Symphysis Pubis Dysfunction Pain During Pregnancy

What is SPD?

First, lets talk about how your body changes during pregnancy.  Your pelvis becomes more easily moveable getting ready for child birth.  Your body begins releasing a chemical called “relaxin” to loosen ligaments in your body and make the birth process easier.

Symphysis Pubis Dysfunction (SPD) can occur in 25% of pregnant women because the pelvis can rotate, move forward or shift to the side causing the fibrocartilage tissue to inflame and cause pain.

What are the symptoms?

Discomfort in the pelvic region (usually the center).  Pain may also occur in your low back, hips, legs and the sacroiliac joint.  You may hear a popping or clicking when walking and have difficulty climbing the stairs.

How can I help?

The Webster Technique has proven to be quite successful when used on my pregnant patients experiencing SPD pain.   It is primarily used to turn breech babies but it also alleviates aches and pains that most pregnant women feel are “normal” during pregnancy.  Relaxin stays in the mother’s system for 9 months after the baby is born.  Keeping the whole body aligned is important so that when the ligaments and bones are now back to pre-pregnancy status, the body functions the way it ought to.  Chiropractic is non-invasive, safe and effective.

Breech Babies

Being told you have a breech baby can be scary. Years ago obstetricians were prepared and trained for vaginal breech births. Now, Cesarean dates are given to expectant mothers weeks before their due date if ultrasound shows the baby is breech, including:

1. Footling breech – feet first
2. Complete breech – baby sitting on heels (Buddha Style)
3. Frank breech – bottom first, with feet up by head

Breech babies make up about 4 percent of pregnancies. Here are some great tips to do help your baby turn head down.

  • Webster Breech Technique from a certified chiropractor
  • Acupuncture choose one that specializes in pregnancy and knows the points to stimulate for turning a breech baby.
  • Swimming as often as possible. This keeps your body and pelvis loose and relaxed. Do in conjunction with headstand below if you have help.

There are also some remedies you can try at home. These include:

  • Breech Tilt – begin at 32-35 weeks gestation. Do 3 times daily for 10-15 minutes each time, when you have an empty stomach, and the baby is active. Prop one end of an ironing board securely on a sofa or chair 12 to 18 inches high (or may use slant board). Lie down, bend knees but keep feet flat on board. Relax, breathe deeply, avoid tensing. May also use pillows on a flat surface to raise hips 12-18″ above shoulders. Gravity pushes the baby’s head into the fundus, tucks it, and baby can then do a somersault to a vertex position. (We have an inversion table in our Redwood City chiropractic office.)
  • Flashlight or rolling pin – try moving slowly down from the top of the uterus toward your pubic bone while you are in a breech tilt position.
  • Massage – start with your left hand at the bottom of the abdomen and your right hand just above it. Move move your hands clockwise around the right side of your tummy. As your right hand reaches the top of your abdomen, slide the left one over your right and move it down the left side of your tummy. Your left hand leads as you you come full circle, continuing clockwise. Massage gently as you would to apply lotion. Massage for ten minutes or more up to several times each day.
  • Clothespin – place on the small toe of each foot at the outside corner of the toenail; sideways so that the toenail and toepad are stimulated for 30 minutes per day, this is an acupressure point that is a “moving down” point. You can also do this with just finger pressure as you remember to do it.
  • Motion Sickness band – place with the bead four fingerwidths above the inner ankle bone – another acupressure point that is used for stimulation of the uterus. Do not use this point if you are experiencing any pre-term labor.
  • Glass of orange or other juice – follow this with a side-lying position with your hips positioned higher than your feet. Babies move more after a sugar high!
  • Pelvic Tilt- with an ice pack on the top of your tummy on an empty stomach, 10 minutes twice a day. Do this while lying on your back on the floor with knees flexed and feet on the floor with three large pillows placed under your buttocks. Try this in conjunction with headphones and visualization.
  • Cat stretch – start with all fours, then lay your head and chest flat on the floor with your buttocks in the air, as you round your back and return to all fours.
  • Knee-chest position – by kneeling with hips flexed slightly more than 90 degree, but with thighs not pressing against your tummy and your head, shoulders and upper chest are flat on a mattress for 15 minutes every two waking hours for five days.
  • Visualizing the baby moving down with the head very deep in your pelvis, several times a day; especially in conjunction with positions and exercises below.
  • Belly Relaxing followed by Inversion – Partner places a shawl, sheet, towel or rebozo under mom’s hips as she lays on the floor. Lift up on the corners of the cloth and shimmy her from side to side moving your hands up and down to wiggle her belly from side to side. These should be very small movements which mom should find very relaxing. Do this for about 5 minutes. Then mother kneels on the stairway landing. Walk your hands down 2 or 3 stairs into an all fours position; have your partner support your shoulders to balance you. Remain in this position for about 5-10 minutes or as long as comfortable. Also do this on an empty stomach. There is an inversion table in the Redwood City Chiropractic offices of Precise Moves Chiropractic.

Webster certified chiropractors, like Dr. Amie Gregory, can tilt your baby using the Webster Breech Technique. However, if you don’t have a Webster Breech Technique certified chiropractor near you, your Ob-Gyn can also help.

  • Medical Professionals can perform External Version – this can be done in the hospital at about 37 weeks; see an Ob-Gyn for assistance and more information.

Sources: Brenda Lane: Turning a Breech Baby

Can chiropractic help when I am pregnant?

Yes! You will be glad to hear that chiropractic adjustments can significantly reduce labor time. Mothers giving birth for the first time have averaged 24% shorter labor time and repeat pregnancy labor times decreased 39% (Fallon, 1991). Chiropractic adjustments during pregnancy can also reduce the likelihood of experiencing back pain during pregnancy (Diakow, 1991). You can be adjusted and relieve stress and dysfunction in your body until the birth of your child (Penna, 1989).

During pregnancy, weight-bearing changes occur when we have an added load to our abdomen. This can cause an added stress to the low back, hips and other areas of the spine. Chiropractic treatments help your body stay relaxed and comfortable and may also help facilitate your birth.

Here is how we can help:

Sacral misalignment can cause twisting and tightening of pelvic muscles and ligaments. This can prevent the baby from tipping comfortably into the proper position in preparation for child birth. Chiropractors using the Webster Technique can address this situation naturally by adjusting your pelvis and reducing the tension on your muscles and ligaments. The baby will innately move into the proper position and you will save yourself from a cesarean birth. It has even been successful with twin births as well!