Tag Archives: pelvic girdle pain

Managing SPD and PGP in Pregnancy

If you’ve ever had the feeling of a steel toed boot kicking you in your pubic bone and been told “it’s because your baby is low”…

If you’ve ever tried to get out of bed in the morning only to feel like your pelvis is about to snap in half and been told “oh that’s just because you need to do prenatal yoga”…

If you’ve ever had pain radiating from your SI points down your legs, like electric shocks and firey needles and been told “that’s just normal pregnancy back pain!”…

I’m here to tell you honey, that ain’t normal. And I hereby give you permission to tell your Aunt Barbara, Dr. Know-it-All, and Queen Earth Mother Yogi where to hang it.

I can’t tell you how many times I have read posts like these in mom groups, only for “veteran” moms to tell other moms that it’s normal. Can back pain in pregnancy be normal? Sure. Should normal pregnancy back pain debilitate you? No. Do women experience round ligament pain? Even though that concept seems like a made up term to push mothers out of OB and Midwife appointments quickly, sure, it exists. But is it normal to feel like your pubic bone is about to snap in half? No, ma’am, it is not.

Let’s talk a little about Symphysis pubis dysfunction aka SPD and PGP— that’s pelvic girdle pain. (I’m not a medical professional, so this is in super laymen’s terms… laymoms? That sounds weird. Laymen’s.) SPD is what occurs when your body produces too much relaxin and your joints get all mushy. Your ligaments stretch out, and become useless, because your body thinks it’s time to push a baby out. Except, for most is us with SPD, this hits long before it’s baby time, and often lasts for some time after baby has left. With your joints and ligaments in an uber relaxed state, your pelvis becomes unstable. Nerves get stuck between bones, your ability to balance becomes iffy, and your pubic bone and SI points click and grind. In a nutshell, it’s a little taste of torture, often with no real end date in sight. This can lead to depression, agoraphobia, PPD, PPA, and a whole lot of frustration.

From Pregmed.org

This is my 5th pregnancy, with SPD and PGP. I am taking several proactive measures to (hopefully!) help make for a smoother journey with my SPD this time around!

Here’s what’s worked in the past that I’ll be continuing:

Physical Therapy: I actually didn’t have success with PT during my previous pregnancies. I had PTs who didn’t know what to do with me, handed me a cane or a walker and said “Sorry, we don’t know what to do with you.” However, after Peachy was almost a year, I connected with a great PT who took me seriously and got me strong again! I’ll be working with him this pregnancy, and I look forward to seeing how that will help in the midst of pregnancy!

Acupuncture: I was so hesitant to try acupuncture, partially because I thought it was fake and partially because I had given up on anything working. But at the urging of a physical medicine doctor, who assured me there was science behind it, I gave it a go! I had tremendous results! Now, mind you, tremendous results for me meant 2-10 hours worth relief or maybe 24 hours without a walker, but when you are living in constant pain, those breaks are what keep you going! The acupuncturist I saw, focused on needling and massage, not on herbs. We were a good fit, and I look forward to connecting with her sooner than last time.

Quality medical equipment: I have a wonderful and trusty cane at my ready! I started out with a walker that was for a much shorter person last time, and I was crouched too low. This time, I’m planning on getting a walker that suits my height better! And in time, hopefully I can snag a great wheelchair (my last one was a little rickety!)

Here’s what didn’t work in the past, that I will be doing without:

Chiropractor: I have been to MANY chiropractors. 2 certified in the Webster technique. What I got was really high quotes for treatment, cockiness (two chiropractors told me they were going to hang my cane on their walls for a trophy once they “fixed” me— which neither accomplished!), worse pain that before each adjustment, and no relief whatsoever. Because this is an issue of your ligaments and joints constantly failing you, even if I found a chiropractor who could set me straight, I would be out of alignment within an hour with how loose my pelvis is. Some have found relief, but overall, the ladies I’ve talked to with SPD, there are many of us who have not had success with chiropractic care.

Ill-fitting, poorly made supports: I have 6 or 7 belts, braces, and harnesses in my collection from my last 4 pregnancies. Some given to me my bewildered physical therapists that aren’t even made for pregnant people. Some from amazon, some hand me downs. Some are full over and under the belly braces, others just under the belly belts that cut off blood flow. None of them have worked, but I’ve held on to each one, maybe hoping it might work one of these pregnancies. None of those are made for people with SPD, so none of them address the problems caused by SPD! So, the crappy, useless braces have got to go!

Here’s what I haven’t done before, but am doing this time:

When I was pregnant with Peachy, I read an article about a man in England who had a wife with SPD and had fashioned a brace specifically made for women with SPD and PGP. I told Milkman about it, and he said “if you ever get pregnant again, we are getting that thing!” Well, I got pregnant again, and so guess what? I got “that thing”. The brace is called the Harness Gravidarum Maternity Support Belt. The first time I put it on, I was 10 weeks pregnant, and as I fastened the last strap I let out an audible “ahhhhhhhhh!” The relief was immediate. I’m going to be talking a lot more about this harness and it’s creators in posts to come, but I gotta tell you, I’m already impressed with it! I have high hopes for a better quality of life in this pregnancy!

Yes, please!So! That’s what’s going on with me and SPD this pregnancy! And the next time someone brushes your SPD or PGP off as “normal pregnancy back pain”, you send ‘em to me, and I’ll set them straight!

Have you struggled with SPD and PGP? What helped you find little bits of relief and sanity?

Tagged , , , , , , , , , , ,
%d bloggers like this: