relaxing all of my joints…but of course, I had to stop my therapeutic injections due to pregnancy. The back brace they gave me for my back pain doesn’t help, only restricts my already restricted breathing and walking to “keep in shape” only causes severe pain.
I have another apt w my Ob and I’m going to see if there’s anything they can do to help me…maybe excuse me from pt all together. Tylenol and even flexeril (muscle relaxer) they gave me help in no way.
Sorry for the long rant. I’m just really stressed right now n feeling desperate.
The pain can radiate into the vagina and the inner thighs as well. A Sacro-Iliac belt (SI belt) or stability belt may help you with this pain. The belt will help to approximate the joint together while you are walking and rolling over in bed. You can wear it through the remainder of your pregnancy and even post partum if you feel like you need it then.
I had problems with my pelvic seperating with my first to pregnacies but this time it has been worse. I argued with my dr. For about a month and a half about the pain and grinding sensation and finaly convinced him to do an xray sure enough my pubis bone had seperated too early and I’m going to the chiropracter 3xs a week fo have it popped back into place along with my hips. This helps a little but there is still the sharp pinching feeling and they tell me it will only get worse untill the baby is born. I’m glad I found this artical now I can share it with my dr. And hopefully he can share it with other patients instead of just thinking its common preasure from being pregnant.
Amanda, I am glad that you are getting some relief from your pain with your chiropractic treatments to help you get through this. If you are not already using one, I would recommend using a SI belt to help with the pain by helping to stabilize your pelvis.
Stacy k, thank you for ur reply. I have one of those support belts that goes around the bottom of ur belly to help support ur back. Is this the belt in which you speak? I have one that they gave me for the horrible back pain I was having, but I can’t really use it too much right now because I feel (oddly) that it restricts my breathing more than it is already (even though the belt isn’t anywhere near my lungs). I’m also experiencing a ton on Braxton hicks contractions (more than I think should be normal) and when those hit, the belt makes them hurt more. 🙁
Oh dear where do I start. I have suffered from pubic symphisis pain, pelvic floor pain and vaginal pain since I had my last child 23 years ago. I feel stabs and heaviness very severely on and off at which I will fall to my knees . They just started up again about 3monthe ago. I have also been diagnosed with stage 3 Parkinson’s disease with extreme stiffness, poor balance, extreme fatigue,and cognitive impairment, and tremors of both hands and arms. I am almost 63 years old
.i plan tp seek help from a women’s health center Which helped me several years ago. Pelvic floor massage and dilodid will be in my future again. Wish me luck Please!
Good luck to you Jean! I am glad that you are seeking help. Your balance will be helped with improving your core strength too.
Yes, that is the belt that I am talking about. It’s worn below the belly during pregnancy. I would say that if it helps a bit to wear it while you are walking, then I would use it then and take it off when you are at rest. If it is too restrictive with breathing, then you may want to keep it off. Weigh out the benefits to the restrictions on that one. Good luck to you!
I’m 35weeks pregnant and experiencing the same symptoms I can’t even get out of bed I need to ask my 6year old daughter to take pull me up.I’m scared to give normal delivery cause of this pain.Wish there is more help out there for this.
Chanell, If you are able to get a SI belt or stability belt to help stabilize the joint, I would try that to help get you through the day and be more functional with less pain. It doesn’t take the pain away completely, but it certainly can help with getting up and walking. You have a very valid concern about normal delivery and I suggest that you talk to your physician about this during your next appointment to see what can be done to help you get through the delivery.
I am currently 40 weeks, two days before my due date there was an emergency and I had to run the length of a parking lot. It wasn’t painful while I was running, but about 30 minutes afterward I had SEVERE pelvic pain between my legs. I couldn’t walk, get into bed, or remotely lift my legs. After I finally slept (in a chair mind you) for about 4 hours total I was able to walk with discomfort, but not severe. I still cannot lift my legs without feeling as if I’m separating my pelvis. But staying off my feet helped. If it doesn’t go away soon I’ll have to call my doctor because labor is very soon.
I’m currently 35 weeks along in my third pregnancy. I had SPD to a small degree with my first, and from about 7 months with my second. It was bad then, but it’s so much worse now. This time it started at about 11 weeks, just a dull ache when walking and changing positions. It steadily got worse. I mentioned it at my OB appointments early on, and they dismissed it as round ligament pain. I knew it wasn’t, but they’re always in such a rush at my office and I didn’t feel like arguing. Each visit, though, it got worse and worse, and each time I mentioned it, they would dismiss it as something else. It’s so frustrating! I know this pain is not just the weight of the baby or anything else, I can feel the popping and shifting in my bones, but they refuse to listen. For the last week, I’ve been limping around my house, holding onto anything I could just to move from one room to another. Getting up from the toilet is so painful, as is getting in and out of bed. I’ve researched different PT stretches but they don’t help. Neither do hot compresses, cold compresses, Tylenol (ha! what a joke!), massage and those horrible bands.
How do you convince your doctor that what your’e going through is so painful? I delivered my first two naturally, I can handle pain. This stuff is just not normal, but they just don’t seem to care. I called today to see what else I can do, they called back and said it’s possible the baby dropped lower so that’s why I’m in more pain lately. The baby has NOT dropped and I wouldn’t call unless I was really miserable. I’m just sick of being dismissed as “it’s normal” and feeling like I’m the wuss.
I am 34 weeks ive been having this pelvic pain throughout the entire pregnancy all my doctors tell me to do is to wear the maternity belt?!? the pain is so severe that I can barely walk lift my legs stand for a long period and when I lay down I feel the pressure! I cant get up with out feeling major pain, when I push on my pelvic bone in the front its so painful and of course the baby moves his head! nothing seems to help and my doctors seem to think this belt will help and it doesnt so I stopped telling them about the pain. is there anything I could do?
