Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Symphysis Pubis Dysfunction
What is symphysis pubis dysfunction?
The symphysis pubis is a joint located at the front of the pelvis. Under normal conditions, this joint allows for minimal movement and remains stable. Symphysis pubis dysfunction (SPD) occurs when there is excessive movement or instability within this joint, often resulting in pain and discomfort. Physiotherapy is a highly effective treatment option for managing and relieving symptoms associated with SPD.
How does symphysis pubis dysfunction happen?
Symphysis pubis dysfunction (SPD) is caused by increased looseness (laxity) of the ligaments that normally support and stabilise the symphysis pubis joint. This ligament laxity most commonly occurs during pregnancy. During this time, the body produces a hormone called relaxin, which helps soften and loosen the pelvic ligaments. This natural process allows the pelvis to move slightly to prepare for childbirth, but in some cases, it can lead to instability and pain at the joint.
In some women, the ligaments around the symphysis pubis loosen too much, too early. This leads to instability in a joint that is normally very rigid. As pregnancy progresses and the baby becomes heavier, the amount of movement at the joint can increase. In some cases, the two sides of the pubic symphysis may even begin to separate slightly. Symphysis pubis dysfunction (SPD) can also result from trauma, such as a road traffic accident, or from repetitive stress on the pelvis—common in activities like horse riding.
What are the symptoms of symphysis pubis dysfunction?
Symphysis pubis dysfunction (SPD) causes pain in the front of the pelvis, typically around the pubic area. The intensity of pain can vary from mild discomfort to severe, limiting movement. It is often worsened by specific activities such as turning in bed, climbing stairs, getting dressed, or getting in and out of a car. Other symptoms may include:
- Pain that radiates to the lower back, hips, groin, or inner thighs
- A clicking or grinding sensation in the pelvic area
- Difficulty walking or adopting a waddling gait
- Feeling of instability in the pelvis
- Pain that increases with weight-bearing activities
What should I do if I have symphysis pubis dysfunction?
If you have, or suspect you have, symphysis pubis dysfunction, it’s important to arrange a physiotherapy assessment as soon as possible to begin appropriate management and reduce the risk of further discomfort.
Physiotherapy treatment for symphysis pubis dysfunction.
The involvement of a sports medicine professional is essential in managing symphysis pubis dysfunction. They can accurately diagnose the condition and assess its severity, often using imaging techniques such as X-rays, ultrasound, or MRI. Based on the findings, they will develop a suitable treatment plan.
Treatment may include activity modification, anti-inflammatory medication, soft tissue techniques such as massage and stretching, and a structured progression of targeted strengthening exercises.
Other treatments include:
- Electrotherapy
- Hydrotherapy
- Core Stability Exercises
- Acupuncture
What shouldn’t I do if I have symphysis pubis dysfunction?
If you have, or suspect you have, symphysis pubis dysfunction, it is important not to ignore the problem. Seeking advice and treatment early can help prevent your symptoms from worsening. You should also avoid any activities that aggravate your pain until you have been assessed by a physiotherapist.
Could there be any long-term effects from symphysis pubis dysfunction?
Recovery from symphysis pubis dysfunction can sometimes be prolonged, and in some cases, it may take several months before you are able to return to normal daily activities.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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