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Pelvic and Pubic Bone Pain during/after Pregnancy
Berkeley Parents Network >
Pregnancy & Childbirth >
Pelvic and Pubic Bone Pain during/after Pregnancy
Does anybody out there have experience with pubic symphisis
and pelvic pain during pregnancy? If you had this problem,
did it magically disappear when you gave birth? I've
recently been told a horror story about a woman who can
hardly walk post-birth because her pubic symphisis ligament
is so messed up (she had an epidural, and thinks that maybe
she pushed too hard at the wrong time and couldn't tell
because of the drugs). I'm trying to decide how much this
needs to be addressed, beyond basic pain management. If it
really just goes away after labor then I will worry about
this less, but I'd like to get some more anecdotal reports
(the BPN posts I've been able to find are at least 5 years
Here's my situation: My pains began at about 18-20 weeks
and were mostly centered on an ability to abduct my right
leg. Well, I had SI joint pain starting at about 12 weeks,
but only when I lay on my back. The burning pain in my pubic
area started at about 23-24 weeks, and at 28 weeks I'm
finding it absolute torture to turn in bed or walk to the
bathroom at night. I have historically (prior to pregnancy)
had SI joint pain and hip issues, so it's hard to tell
what's pregnancy and what's not, or if it even matters at
So, what do you think? Should I be seeing a chiropractor
who specializes in pregnancy issues? (And does this
necessarily mean someone trained in Webster technique or
not?) Should I seek out an OB who considers SPD to be a real
problem and who can monitor this for me? Are there doulas
out there with knowledge of this syndrome? Should this be
something I put onto my list of things to worry about at
labor? I suppose the bottom line is, should I worry about
this or just get through it?
I look forward to your replies.
I had terrible SPD from about 24 weeks until birth. Like
you, turning in bed was agony and I could hardly walk. I saw
an osteopath, which kept things a little more bearable, and
cycled instead of walking since that was much easier for me
(though getting on and off the bike was a little tricky).
But really, it was just terrible for the second half of my
pregnancy. The good news: it magically disappeared at birth.
I had a scheduled c-section (for placenta previa) and by the
time I recovered from that there was no trace at all of the
terrible pubic and pelvic pain.
it can just disappear
I'm almost 32 weeks pregnant and I've been seeing Esther
Dolowich for physical therapy at Alta Bates Summit -
originally for sciatica, but now more pelvic and abdominal
pain and soreness. There's a lovely Women's Health Center
in Lafayette and also a more traditional PT clinic in
Oakland. Esther specializes in pelvic floor issues and has
been helpful to me, though my problems don't sound as
severe as yours. Since I haven't given birth yet, I can't
tell you whether it will go away immediately, but since
you have a while to go, I think it's worth trying to do
something about your pain now.
I hope Esther can help you!
510-204-1788 - Oakland
925-962-9129 - Lafayette
I saw Ethan Feldman at Back in Action when I was pregnant, and it made a huge difference. I
went from doubling over to mobile in 3 visits. So much changes when the bones separate...
also, I would definitely find a provider who takes it seriously or make clear to you current
OB how important this is to you. Good luck.
I had really bad Symphysis Pubis Dysfunction (SPD) with
both pregnancies. It was incredibly painful to roll over
in bed or even walk up stairs. By the end of my
pregnancies, I had to sort of slide and roll out of bed
because the pain was too much to separate my legs and put
weight on just one leg to get out of bed. And while the
pain MOSTLY went away after childbirth, it did not go away
immediately and it has never gone away 100%. But it has
gone away about 95%. It was very gradual and probably
took about 6 months each time to be back to almost normal
for me. The discomfort that still remains (after 2.5 yrs
from 2nd birth) is very minor and doesn't affect my day-to-
day life. It is just something I am mindful of when
making certain movements.
I didn't do anything as far as treatment goes. Many
people recommend some kind of support belt. There is also
anecdotal evidence that a chiropractor may help, but I
can't speak to that. From my personal experience and
understanding, there is nothing to really ''worry'' about -
it is more of a pain management issue and it is indeed
temporary. I had an epidural for both labors and the SPD
wasn't an issue during labor for me. But I have read that
you should minimize spreading your legs widely during
labor. I've also read that it's true that an epidural
might not allow you to feel if you are over-straining the
pubic symphysis. I would definitely try to find an OB
that recognizes SPD as a real condition and doesn't just
chalk it up to general pregnancy aches and pains like mine
did. In the long run, it didn't matter, but it would have
been nice to have someone that was sympathetic.