I would continue to let your physician know about the pain and symptoms that you are experiencing. Perhaps you walk into your next appointment armed with information for your physician’s office about pubic symphysis separation and the symptoms. Your advocacy and persistence will help to educate your physician’s group and hopefully help other women who are experiencing the same pain as you! I hope that you have a SI stability belt to help you with some of the pain while you are up on your feet! Good luck to you!
The difficult part about this occurring during pregnancy is that the ligaments become more lax as you get closer to your delivery date and with that, there is even less stability at the pubic symphysis joint. The stability belt is meant to help to provide some compression to the joint to increase the stability and to reduce your discomfort. It will not take away all of the pain for everybody. I would recommend trying to obtain a referral to a PT to assess the joint and see if there is more that can be done to help you stabilize the joint for the remainder of your pregnancy and decrease your pain levels.
I was in my third trimester, went running, and suddenly felt the pain described. I suffered from SJP the duration of my pregnancy. The past week I have been experiencing SJP but I’m not pregnant- to my knowledge at least. Can the hormone changes that take place during pregnancy be loosening my pubic/hip area within the first two weeks of conception?… Could SJP symptoms be indicative of pregnancy? And if I’m not pregnant, why would these symptoms suddenly flair up? Thank you!
Hormone changes do begin early, though I don’t believe that it would be enough that early on to trigger your SJP symptoms simply from pregnancy. As you have experienced this previously, you have some laxity or mobility at the joint already. You may have thrown off your pelvic alignment somehow, which if you see a therapist, they can help you realign your pelvis and return to your previous pain-free state.
I am 32 weeks and I haven’t really had a pelvic pain or anything like that. I broke my back, hip, and pelvic bone about 5 years ago. I have severe back pain and my doctor told me I was going to have to deal with that because I broke my sacrum. I’m just wondering if labor is going to be more painful than what someone who has never broken any of these bones? And my doctor told me that she is afraid that I will have to have a c-section because my pelvic bone might be immobile when it comes to delivery…how can I find out for sure that my baby will be okay? I do not care how much pain I have to go through… just will my baby be okay?
I think I have this, so I told my ob but some how they kelp on telling my it part of the pregnancy. But ask day go by I get more pain… what should I do…
You will do just fine! It’s hard to say if your labor will be more painful than someone else’s as each person handles things differently and we all have different pain thresholds. The doctors are the experts in the delivery department, so I would put your trust in your physician to make the decision that is best for you and your baby. Be sure to discuss your concerns with your physician at your next appointment.
I would continue to let your OB know about your pain. If it’s getting unbearable, you could ask them about a referral to physical therapy to get some help and pain relief. You can get a Sacro-iliac belt (or stability belt) to help to stabilize your joint and hopefully decrease your pain.
I am so happy to finally find a name and a forum for what I have been experiencing! I’m 27 weeks with my second and cry/scream out every time I move in bed. I had this with my first but not nearly as severe as this one. I’m an elementary art teacher and sitting down more is much easier said than done. I can’t lie on my side to sleep because that causes stabbing spasms in my pubic area so I have myself all sorts of propped up on pillows. I’m getting almost no sleep, teaching all day and coming home to a 3 year old. Needless to say I’m grumpy, crying and in so much pain. My husband tries to be helpful but my 3 year old is in a serious stubborn only mommy can do it phase. Giving her a bath brings me to tears because I just can’t get in a comfortable position to finish the job. I had hip surgery exactly one year ago to fix an impingement and torn labrum. My amazing hip surgeon had warned me the extra weight and joint flexibility was going to make this pregnancy more challenging so I was sure to be in great shape before I got pregnant. I am an avid Pilates practiced, and have tried cutting gluten out of my diet to help ease inflammation. I pray all day and night for relief of this numbing pain. I hate hearing that other people are experiencing this but find comfort in knowing I’m not alone.
I am 22 weeks pregnant with twins. For a week now I have bad pain in the pelvic area when walking or standing. I basically waddle now . I mentioned this to my ob and it was brushed off as to be expected with twins . I know it will just get worse
I would recommend getting yourself a stabilization belt (SI belt) to help support your pelvis while walking. Continue to let your physician know about your pain and ask about seeing someone for physical therapy treatment to assist you with your pain.
I am 39 and in my 4th pregnancy. I have an 18 year old, 11 year old, and had a miscarriage last year. I am only about 6 1/2 weeks pregnant, but I am already having a lot of pain and pressure in my lower extremities. I remember in my previous pregnancies that I experienced severe pain in my pubic bone/pelvic area, but I do NOT remember it starting this early. Is anyone else experiencing pain this early? I’m hoping it isn’t the early signs of a miscarriage — but it is much different than my mc, so I don’t think so. I have a feeling I am going to be in for a long 9 months, but after the physical and emotional pain of my miscarriage at 12 weeks, it will thoroughly be worth the pain to have a healthy baby in the end. I would be interested in hearing more from mom’s who are in their 3rd/4th pregnant and older — and how this is impacting your symptoms. Thanks! 🙂
I am 32 weeks with my first and I have had this pain for about a month now and it seems to only get worse. Turning in bed is absolutely painful and walking/movement hurts pretty bad on a daily basis. If I am active during the day by time night comes I am almost in tears and can barely move. I did tell my doctor about it last week and he says “oh that is just your pelvic bone separating and your ligaments loosening”. my ligaments are loosening and I can feel them popping as I try to turn in bed. so my his response it doesn’t seem there is much that can be done about the issue. he basically told me I had to deal with it. so good luck to everyone as I know how painful it is.
I would highly recommend you get yourself a stability (or Sacro-iliac) belt to help you get through the remainder of your pregnancy. This will continue to change as your body prepares for delivery, but the belt will provide some compression to the joint to help to decrease your pain some and make walking less painful. This is the best way to get some relief right now. See the original article for other recommendations to assist you with your pain.
