FAQ • Pubic Symphysis Diastasis

FAQ - Pubic Symphysis Diastasis
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I have been told i have Symphysis Pubic Dysfunctia, is anyone else suffering from this?

I have been told by my midwife i have Symphysis Pubic Dysfunctia, i am in pain almost all the time.When i walk, when i turn over funny in bed, sometimes when i bend down. The midwife has said it won't get any better until i've given birth. She has refered me to the physio to get a support belt to try and ease the pain. Do you think i could be induced early?
Please help!!

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Doubt it. I have the same problem and I just wear a support belt that you can get at any maternity store. Basically the baby had a huge growth spurt and it put lots of extra pressure down there. It does hurt to walk or stand for long periods of time, so I just try to take things as easy as possible by taking breaks and sitting every 15 minutes. I actually thought something was wrong and went to the Er and they did a test and said that I was not at risk for preterm labor, just that the baby was sitting low and putting a lot of pressure on the muscles and to take it easy. Well, 11 more weeks to go!!! (+ info)

Does anyone or has anyone every had Diastasis Symphysis Pubis?

I'm 35 weeks pregnant and have just been told i've got dsp after months of being in agony. All the physiotherapists in the hospital are booked up till august and i'm due in July. I've been given a brace to wear and painkillers, they have eased the pain only slightly, i just wondered if anyone has any self help tips, apart from resting and any comfortable sleeping positions?

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I'm a male so I can't answer your question from personal experience. But I did a Google search and found some self help tips for a related condition, SPD. I'm not sure if they are applicable to DSP though so please be careful not to apply the wrong treatment. The tips are as follows:
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• Avoid pushing through any pain. If something hurts, if possible don't do it. If this type of pain is allowed to flare up, it can take a long time to settle back down again.

• Move little and often. You may not feel the effects of what you are doing until later in the day or after you have gone to bed.

• Rest regularly by sitting reasonably upright with your back well supported.

• Avoid heavy lifting or pushing (supermarket trolleys can be particularly painful).

• When dressing, sit down to put on clothing such as your knickers or trousers. Pull the clothing over your feet and then stand up to pull them up. Don't try to put your legs into trousers, skirts or knickers whilst standing up.

• When climbing stairs, go up them one step at a time. Step up onto one step with your best leg and then bring your other leg to meet it. Repeat with each step.

• Avoid separating your legs and making straddling movements -- such as when getting in and out of the car or bath. If you need to separate your legs, do so slowly and carefully and keep your back arched.

• Avoid swimming breaststroke if you can and take care with other strokes. Swimming can often feel like it is helping whilst you are in the water but cause an increase in pain when you get out.

• Performing regular pelvic floor exercises and lower abdominal exercises can help to reduce the strain of the pregnancy on your pelvis. To perform a safe and easy lower abdominal exercise, get down onto your hands and knees and level your back so that it is roughly flat. Breathe in and then as you breathe out, perform a pelvic floor exercise and at the same time pull your belly button in and up. Hold this contraction for 5-10 seconds without holding your breath and without moving your back. Relax the muscles slowly at the end of the exercise.

• (More listed in the first source below.)

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The following is from the second source:
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It is important to ask for help and accept help at every opportunity. The key points to remember are:

* Take tiny steps to go upstairs one at a time, setting off with your better leg if you have one and bringing the second leg to meet the first before going up another step. Walking sideways upstairs is often easier!
* Use a pillow between the legs when sleeping and under the ‘baby bump’
* Sit without crossing the legs and sit evenly on both buttocks
* Stand with even weight on both feet
* Keep the legs symmetrical when moving, sitting, standing, and laying down
* Avoid lifting, twisting, prolonged standing, strenuous activity, vacuum cleaning etc.
* Bend the knees and keep the legs ‘glued’ together when turning in bed and getting in/out. Silk/satin sheets can help to make it easier to turn over in bed
* Avoid straddle movements and squatting
* Move slowly and without sudden movements. Be extremely careful not to slip
* Rest – take the weight of the body off the pelvis whenever possible
* Sit down for tasks usually completed standing e.g. getting dressed, ironing, preparing food etc.
* Using a plastic bag on the car seat may make it easier to enter the car backwards and then swing the legs into the car as one unit
* If possible, shower rather than bath
* Aquanatal swimming classes – avoid breastroke as this can put more strain on the pelvis
* Obtain a pelvic support belt (ISIS Chiropractic Clinics keep these in stock) and if the pain is severe, elbow crutches will help take the weight off the pelvis and aid mobility

Plan or think ahead about every task! Ask yourself: 'How can I make it easier?', 'Do I have everything I need?', 'Do I really need to do that?'. After a while you will not even be aware of the planning and things will become second nature.

