Do you suffer from symphysis pubis dysfunction?

During pregnancy, the increasing weight of your unborn child exerts strain on your body. An unstable pelvis is one of the risks in pregnancy. An unstable pelvis causes pelvic pain and you may find it difficult to walk.

Facts about symphysis pubis dysfunction – what is pelvic joint instability?

During pregnancy, many women experience some pain due to pelvis joint instability. In some cases, the pain is severe. During pregnancy, the joints and ligaments relax due to hormonal changes. This is a normal process that continues throughout pregnancy. The process results in postural changes, which are an adaptation to increased weight. The process allows for pelvic expansion and flexibility in childbirth.
Pelvic pain may be the result of major physical changes in the woman’s body. Pain may also be due to the release of relaxin, a hormone that is normally released during childbirth but which, in some women, is released earlier and causes pelvic instability.
Symphysis pubis dysfunction can cause pain on one or all three pelvic joints. Pain usually develops gradually and then worsens.
Pelvis pain tends to occur from the second trimester of pregnancy but may occur earlier, especially if this is not your first pregnancy.
Pain may feel like sharp jabs in the joints. In many cases, the pain shoots into the groin and radiates downwards into the thigh. The pain may worsen when standing and walking – and when you turn over in bed. If you have a severe case of pelvic instability, you may be forced to take very small steps and move stiffly, like a robot.
Pain in pregnancy is not always caused by pelvic instability. The pain can also be caused by muscles and joints that are not strong enough to carry the extra weight and accommodate weight redistribution.

How does it feel? What makes things worse?

• Every pregnant woman feels pain differently. Pain may also vary from day to day.
• You may have lower back pain or you may feel pain in the area around your pubic bone, buttocks, groin, coccyx, womb and pain that radiates down through your legs.
• You may feel that your legs are numb. You may even feel that your hips, pelvis and legs are about to collapse or dislocate.
• The pain will often become worse when you move, for example, if you move in bed from lying on your back to lying on your side.
• Pain can become worse when you climb stairs or if you have to take very small steps. You may even find that you waddle like a duck.

Symphysis pubis dysfunction – diagnosis and risks

Treatment for pelvic instability

If you have an unstable pelvis, consult someone who can tell you how to move best and avoid strain. You may need to consult a physiotherapist and learn about relaxation and exercises to relieve pain. It is crucial that you focus on resting. Women who have symphysis pubis dysfunction often have to report sick. Painkillers (analgesic medication) are seldom a good solution. Rest at home is often effective. You should get other family members to take care of household chores (tidying up and cleaning).
Some women have so much pain that they need home care and special aids and devices, such as a raised toilet seat, commode, mobility or shower chair. They may need to raise the height of their bed or even use a wheel chair.

After childbirth…

If symphysis pubis dysfunction is diagnosed and treated correctly, you will most probably have a good birth experience and recovery.
If you have an unstable pelvis, it is at least as important to take care after childbirth as before. It can take months for your pelvic joints to recuperate. Ask your doctor for guidance as to when you can begin physical training.

How can Align Footwear® help if you have symphysis pubis dysfunction?

There is no effective way to treat pelvic instability in connection with pregnancy. Increased production of relaxin and consistently increasing body weight in the weeks up to birth bring a certain amount of strain on the pelvis. All the experts advise rest. If you have pelvic joint pain, your pelvis needs rest. Take any incidence of pelvic pain seriously. Lie down as often as you can. When you lie down, you relieve the strain on your pelvis. Change position, lie on one side and then the other, walk about a little and then lie down again. If you have severe pelvic joint pain, you should reorganise domestic chores. Get someone else to do physically demanding chores. Use aids if possible and avoid stairs.
A pair of Align Footwear® insoles can help to relieve pelvic joint pain. The pain may be exacerbated if your body is misaligned. Pain generally begins with crooked foot movements or misaligned ankles. These are weaknesses that can produce intense pain in the feet and other painful conditions throughout the body. The knees, hips, lower back, middle back, shoulders and neck may be affected. You will unconsciously move awkwardly in an attempt to relieve foot pain, which can in turn produce a crooked posture.