Hiya, I have this problem. I am having my third child and can say I’ve never known pregnancy to hurt so much. I’ve had this since being a couple if weeks, bow I am a couple if weeks from dd. The midwives seem to not bother, they say it’s normal stretching, I think I know my own body and what is normal…. I can’t walk, I’ve cried in pain won’t it. My advice is to get some help as soon as it starts and do not listen to your midwife, listen to your body and pain and seek further help, pregnancy should be nice ans enjoyable, bot being in severe pain for months and unable to do anything. I’m dreading birth as feel I will damage myself more. Remember ladies, it’s your body and only you know what your going through so I’d anyone shuns it off or your midwife says it’s normal, don’t go away and keep suffering in silence. I find the more I do the more pain I have, baths do help abit but also relaxes you to cause more pain the next day, and I can honestly say I wish I could wear a nappy in bed as the pain of getting up is that severe I have led awake holding my bladder rather than go to the loo and have to move.
Take care of yourself and remember you know your body better than anyone else, midwives may have delivered thousands of babies but each one is different.
You can seek physio therapy via your hospital which is meant to help but you gave to push for it, better to demand mire than suffer.
Hope all goes well for everyone
With my first pregnancy it started at around 12 weeks and my OB said it must be some previous injury even thought I had already done the research and gave her the name of the condition – said she had never heard of it and just recommended Tylenol which did nothing. I screamed every night turning over in bed, drove my husband insane fr the entire pregnancy but it was gone right after natural vaginal delivery. This time around I was excited when I realized I didn’t have pain but it started creeping up at around 25 weeks, now 28 weeks and it almost at the most I can bear. My daughter is only 14 months but extremely active and our bed is very high… I’m not looking forward to the pain continuing as I know it will and and concerned about delivery again wondering if it will go away like last time or if injury will occur :-/ Wish me luck
Hi my name is Octavia and I am 8months pregnant I have this extreme pain in my pelvis that make my back in pain too. It hurt for me to walk any where, when I stand up a period of time it seem it get worse I cant sleep on either side or get any rest please give me some advice
I experienced SPD during my first pregnancy at about 20 weeks. I was working in Seattle and would take the metro into the city every day. From the bus stop I had to walk 2 very steep streets to get to my office. At first I thought I had an infection and demanded that my obgyn inspect me. Within seconds of taking a look inside she told me to get dressed and that I had SPD. After she explained everything about this problem (that I had never imagined existed) it all made sense. What made the most sense was the amount of pain that I would feel after going up and down the steep hills. That’s the worst thing one can do who is suffering from SPD. Well, it didn’t get better until after the delivery. The only thing that kind of helped was physical therapy but only for a day. My husband tried to help me with some of the exercises but we didn’t have the right setup at home. Needless to say I drove to work for the remainder of my pregnancy but it was all still so ver pailful.
We just found out that I am 6 weeks pregnant. Although I am very pleased that soon we will welcome another bundle of joy into our family, I am terrified, reluctant, anxious….my memories of those sleepless painful days/nights are resurfacing.
I ran across this blog while trying to research if there’s a chance that SPD is likely to occur during another pregnancy if it happened before. I have read a few comments that it has happened but I would love to hear that it doesn’t always happen.
It does not always affect you with the next pregnancy, but I would say that the incidence for it to happen again is higher due to your history of having it with the first pregnancy. I would recommend that you get yourself a SI belt if you feel that the symptoms are coming on so that you can support the joint to hopefully decrease the pain. Keeping the core muscles strong around the area will help you as well.
Any labor coping techniques for people who had a vaginal birth with this condition? Any stories or advice to share?? I am terrified of giving birth with all these pelvic problems but don’t want a c-section…
I experienced this with my last pregnancy (my 3rd). My doctor gave me a funny looking vest to wear that was to help take pressure off my pelvic area… That did not help me! Now that I’m pregnant with my 4th, it’s back!! It started around 12 weeks for me as well. With my last, I remember being uncomfortable lying in the hospital bed, before giving birth and the nurses were helpful in making sure I was comfortable but not much worked for me. This pain had no effect at all on the actual process of giving birth during my last labor (vaginal birth). Everything went great! It went completely away after 2 days of giving birth. Now, Putting on my pants (anything that requires me to be on one leg for even a split second) climbing stairs, exercising, and I find that sitting longer makes it worse for me. I have a job that requires me to sit 90% of the day.. So I have special accommodations that allows me to move around more. I’m 18 weeks now. I’m not doing anything to help the pain right now, I’m just dealing with it. Knowing the end result will be my little blessing and the fact that this will not last forever helps me mentally, but physically I wanna scream! I may try a chiropractor this time around , I heard that helps a lot. GOOD LUCK ladies!
does this pain ever go a away?
Oh how we poor women suffer!! I am pregnant to my 6th child and this is the 3rd time I have had pubic symphysis. Each time it has been different and managed differently. The first time it hit suddenly at 37 weeks. Completely debilitating. I couldn’t walk and I stayed at my mums as I had 3 young children. I was induced early due to the unbearable pain. Labour and delivery were normal and I returned back to my normal self in no time. The second time it hit at the start of 3rd trimester. I wore the belt, went to physio and the physio trained my husband as to where to massage deeply. Near the dimple on my lower back and deep into the buttocks – so my husband could do this every second day. Heat packs on lower back and cold packs on pubis. It was manageable. Labour and delivery and recovery all normal. This time the pain started at 10 weeks. I find if I sit down for too long I literally lock up and can’t get up. The pain is constant and steadily getting worse. The physio relief is only short lived. I went to my chiro a few times as he seems to think that manipulation works better and it did for a while but even that was short lived. ALL PUBIC SYMPHYSIS SUFFERERS JUST NEED TO FACE THE FACT THAT THE PAIN WILL STAY AND WILL GET WORSE AS THE PREGNANCY PROGRESSES!! I am really trying to walk with small steps. I visualise a string pulling my head up and everything straightens and tightens and my thighs touch so I can hardly walk. I live in a 2 storey house and I will only go upstairs when its bed time – I order my children and husband to get things as required. I try to change position every 15 minutes or so. Stand for a bit. Sit for a bit. Lie down for bit. I have generally slowed my life down and try not to expect to achieve too much in the day. I am in week 25, the pain is still there and getting worse so I am investigating massage therapy by a pregnancy specialist – but I am not pinning my hopes on it. With regards to swimming be very careful. A friend of mine who suffered the condition found that swimming eased the pain. Unfortunately she got stuck literally with her legs apart and had to be saved from the pool. So I recommend no swimming. No painkillers work, the OBs don’t really understand – only women who have suffered with this condition get it. YOU NEED TO SLOW DOWN COMPLETELY AND DON’T FEEL GUILTY ABOUT IT!! Pain is such a personal and relative thing. I have suffered worse pain and so I reflect on those times and try and see the positive side of this particular pain i.e. it is not as bad as when I suffered dry socket and cried non stop for 12 hours or when I suffered from Mastitis and had tears streaming down my face for 2 days. Or I try and think about sick kids and or other sufferers and somehow my pain seems lighter for a little while. Good luck with this condition and all your pregancies. There are wonderful little amazing joys that await at the end of all this pain.
