Symphysis Pubis Dysfunction (SPD)

Symphysis Pubis Dysfunction (SPD) is a condition that affects the pelvic joints, causing pain and discomfort in the front and back of the pelvis. It is most commonly experienced by women during pregnancy but can also occur in people who have not been pregnant. SPD can significantly impact a person’s mobility and quality of life, making it difficult to perform everyday tasks such as walking, climbing stairs, and getting dressed.

Causes of Symphysis Pubis Dysfunction

The exact cause of Symphysis Pubis Dysfunction is not fully understood, but several factors are thought to contribute to its development. These include:

  • Hormonal changes during pregnancy that cause the ligaments in the pelvis to become more relaxed and stretchy
  • Increased weight and pressure on the pelvis during pregnancy
  • Pelvic joint misalignment or instability
  • Muscle imbalances or weakness in the pelvic region
  • Previous injury or trauma to the pelvis

Symptoms of Symphysis Pubis Dysfunction

The symptoms of SPD can vary from person to person, but common signs include:

  • Pain in the pubic area, lower back, hips, or thighs
  • Difficulty walking or standing for long periods
  • Pain when climbing stairs or getting in and out of a car
  • Clicking or grinding sensations in the pelvic area
  • Pain during sexual intercourse
  • Difficulty moving the legs apart, such as when getting dressed or getting out of bed

Treatment for Symphysis Pubis Dysfunction

Treatment for SPD typically involves a combination of approaches, including:

  • Chiropractic or physiotherapy to help alleviate pain and improve joint stability
  • Exercises to strengthen the muscles in the pelvic region and improve posture
  • Use of supportive devices such as a pelvic support belt or cushion
  • Modifying daily activities to reduce stress on the pelvis
  • Pain relief medication, such as paracetamol or anti-inflammatory drugs
  • Acupuncture or other alternative therapies


Symphysis Pubis Dysfunction can be a painful and debilitating condition, but with the proper treatment and management strategies, it is possible to alleviate symptoms and improve quality of life. If you are experiencing symptoms of SPD, it is important to seek help from a qualified chiropractor or physiotherapist who can provide personalised advice and treatment. With the proper support, managing SPD and enjoying a healthy and active lifestyle is possible.

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