Align Footwear® insoles improve mobility, comfort and performance. They encourage a better posture and physical adaptation in the kinetic chain, to make you feel healthier and improve your well-being. When the insoles coax the body into a correct natural posture, the strain of each step is more evenly distributed. Our insoles reduce the destructive shock waves running through your entire body every time your feet touch the ground. This reduces strain and prevents inflammation in your joints, muscles, tendons and ligaments.
Whether you pronate or supinate (i.e. crooked gait: inward or outward), the tri-planar points in our insoles can correct your gait/running posture into the correct and healthy position. The support points are on the outside of the insoles and “steer” foot movement. Correct foot movement prevents injuries and relieves pain. Align Footwear® insoles help to relieve the strain on overloaded muscles in e.g. your feet and calves. If you walk or run incorrectly, your joints and muscles will overcompensate. In time, this causes pain and even cramps.

Align Footwear® insoles help to align your feet and body into an optimal physical position. Align Footwear® insoles also provide good relief for the strained and painful points affected by pelvic joint instability.
Align Footwear® insoles with world-patented tri-planar points in your shoes control ankle and foot movements when you stand and walk, and have a positive effect on the entire skeleton from ankle to neck. You will find that you walk with a healthy, aligned and natural posture. Align Footwear® insoles distribute body weight optimally and this is crucial when you have pelvis joint pain.
Physical alignment from the feet through the body to the neck not only improves your balance, body weight distribution and posture, but also significantly reduces any inflammation and pain you may have in your joints, muscles and ligaments.


Nina caption Life is wonderful!
In the wake of two pregnancies, I suffered from pelvic pain for years. My lower and middle back were crooked. I struggled to get through each day. I used to take painkillers almost daily but since I started wearing the insoles from Align Footwear®, my life is far better and less painful. Even my doctor can see improvement. We lead an active life with two children, leisure activities and full-time work. Buying the insoles is the best thing I ever did for myself. Great customer service, super guidance. My very best recommendations.


What can you do? If you discover that you suffer pain due to symphysis pubis dysfunction, you must reduce the strain on your pelvis. You must focus on resting and move around less than normal. You must take pain seriously. Pelvic pain can be severe and may last for a long time if you do not react to the symptoms and get appropriate treatment. If you ignore the symptoms, you risk serious repercussions long after having given birth.
See medical attention or contact a chiropractor if:
• the pain is intolerable and you find it difficult to move.
• pain prevents you from engaging in ordinary activities for longer than a couple of days.
• you have severe pain or a sense of weakness in your legs.
• you become urine or faeces incontinent – or cannot prevent yourself from breaking wind.

Good advice:
1. Avoid awkward twisting movements.
2. Do not sit cross-legged.
3. Always stand with your weight on both legs.
4. Avoid bending over forwards. Find someone to vacuum clean, wash floors, make beds, etc. for you.
5. Take small steps.
6. Avoid climbing stairs.
7. Back into a car seat and turn with legs parallel.
8. Avoid carrying. If you carry something, hold it close to your body. Use a backpack.
9. Keep your legs parallel when you turn in bed. You can use a slide sheet and tuck an oblong pillow between your legs and ankles.
10. Make sure that your movements are symmetrical, including when you do exercises.
11. Wear shock-absorbent shoes or insoles.
12. Rest as often as you can. Resting is not quite the same as passivity.

Facts box:
If you have symphysis pubis dysfunction, it is important to get rest and support your pelvis. Aids, like a shower and mobility chair, and raising your bed on blocks will often help. A woman with an unstable pelvis will often have to report sick. Don’t forget that your pelvis remains unstable for some time after childbirth. Take it easy!

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