Pubic Symphysis Dysfunction

Pubic symphysis dysfunction is a condition that affects the joint that connects the two pubic bones in the front of the pelvis. It occurs when the joint becomes misaligned or inflamed, leading to pain and discomfort in the pubic area.

The causes of pubic symphysis dysfunction can vary, but it is commonly seen in pregnancy, as the body prepares for childbirth and experiences changes in hormone levels and weight distribution. It can also be caused by trauma or overuse, such as in athletes who participate in sports that require repetitive or forceful movements.

The signs and symptoms of pubic symphysis dysfunction include pain or tenderness in the pubic area, particularly with movement or pressure, difficulty walking, climbing stairs, or standing up from a seated position. The pain may also radiate to the groin, hips, lower back, or thighs. In severe cases, there may be a noticeable separation or instability of the pubic bones.

The treatment of pubic symphysis dysfunction often involves a combination of rest, physical therapy, and pain management. Your physiotherapist, chiropractor, or osteopath may work with you to develop a personalized treatment plan that includes stretching, strengthening exercises, and manual therapy to realign the joint and reduce pain.

Some of the best exercises to help with pubic symphysis dysfunction include:

1. Pelvic tilts: Lie on your back with your knees bent and your feet flat on the ground. Tighten your abdominal muscles and tilt your pelvis back and forth, flattening and arching your lower back.
2. Kegels: Tighten your pelvic floor muscles as if you are trying to stop the flow of urine. Hold for a few seconds, then release.
3. Modified squats: Stand with your feet shoulder-width apart and your toes pointed slightly outward. Slowly bend your knees and lower your hips, keeping your weight over your heels.
4. Clamshells: Lie on your side with your knees bent and your feet together. Keeping your feet touching, lift your top knee as high as you can without moving your pelvis.
5. Seated adductor stretch: Sit on the ground with the soles of your feet touching each other. Gently press your knees down toward the ground, feeling a stretch in your inner thighs

Again, before starting any new exercise routine, it’s important to consult with a healthcare professional to ensure that the exercises are safe and appropriate for your individual needs.