Listen to your body – do not do too much of any one thing, i.e. Do not walk too far, do not sit for too long, do not exercise for too long – if it hurts, don’t do it!

And remember, most people have no idea how you feel both physically and mentally. They can say and do things that might hurt or upset you without realising!

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I hope this helps.

-Derrick
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Does anyone or has anyone ever had Diastasis Symphysis Pubis?

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Heat packs work really well. Putting a pillow or two between your legs while sleeping really eases the pain as well. I know how painful it is, especially rolling over in bed. Hang in there, you don't have far to go. The pain goes a couple days after you give birth. (+ info)

Did anyone deliever with Pubic Symphysis ( SPD) 10 pts best answer?

My doctor just diagnosed me with Pubic Symphysis and now im worried about having a vaginal delievery. Can anyone tell me their experience?

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I have SPD and my doctor told me that a vaginal birth should not be an issue. The only time it becomes a problem is if it is an extreme case and I guess that is very rare. (+ info)

anatomic alignment is noted at the pubic symphysis, hip joints and sacroiliac joints, what does this mean?

have severe hip pain, left side, this was sudden and occurred upon waking up.

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(+ info)

wt can be of help when pubic symphysis is anteriorly prominent?

yes but you will get fatty everywhere else. (+ info)

39w4d pregnant and terrible pubic bone pain?

Its actually just my pubic bone. It feels like it is going to split apart, but the baby hasn't dropped yet.

Everything is "normal" and I have no signs of labor at all, it's just the pubic bone is killing me. It hurts to walk and is very hard to get up from a sitting or lying position and getting dressed, etc.
Could this be Pubic Symphysis Diastasis?
Did anyone else have this and what did you do about it?

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I don't know about others, but my pelvis started softening up way earlier than 39 weeks... i think it was starting to bug me at about 32 weeks. I find that after sitting immobile, especially in a car, i notice the front pelvic joint for several minutes while walking around. I'm also noticing it when i have to sit on the toilet, which is a position that naturally helps spread the pelvis.

Strangely, even pre-pregnancy i would notice very minor pelvic joint changes at the start of my period... that achy feeling in the front joint especially (where i feel it most now too).

Everyone is different, and the extent to which your pelvic joints loosen depends on your body. As long as you can walk, chances are its not serious. Do mention it to your doctor/midwife, though, as s/he should be aware of it. And if it is nothing... consider yourself lucky that your pelvis will probably open up nice and wide for an easier delivery. (+ info)

I am 24 weeks pregnant and my pubic symphysis is supposed to be 10" but mines only 8", what does this mean?

The pubic symphysis is the midline cartilaginous joint (secondary cartilaginous) uniting the superior rami of the left and right pubic bones. It is located anterior to the urinary bladder and superior to the external genitalia; for females it is above the vulva and for males it is above the penis. In males, the suspensory ligament of the penis attaches to the pubic symphysis. In females, the pubic symphysis is intimately close to the clitoris and is slightly movable for the birth of children.

....from wikipedia.
sounds like you'll have a smaller birthing....area. (+ info)

symphysis pubic dysfunction, does breastfeeding help it go away faster?

Mine was gone as soon as I wasn't carrying my daughter anymore. My pelvis will still ache a little bit now and then when I've been on my feet to much or am overdue for a chiropractor visit but mostly it was totally fine within days of giving birth. I did breastfeed (am breastfeeding still at one year) so maybe it did help, I don't know. (+ info)

Burning pain after birth in pubic symphysis?

(+ info)

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