What is Symphysis Pubis Dysfunction?
Symphysis Pubis Dysfunction happens when the ligaments that keep your pubic bone and pelvis stable become overstretched and no longer stabilize your pelvis. Essentially a structure that is designed to move very little begins to move a lot and it can be very painful and difficult to move with ease.
During pregnancy our ligaments become more lax to prepare for childbirth. Great for childbirth, not great for joint stability! Meaning we need to do more work to keep our body more stable.
Common Symphysis Pubis Dysfunction confusion
Sometimes SPD is referred to as a “Pelvic Floor Dysfunction”.
While SPD does in fact affect the pelvis and the integrity of the pelvic floor muscles, a general Pelvic Floor Dysfunction treatment like kegels is often not be the answer to Symphysis Pubis Dysfunction.
Moreover, just because one has SPD does not mean she has or will end up with a prolapse, incontinence or leak pee.
They are not interchangeable terms.
Can Symphysis Pubis Dysfunction heal?
Yes! It can. It requires some work to stabilize the pelvis but with the right attention, it can greatly improve. Watch the video for my go to exercises and be sure to avoid the list of things not to do.
What should I not do with Symphysis Pubis Dysfunction?
With SPD, pelvic stability is key so limit activities that destabilize your pelvis like over stretching, intense yoga stretching, dance classes that swivel the hips, prolonged sitting (even in a car), standing with more weight on one leg (with one hip hiked up) to hold groceries, kids, and while standing around. While stretching might feel good, it will often create even more instability.
What should I do with Symphysis Pubis Dysfunction?
Work on good body alignment, pelvic alignment and having strong hips and glutes. Also, make sure you watch the video below for a list of exercises that I recommend.
Can Symphysis Pubis Dysfunction make a vaginal delivery difficult? Rarely. I would not assume that SPD will affect your birth.