I had never heard of this until my 2nd pregnancy. I did.not experience this with my first and I have to say it’s so annoying! Told.my ob,she didn’t seem to care,just said it was normal and apart of being pregnant…not at all what I wanted to hear. So I’ve learned to deal with the pain,it comes and goes but I have to say sitting certain positions and lying in bed/getting out are the worst! Hang in there ladies,there is light at the end of the tunnel 🙂
This is my 6th pregnancy, i am @ 32 weeks gestation and, i have never felt anything like this. I have a condition called polyhydroamniosis. So i have an extreme excess of amniotic fluid. I also have 9+ pound babies. I have asked my Dr. About the pain and he basically told me that it is normal. I tried tylenol a few times but, i have had minimal results. I have however found that ice is a great relief. I found a refillable ice pack at my local drug store, and it is really my new best friend. Any activity that requires me to move my legs causes a significant amount of pain, but, if i have spent some time on the ice pack, it really seems much more manageable. Best of luck ladies, just remember its all worth it in the end.
I’m 28 weeks pregnant with my third son. I had pelvic pain with my second son at around 37 weeks and it lasted until he was born at 40 weeks and 4 days. But with this pregnancy I’ve had pain since I was 24 weeks. And it’s only getting worse. I can’t roll over or sit up in bed without excruciating pain. And walking is just as hard for me. Standing up and trying to walk hurts so bad I’m in tears most days. I’ve got a 3 and a half year old and a 13 month old. So I have to constantly be up and chasing them. My husband tries to help when he’s home but I’m by myself whenever he’s at work. I don’t know how I’m going to make it the next two months with this pain. A support belly band doesn’t really help much. Because I’m in constant pain and my doctor says she can’t do anything for the pain.
I have everything but only thing off is it’s not in the middle its off to the right. Is it the same thing or something else?
I am 36 wks pregnant and have had this pain since 32 weeks. It is becoming unbearable to walk and i have a 8 yr. old and 10 month old. I can barley function throughout the day because i can not get around. I see my doctor next week because we need a plan to get this baby out.
This pain is horrible and i can’t take it anymore.
I had this during my first pregnancy. The OB and midwives blew it off and said that it was normal. It wasn’t. I am one of the rare few that still had pain 2 years after delivery. I have tried everything to ease the pain. PT, steroid shots, heat packs, you name it. I finally got to the point to where the only thing that would aggravate it was running, which was a huge improvement. I am currently pregnant with my second and yes I knew what I was getting into. I really wanted another child before I call it quits 🙂 At 25 weeks it has started again. I want you ladies to know keep trying to get the help you need and do not let them blow you off. I am willing to bet that if I had received bed rest or the proper therapy during my first pregnancy, I would not have been in pain for all these years. It is your body and you will end up paying the price for their ignorance.
I’m pregnant for the second time this year. Having Irish twins and had this horrible condition with both babies. It’s excruciating and like most other comments every Dr. at my obgyn office has blown off my pain like it was no big deal. It literally makes me cry to get out of bed. I gave birth naturally to a 9.5 lb 24 inch long child and can honestly say dealing with this pain for months has been worse. A tip that has helped me. Sleeping in a recliner when you can.
I have this pain constantly for two days already. I am 19 weeks and so worried that it is something more serious. Did any of you experience this? It is on my right hand side, just by my groin. .
I am 14 weeks, first pregnancy and I am having lower back pain that is soo bad I can’t even walk. I cant even get out of bed or move my legs without getting a very sharp pain on my lower back to my toes. My hubby has tried rubbing it out, but it is worse than before. I don’t know what to do. Can you help me?
Im 9.5 months pregnant and I have pain on my right side that goes to my back I’ve been like this since last night and it hurts should I go to the doctor?
I had this with second & third pregnancies, first was a breeze. My doctors blew off my complaints of pain & never offered treatment options. My third delivery resulted in the baby having a shoulder dystocia & I heard my pelvis “Pop!”when the nurse applied lower abdominal pressure to help push him through. He is 10 most old now, and im still in pain. My groin hurts, my thighs, hip, lower back hurt. Im actually applying for disability because my movement is so limited and I hurt all the time. I was a healthy, active RN who loved my job and loved playing with my kids. Now I feel like a cripple. Don’t let your doc ignore this!!! It can cause permanent damage in some people. Change doctors if you have to, but don’t just let it slide. I lost a lot of quality of life due to this. I can’t even carry my infant son for very long. Be your own advocate ladies & fight to be treated!! Don’t end up like me…
I am a little over 10 weeks pregnant, and I am having an excrutiating pain in my left inner thigh and pelvis. I cant even get out of bed to get something to eat or drink, I am starving. This has been going on for almost a week now and I have been to my obgyn and the only thing they were worried about was torsion in my ovaries. Once they ruled that out they just told me it was. Pregnancy pains and one I start eating and drinking it would go away. Well I ate and drunk plenty of fluids for the next 3 days after that, but the pain just seemed like it was getting worse..I am really not sure what to do I have tried warm baths, cold/hot compression, stretching, walking through the pain, drinking milk for the calcium, and even been to the emergency room..the pain is EXCRUCIATING, I can barely move, cant walk at all, can’t sleep, hard time breathing, and Nothing I do seems to work, I dunno where to get the belts you are talking abt, but if it will help I definitely need one asap!
I’m not even pregnant and I am going through this pain! Can anyone help me out here?
I am due February 9th… I have had a lot of pain. It is getting so bad, I can barely walk sometimes. I told my OBGYN about a month ago, and he checked my cervix n said it was closed; and chalked it up to round ligament pain. Reading this, I have the symptoms. I can’t even lay on my side anymore, it is so painful to get up or roll over… What do I do? I have also noticed I can’t feel my bones anymore. I push in as far as I can and nothing… Is that normal? This is my second pregnancy and I never had this problem
red headed momma
I am so grateful to have found this website. It is nice to hear these stories and realize you are not alone. The pain oh my heaven the pain is so bad! With my first pregnancy I experienced it as well. Dr just brushed it off. After I delivered it went right away. This time I notice more pain because I have to care for my toddler who still needs a lot of assistance. Sometimes it hurts so bad I want to cry other times I make some involuntary guttural noise that is utterly embarrassing. I am already on bed rest for pre term contractions so physical therapy is out for me. I notice as I move about during the day the pain does ease sometimes but I have to be really careful how I move. Also I am not allowed to move a lot so ya. I think I will alert my doc this time just to be sure I don’t mess anything up worse but as I said I had it with my first and it went right away so I think it is possible it will be the same. I delivered vaginally with an epidural and was seriously pushing for two hours and it still went right back to normal freakishly fast. But I did use a brace after delivering for a few days to alleviate the pain so maybe the brace works better after delivery? I don’t know. Definitely something you should talk to your Dr about. If they don’t listen make them listen. Sometimes we second guess ourselves too much and it allows them to dismiss us.
The brace will help during and after pregnancy. The difference with during pregnancy is that your hormones are still increased as you are getting ready to be able to deliver the baby and there is more laxity in the area. After delivery, the hormones will begin to decrease and the laxity is less. Sometimes people feel it more in the second pregnancy due to having another child that you are lifting and carrying. Try the Sacro-iliac belt for some relief and PT if you are able to come in!
Thank all of you ladies for your comments. I have been feeling this pubic & back pain since 20 weeks and am now 25 weeks pregnant with each week getting worse and worse. I have gone to my midwife and doctor in regards to this pain as it is getting so bad that I have sleepless nights and can barely walk. I seriously feel like I got beat up down there! This is my second pregnancy and I remember having this pain slightly towards the end of my first pregnancy but no where near this type of excruciating pain. I am so frustrated because I am 30lbs lighter getting pregnant with this baby and very strong and active and yet I feel far worse than I did with my first?! Tell me how that makes any sense at all. I wear the support belt which helps for a little while but is short lived and not addressing the problem in my opinion. I have seen the chiropractor but my Dr. advised me not to anymore and has told me even if he refers me to a Physio that the wait list is so long I would probably get in until after the baby was born. (sigh with frustration) I will begin Pre-Natal Yoga this week in an attempt to help with the stretches and have not been able to exercise much in the last 2 weeks due to the pain. I am trying to go for massages when I get a chance but it is hard with a 2.5 year old, working full time and its winter so guess who is shoveling snow??
My question is to the moms who have given birth with this condition and how the labor and delivery was for you? I am very nervous for it reading about the “popping” that you ladies have felt! My first labor was 5 hours start to finish and I did not have any issues in regards to pain other than the contractions of course. I really wish you all the best coping with this and your labors.
I am so glad I found this message board. Mine started around 24 weeks. I turned over in bed and felt several pops up the center of my pelvis in front. I went to the labor and deliver ER- the nurses knew immediately what had happened. I have metal rods for most of my spine, so much of the pressure of the baby is on that front center part of the pelvis. I guess most of my ligaments and cartilage tore. I am 33 weeks now, on half days at work (sitting only). In bed, its the worst. I want every time I have to get up to go to the bathroom because turning over, sitting up, and walking is so excruciating. I am so shocked that there isn’t more documentation or serious articles about this pain. Its almost impossible to find resources. I did water therapy for three weeks before I had to stop. Nothing is helping and I can feel it getting worse as the baby get bigger. i am so terrified for the rest of the pregnancy. Also, is this going to happen again??? Not sure I can take it again.
I am pregnant with #2 (due in 2 months) and have been severe back and hip pains since end of 1st trimester. The pain is mostly on my right side – after working a full day at work, i can’t get in/out of the car, get in/out of bed or roll over. My husband has to lift me to help me because I am in so much pain.
I am afraid of labor. How am i going to push when I am in so much pain already?
It’s interesting that this pain seems more common in repeat pregnancies. I didn’t really encounter it with my first but now I do with my second. I wanted to post because my experience so far is a little different. I feel this pain off and on. When it comes, it is a sharp pain right in front of my public bone. I have to slow down tremendously, waddle to get around, and find it difficult to climb stairs. But, it then goes away or becomes a dull ache. What is perplexing me now is that the pain becomes more severe after I do my pre-natal yoga exercise. So, I’m wondering, is yoga triggering the pain or is it rather supporting my base and helping it go away? My intuition is that it’s both. Life is funny that way sometimes. I know that the exercise is extremely important so I’m going to continue doing it and just be as careful as possible, but I am very worried that I could “pop” the bones at some point and create a larger problem…
I am 27 wks and have been having this pain since around 12 wks I’m pregnant with my second and didn’t experience this at all with my first. I work 10 hour shifts on my feet all day and can not bare the pain anymore I’m in tears walking getting in/out of bed rolling over almost doing anything. The belts do not work neither does Tylenol and Drs. keep brushing it off I would love some type of any type of relief from the pain. I can’t interact with my 3 yr old because of how much pain I am in. I am unable to even make it to the restroom. These pains only make me extremely nervous for delivery as I wanted to have a natural non medicated delivery but how can I do that with these pains. Any suggestions?
