Pregnancy-related pelvic pain - Painful challenge during pregnancy

Up to 70% of pregnant women experience pelvic and lower back pain. Among these, many suffer from pregnancy-related pelvic pain, also known as symphysis pubis dysfunction (SPD). It can be difficult to distinguish this condition from general lower back pain during pregnancy, but seeking the right support from a healthcare provider or physiotherapist with pregnancy expertise is essential.

Anna Reinhold Landaeus

Read time: 3 m

Verified by Anna Reinhold Landaeus

Licensed Personal Trainer - expertise in training during and after pregnancy.

Pregnancy-related pelvic pain - Painful challenge during pregnancyPhoto: Preggers

What Is Pregnancy-Related Pelvic Pain?

Pregnancy-related pelvic pain refers to discomfort in the pelvic region caused by physical and hormonal changes during pregnancy. While causes vary, this condition is commonly linked to hormonal shifts that loosen ligaments in preparation for childbirth.

Common Symptoms of Pelvic Pain in Pregnancy

Pelvic pain symptoms during pregnancy can vary from mild to severe and often include:

  • Pain in the pubic bone area
  • Discomfort around the sacroiliac joints
  • Pain between the buttocks and lower back
  • Pain that radiates to the inner thighs or groin

Pelvic girdle pain often presents as either a dull ache or a sharp, stabbing pain. It may be felt in the front (pubic symphysis) or in the back (posterior pelvic pain), and sometimes both.

Why Does Pelvic Pain Happen During Pregnancy?

The exact cause of pregnancy-related pelvic pain is unclear, but it's strongly associated with hormonal changes that affect joint mobility and muscle stability. While some women never experience it, others may have pain that impacts daily activities.

Treatments and Relief for Pelvic Girdle Pain

There are several treatment options to help alleviate pelvic pain during pregnancy, including:

  • Acupuncture
  • Wearing a pelvic support belt
  • Targeted strengthening exercises

Working with a physiotherapist who specializes in pregnancy can help you find a safe and effective exercise plan tailored to your condition.

Tips for Managing Pelvic Pain in Everyday Life

  • Small lifestyle changes can reduce discomfort:
  • Use a lumbar pillow while driving
  • Sit on a plastic bag to help slide out of the car
  • Choose chairs where hips are positioned higher than knees
  • Keep legs hip-width apart and avoid crossing them

Safe Pregnancy Exercise Tips for Pelvic Pain

When exercising during pregnancy, avoid movements that strain the pelvis:

Avoid:

  • Crossing legs
  • Long strides or deep lunges
  • Exercises with one-sided weight-bearing

Do:

  • Gentle core, leg, glute, and back strengthening
  • Circulation-enhancing exercises
  • Listen to your body and stop if pain increases

Living With Symphysis Pubis Dysfunction in Pregnancy

Pregnancy-related pelvic pain can be a tough challenge—but with the right care, the symptoms of symphysis pubis dysfunction can be managed. Don’t hesitate to seek professional help to make pregnancy more comfortable and maintain an active daily life.

Anna Reinhold Landaeus

Verified by Anna Reinhold Landaeus

Licensed Personal Trainer - expertise in training during and after pregnancy.

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