Introduction

Pregnancy can be filled with joy and anticipation, but it can also bring about challenges that are less commonly discussed. One such challenge is pregnancy-related pelvic girdle pain (PGP).

In this blog post, I aim to debunk common myths surrounding PGP and provide advice on effective management strategies that you can implement to help reduce your pain.

Myth #1: PGP is Just a Normal Part of Pregnancy

Fact: PGP is a common but NOT NORMAL condition that can be experienced during pregnancy. While some discomfort can be normal during pregnancy, persistent and severe pelvic pain is not something to be dismissed. PGP is a real and often underestimated issue that can significantly impact a woman's quality of life during this important period.

Understanding PGP

Pregnancy Related Pelvic girdle pain (PGP) is an umbrella term used to describe pain experienced around the pelvic area during and after pregnancy. It can present as sharp or stabbing pain, aching, or a sense of instability. PGP is different from lower back pain and is specifically related to the joints and ligaments of the pelvic girdle. It affects 1 in 5 pregnant women.

Myth #2: PGP Only Occurs in the Later Stages of Pregnancy

Fact: Although Pelvic Girdle Pain (PGP) is typically more prevalent in the later stages of pregnancy, it can develop at any point, even as early as the first trimester. Ignoring early symptoms might result in heightened discomfort as the pregnancy advances.

It was previously believed that PGP stemmed from the hormone relaxin softening ligaments, leading to pelvic instability. Contrary to this notion, we now know our pelvis remains robust and stable during pregnancy, necessitating substantial forces, like those from a car accident, to cause instability.

Throughout pregnancy, numerous changes occur, including muscle fatigue, weakness, postural adjustments, and muscle tension due to the evolving dynamics in the mother's body as the baby grows. This naturally amplifies the sensitivity of our nervous system - prompting a more protective bodily response, resulting often in muscle soreness, tension, and restricted movement. Hence, pregnancy-related pelvic girdle pain. 

Factors that can contribute to PGP:

• Previous history of pelvic girdle pain

• Hypermobility of joints

• History of lower back pain

• Multiple pregnancies

• Physically demanding work or activities

Myth #3: Rest is the Best Solution for PGP

Fact: While rest is important during pregnancy, it is not the sole solution for managing PGP. Staying active and engaging in appropriate exercises can help alleviate symptoms and improve overall well-being.

Management Strategies for PGP:

1. Exercise: Targeted exercises, such as pelvic tilts, pelvic floor exercises, and gentle stretches, can strengthen and mobilise the pelvic muscles and improve a feeling of stability.

2. Physiotherapy: Consult with a physiotherapist specialising in women's health for personalized exercises and guidance.

3. Supportive Devices: Consider using pelvic support belts or maternity belts to help stabilise the pelvic area and reduce discomfort.

4. Pain Management Techniques: Heat or cold packs, massage, breathing and relaxation techniques can offer relief from pain.

5. Posture Awareness: Maintain good and supported posture, especially when sitting or standing for extended periods, to reduce strain on the pelvic area.

Myth #4: PGP Disappears Immediately After Birth

Fact: While some women experience relief immediately after childbirth, others may continue to face PGP postpartum. Although there is no cure for Pelvic Girdle Pain in pregnancy, specific physiotherapy can relieve your pain, help you manage your symptoms, prevent it from getting worse and assist in a quicker recovery after birth

Physiotherapy for pelvic girdle pain is safe at any stage during or after your pregnancy so the sooner it is treated, the more likely you are to feel better.

Conclusion

Pregnancy-related pelvic girdle pain is a real and often underestimated challenge that many expectant mothers face. Debunking myths surrounding PGP is crucial for promoting awareness and providing effective management strategies. By staying active, seeking professional guidance, and adopting a holistic approach to managing PGP, women can navigate pregnancy with greater comfort and confidence. Remember, your well-being is essential, and seeking help is a strength, not a weakness.