I am a 34 mom of two. This showed up around week 10 of my last pregnancy in 2007. It sounded like rice krispies in my pelvis when i turned over. The pain was absolutely horrifying. dr was confused and assumed it was my hips, but i told him pain felt like a football cleat to my crotch. Put me on hydrocodone, then tried tylenol w/codeine. I was very anti-med but hadnt slept in weeks. The meds didnt touch it.
The key is taking your time. I slept sitting up in the corner of my couch. When i got out my car, i moved my legs out with my hands much like a person who uses a wheelchair would. Same thing when i got in. I wore a thin incontinence pad towards the end because running to the bathroom was NOT AN OPTION. A physical therapist who specializes in womens health helped a bit but the only thing that solves this is childbirth. I hate to be the bearer of bad news.
Unfortunately, 7.5 years later…i still have discomfort. It flares up a few times a year right as my period is due. Getting up and walking around helps some, or a warm bath. Its nowhere near the 10 on the pain scale that it was, more of a 3. Enough for me to notice but once my day starts it fades.
I wish u ladies ALL THE BEST…I honestly do. ♡
I’m glad I’m came across this site. I am 36 weeks pregnant and have been suffering with this condition since 16 weeks in pregnancy. This is my first pregnancy and never thought that this type of condition exist until I researched it on the internet. I’ve mentioned my excruciating pains and aches to my OB but often dismissed me and said that it is normal to have those pains during pregnancy. She gave me a copy of pregnancy and exercises instead. And yes, she recommended tylenol and those slings or supports. Tylenol is a joke and those supports are very uncomfortable and felt like I am constricted. I use that support during my 12 hour shift as an RN (lots of walking and standing) and didn’t help at all. I could barely finish a 12 hour shift, requesting to go on leave early. Some women at work and my OB just make me feel like a wimp! I couldn’t get proper sleep because of intense pain when I have to reposition myself in bed – it leaves me in tears!!!! Need help and I don’t know how else am I suppose to communicate this to my OB.
This is my fifth pregnancy, and I had only minimal problems with the last one, and the first three I did not have this issue, but this one is terrible, and the excruciating pain started at 14 weeks! I am 25 weeks now, and I may have gestational diabetes as well (my blood sugar was too high after the first glucose test). I am really worried about that because I am unable to exercise due to pain. Has anyone had both of these issues?
I’ve been having this pain since week 30, and the last few days it’s been progressively getting worse. At first my doctor was saying my daughter’s head was on nerves (as she’s head down – I have 3 more weeks to go before her due date) but I decided to do some re-search on my symptoms. I have a 2 year old and with his pregnancy I never felt these pains!! Thank you very much for posting this informing women of this condition. I never knew about it until finding this post! Monday morning I’ll be calling my doctor and telling him the pains described here are the exact pains I’m having and maybe he’ll understand a little better. Much thank yous!!
At 34 weeks the pain was so excruciating. I didn’t know how I was going to get through till delivery. Finally my ob gyn prescribed low dose Percocet, one tab twice daily. It has made all the difference. Nothing else helped, but this really does. I am now at 36 weeks and feeling fine. Hope this helps.
hi.im overdue now with my first pregnancy.everyone at home been saying i should exercise more so the baby comes out .have been going for long walks whick hurts my pelvic bone but goes away after a while of relaxing.i have had the pelvic pain eversince 21 weeks but could only feel it hard when getting out of bed .so yesterday my husband being told numerous times by many relatives took me for a run to add more action rather than walking.i ran alot and it was hard cause all the time im struggling to lift my legs and im taking small paces because my legs dont want to seperate cause of pain but he he continued to push me harder and i….being overdue and worried pushed myself too hoping contractions will start.just as i got back home walking became a non starter even getting up from a chair so i went to bed
earlier hoping id wake up better but i did not sleep.the pain is unbearable .i cant seperate my legs..roll over…laying on one side theres too much pressure on leg but a pillow cant fit between my legs..i cannot walk at all to the bathroom ..the pain is so much that when i try to move out of bed i pee on myself before getting off a little .make any movement.i dont know what to do now ..im so scared .pliz help
my OB thinks am just being whimpy she doesnt know how much pain am in,its so so bad that i cry at times,i tried to convince myself that maybe its because of fear since this is my first but :p its gatting worse,am now 38weeks pregnant
this is my first pregnancy and i started recently getting pains right side pubic bone at 11 weeks… and thinking of starting to work in 2 wks, though after reading this article and the comments i’m afraid to push my body because my job would require to be walking and bending over 8hrs+ … and i’m constantly sick with headaches, runny nose, and back pains.
This is my Second pregnancy. first pregnancy I didn’t have this pain in the pelvic/Groin area like I do in my second. I’m 30 weeks pregnant and every morning I’m having trouble get out of bed with having pain in my pelvic area sometime. I would hear a pop sound but no pain after the pop.(only the one time I had that happen)And sometimes I’ll feel cramping in my hips area witch doesn’t help me when I try to get out of bed in the morning(they feel like Charlie horses) But as soon as I get out of bed I have no problems with walking or geting out of cars. Its only trying to get out of bed inthe mornings.
I was wondering if there’s exercises that can help me ezz the pain alittle when trying to get out of bed?
I’ve had this dysfunction for 2 years now. I wish I had known about this SPD before. My first pregnancy was going great until I was 3 months. That’s when I started to feel the pain in my pelvis. I tried explaining it to my OB but he didn’t understand what I was saying and had nothing to tell me that would help. My pain got worse and worse. I was unable to sleep on my sides bc the pain would shoot through my legs and my pelvis would shift out of place. So for 6 months straight I was on my back. I would go to my doctor asking for help in tears and he had nothing for me. Even my blood pressure sky rocketed when I went in my day with unbearable pain. The nurses were telling me to calm down, calm down. You’re ok. Um, no I’m not and no one is helping me!! I left sad and still unaware of what’s happening to my body. I would wake up in tears and my husband would try and comfort me. He was so sweet. I couldnt put my pants on. I learned I had to sit to do anything. I wish I had known I had SPD maybe I wouldn’t have caused more damage. Fast forward to delivery where I had to have a csection bc my daughter was transverse. It was nice not having pain bc of the epidural. How I wish I knew that I should have told the nurses my situation. Once I had baby I thought all the pain would go away. It never really did. I was still unable to lay on my sides. (2 years now as a back sleeper and miserable.) 🙁 Now, I’m pregnant with our 2nd daughter and since the pain never really went away it came back immediately after getting pregnant. I tried explaining again the pain to my doctor and he said maybe it’s arthritis in the pelvis? I was like, maybe. What can I do to realize the pain?? He was like wear a maternity belt and take Advil for arthritis. 600mg. I was like, are you sure that’s ok?! He said oh yes, but you have to he consistent with it. It won’t help if you aren’t. Needless to say I wasn’t comfortable taking anything for the pain. I barely take Tylenol which doesn’t help for one min. I did buy a maternity belt but that doesn’t seem to be helping either. My pain pretty much has me in tears everyday but I never let them show. I have to take care of my 15 month old daughter. She comes first. I’m just so tired of this. I’m gonna look into PT and hope someone there can help me. I can’t live like this for the rest of my life. I just wish I had known this was something and maybe I could have fixed it sooner. I hurt so bad. 🙁
HI… Guys.. Please help me
My wife got pregnancy ( 5Weeks ) and she is suffering from leg pain. She is unable to stand up. If she try to stand up, both the legs were bending. She unable to move single step also. Now she is on bed for everything.
Pls he me guys what i have to do?
I would first recommend speaking with her doctor regarding this pain, if she/you have not done so already. It is common to have asymmetry in the pelvis during pregnancy (relaxin, a hormone, get released to allow the pelvis and hips to expand to allow the baby to pass through the vaginal canal) and pain can be associated with the asymmetry however if she is experiencing pain that she cannot get out of bed then she should consult her MD.
Hi thank you to all for sharing their story! From reading this page I realise that this is common for woman over 34 years and mostly happening to woman with their second child their first being under 3 years! I was really looking for advice as I am experiencing the same pelvic pain with a burning sensation when crossing my legs!
I hate getting up after a long sit in a chair or getting our of a car or bed! I have rheumatoid arthritis and yet have not experience such pain as I am experiencing now!
I wish some doctor can research these common trends as a pose of telling us to deal with it or take Panadol! If we could deal with it we would not reach out on the internet for an alternative solution!
If you found a cure please share as I can’t see myself going through this excruciating pain when I’m now only 23 weeks and the pain is getting worse!!!
I am right there in sever pain with you ladies. I didn’t experience any pain until about 35 weeks with my first daughter, pain started around 28 weeks with my second daughter and now at 12 weeks this time around. I am now 18 weeks and use a walker to get around. I had to quit my job that I’ve been at for 3 past 3 years. I am 29 years old and have never had any problems with my joints, muscles or bones but my body just doesn’t adjust to the pregnancy hormones well at all. Nothing really relieves the pain. I can’t stand for too long, hurts when I sit for too long and trying to stand after I have been sitting for a while is excruciating, getting in and out of the car takes forever and rolling over in bed is killer. A few nights ago I strained something in my right hip while rolling over and had to go to the emergency room. I and an MRI done and it showed fluid around the hip bone. I had to have the fluid drained and have been in even more pain than before. I don’t know how I am going to deal with another 22 weeks of this. I was seeing a physical therapist before I strained whatever I strained and felt a little bit of relief from that. I’m at the point where I’m ready to beg for steroid injections in my joints. Has anyone ever gotten injections while pregnant?
I’m a young mother and this is my first pregnancy, I’m 24 weeks and have been experiencing pain in certain positions I sit in. And now its progressed to I’m having a hard time walking. I feel pain in my lower atomic and lower back with every step and my right leg is in a lot of pain. I don’t know anything about this topic but it has me and my boyfriend very worried. Should I have any reason to be concerned about labor with this progressing the way it is?
I’m so thankful to have read this post and the comments you ladies have made. I am only 18 weeks and will literally cry in bed at night because of the pain. I even fell this morning getting out of bed because it hurt so bad to move my legs. I had an appointment yesterday and talked to my doctor who vaguely describe SPD so I had to do my own research. I am very concerned about how this will effect the rest of my pregnancy. This is baby #3. Both my son and daughter were delivered vaginally and I’m hoping to do that same with #3 but after everything I have read I’m not sure that is likely to happen.
I am so glad i foubd this article for more that i tell my ob my symptoms she keeps telling me its normal. This pain started monday and i cant bare it. I went to the hospital because i just couldnt walk it made me gasp for area. The hospital ran tests all neg and even a cervix exam but was only a cm dialated. Was sent home called my ob today again due to this pain and was tolded again its normal especially after having two kids already. At least i know now its actually something not just a pregnancy normal thing.
I believe i have this problem I’m 37 weeks and can’t even walk I keep telling doctors and they say it’s normal just to take it easy. Two of my previous pregnant were preemie because they say my body just doesn’t handle 40 weeks of pregnancy and still they want me to go till 40 weeks, im not far but I can’t take pain nor pressure or weight may more so now I’m just in bed
I am 31 weeks pregnant this pelvic pain is so painful. That I can’t walk, sit or lay on either side. Its been happening since I was 16 weeks pregnant but now at 31 weeks it’s so much painful that I cry when getting up from bed, sitting, walking or standing the pressure is really bad. What can i do?
Hi Joanna – Your health is important to us. Please email WomensHealth@athletico.com or give us a call at 1-877-ATHLETICO so we can discuss your symptoms/injury. Thanks!
I am 21 weeks pregnant with twins both girls and ever since the 16th week my pelvic pain has been getting worse and worse now it’s to the point where I can hardly walk I can’t take a shower without help i am only 19 and I feel 91 I feel like SPD is what I have but when is it time to call the doctor if the pain just gets worse to the point you can’t do anything even standing is hard and when my legs are closed it hurts even worse then when there open a little but it also hurts if there open a lot and this makes it nearly impossible for me to walk on my own what do I do nothing is helping
I thought i was alone!!!am 36wks now and the pain started yesterday …its so annoying but reading all the experiences and advises am a little better
I’m 34 weeks pregnant, my first pregnancy, and I’ve been having this pain on my pubic bone since 24weeeks. Now the pain has increased to my lower abdomen and I can’t sit up straight anymore. The pain is so much and I don’t understand the next step to take at the moment.
Hi friends,I also experienced pelivic bone pain during my pregnancy and sometimes I need someone to lift me up from sitting and sleeping position and was very horrible during end of my pregnancy as I was having big tummy with placenta lying very low and this pain almost give me sleepless nights.I had a c-section with my pregnancy and the baby is now 1year old.The pain become better after delivery but it took around 4-5 months for me recover completely and back to normal life.
So I am 37 weeks pregnant and experiencing the symptoms of Symphysis Pubic Dysfunction,I am curious to know if it’s something that could cause complications with my pregnancy as well as what solutions there are to easing the pain or what steps I should be taking to cure it.
I had a hysterectomy 10 years ago and an injury to my sciatic nerve 3 years ago.
Sometimes when i stoop down i cannot get up.. because of the muscles in my upper upper thighs leading to my crotch area lock off..
Can anyone say why?
I am currently 25 weeks and dealing with all of this. It is making my job as a daycare teacher and mother of an 18 month old extremely difficult. I can hardly move at all. And this is on top of very bad sciatica as well so I just hurt, bad. My Obgyn is really nice but I don’t think he takes me seriously when I tell him I’m in as bad as pain as I am. What do you suggest? And as so many people have mentioned Tylenol doesn’t even touch this pain oh, and people at work think I’m being extremely dramatic or just trying to sit down all the time.
I am 39w4d pregnant and one had this pain for months. My midwives kept telling me it’s normal and that it’s just my body preparing for her and checking for infections down there. I cant deal with this pain anymore. I want my little one out. I can barely stand up or walk anymore. If the pain keeps up we will be going to the hospital in a few hours.
This is my first Pregnancy and I’m currently in my 33 weeks and I just knew this pain wasn’t supposed to be normal because it’s so excruciating
I feel like crying each time it’s almost night and I remember I have to go to bed ,and to worsen the situation, not only do I have an unsupportive partner who happens to be a Physiotherapist but our bed is also high ,very high and I can’t sleep on the floor as much as I want to . The pain is so much that sometimes after fallen deeply asleep and wake up to pee when my bladder must have been quite full ,I feel clicking sounds internally in my pubic when moving down the bed to go to the toilet and I’ll waddle to go to pee ,and I always feel so dehydrated at night that I want to drink water every minute especially after peeing but I can’t because the pain is too much i wish I don’t have to pee at all through the night so I don’t get to feel the pain too much
Spoke with my doctor at my last appointment and she said it’s a normal feeling due to pressure because baby’s head is down ,I’m just grateful I now have a name for the pain and I should be able to tell her at my next appointment even though I doubt it’d yield any positive result
Thank you for uploading this
I had this too for the past week. I’m 35 weeks pregnant. Just saw a chiropractor for the first time and I immediately have relief, the pain is gone!! My advice- see a chiro ASAP. 🙂
I am 33 weeks and 2 days this is my 4th pregnancy and I am having bad pain to the point that I can’t walk or move it hurt so bad and my sons head is so low idk what to do
Am 27weeks pregnant this is my second pregnancy but I never experienced this kind of hip pain in my first I swear it hurts badly I at times cry .I was worried what to tell my physician about the pain but I’ll talk about it it hurts and it’s making me have a hard time.
My son is four yrs old now, but during my pregnancy with him I kept complaining of pain in my pelvic area. I never had experienced something so painful More Painful than labor ever was!
Anyway it progressively got worse I remember the day I stopped walking I kept complaining to my son’s father and everyone thought it was nerve pain. By time we made it home I took a bath which was on the third floor of the house we was on the bottom floor we was renting a room with friends. I never made it back to that bathroom to bath luckily we had a bathroom right around the corner but it was a half bath. I couldn’t even make it to the bathroom my fiance my son’s father was literally picking me up to take me to the bathroom I couldn’t move in bed without excursiating pain I couldn’t spread my legs Nothing! Needless to say I wound up in the ER of the hospital I was scheduled to have my son at. The doctor literally called me a liar when I described what had be happening over past two weeks before I did anything. I thought in my head I was being weak in some way.
He picked my leg up said hold it in the air. I said I cannot I promise you I can’t.
My leg Dead weight hit the bed. He believed me then. After 3 cats scan the doctor still wasn’t able to tell me what was wrong. I spent almost 3 weeks in that hospital after almost 2werks I began to walk w assistance by time I left I was walking myself but with pain w I slept I had lift one leg and pull the other over right after. I was in pain but honestly that pain didn’t bother me. I was terrified I was gonna have this child a d not be able to tend to him. I’m so thankful it was gone by time he came which was almost month n a half later. I’ve questioned it for yrs considering I have a 13 yr old daughter and nothing ever happened like that. I was 19 when I had her and 28 when I had him. But still, and the fact that my doctor’s had no idea really what was going on scares me more!
Good luck to all you ladies and God bless 💯💓🙏🤰🤱
I am currently 9 months w/ twins and when I tell you this pain is the worst thing I have ever felt in my entire life ! It literally makes just waking up a living hell ! I can’t do anything I be on pain so bad , something as simply as lifting my legs and walking is a 10/10 pain , on top of my feet and legs being super swollen! I have had 3 kids already & this is the worst it’s ever been . Makes me never wanna have kids ever again if I have to be in this much pain , it’s UNBEARABLE AND UN FREAKING BELIEVABLE !