I had terrible hip pain during my second pregnancy and it was
awful. (hip joints and pubic symphasis.) Nights were the
worst. My midwife recommended a chiropractor, Elon Bartlett,
who specializes in pregnancy. Wow! He was great. That
afternoon after seeing him, I was pain-free for the first time
in a long time! I think I saw him about every two weeks for
the rest of the pregnancy and that helped me make it through:
http://www.bartlettchiropractic.com/ A body pillow helped too
so I could put my legs around it during the night. Good news:
the pain mostly goes away after the birth when all that weight
is magically off your pelvis. My pelvis would still be sore
from time to time, but nothing like during the pregnancy. I
had a little pain off and on for six months or so, but it was
totally bearable. You will make it through this!
Because of the functional weakness in your right leg, this
implies that you may have a pinched nerve or similar low
back problem. A chiropractor who specializes in pre and post
natal might help.
Pubic Symphasis Dysfunction is certainly real, and if your
OBGYN is blowing you off, then maybe you should be seeing
someone who can help you deal with the pain and disability.
Both PSD and sacroiliac instability are caused by pregnancy
hormones that soften ligaments. This allows for movement in
joints that normally have little to no movement. The effects
of ligament laxity can last up to 20 weeks postpartum, so I
would not expect your problems to magically disappear with
childbirth. Some women only experience these issues after
You might get some relief by wearing a support belt that
would help support the weight of your belly. At this point
your goal should be to get out of the acute phase, where you
have a lot of pain and swelling.
Avoid all movements that place shear and/or tensile forces
on those joints. NO twisting and bending at the same time.
Avoid lifting heavy objects. Don't vacuum, change the
sheets, or dig in the garden. No yoga, Pilates, and most
traditional ab work. No straddle stretches, groin stretches,
deep side bends, or any lower back openers, like seated
tailor stretch. Don't cross your legs when seated.
Always log roll when getting out of bed or off the floor.
With you head, chest and pelvis moving as one, roll to one
side, then use your arms to push your torso upright, then
come to standing.
Hi, I had TERRIBLE pubic symphisis/pelvic pain in my
pregnancy. Like you, it started in about my 5th month. It
got to the point where it hurt to push the clutch in my car
and excruciating to move in bed.
During labor, the baby was really low in my pelvis for a lot
of transition, and it was extremely painful, but I did it
without drugs. My doula and midwife were both aware of the
issue, but it really didn't seem to affect my labor, so they
didn't need to address it. My recovery was great and I felt
back to normal completely after delivery.
The only recurrence of this pain at three months later is
doing a really specific move during pilates (bridging while
lifting one leg at a time). I heard all the horror stories
of the pain lasting long after delivery, and I'm so happy to
say it went away immediately after my daughter came out.
Good luck to you!
Does anybody have suffered of post partum symphisis disfunction?
Any tips or recommandation? Do you know anybody who treats this
I highly recommend seeing Ada Wells at ProBalance in Alameda. I
have worked with Ada and she has treated this diagnosis very
A Believer in Therapy & Pilates
I have no recommendations for professional help (I wish I did),
but my doctor told me that there was not much I could do as long
as I had that pain. After my first birth, I kept aggravating the
injury by trying to run; after the second, I didn't run until the
pain was entirely gone. It took longer the first time, but I
still had to wait almost a year after the second baby before I
could run again. Good luck. Take care of yourself.
I recommend John King at Sports and Orthopedic Specialists, 6300 Telegraph Ave (at
63rd), Oakland 547-8293. It can take a little while to get in to see him, but he is worth
He was my 3rd PT for problems after my daughter was born, and he diagnosed my
pubic symphisis issue as having not healed.
Congrats on your baby!
During pregnancy, I visited a chiropractor, Elon Bartlett, in
Berkeley and he made a big difference for my symphyseal
separation. Now 1.5 years, postpartum, I still feel pain when
running but overall it is much better. I'm not sure how
postpartum you are but time really does make a lot of
difference. Elon showed me a bunch of stretches that helped
along with some yoga. Unfortunately, they say that with a
subsequent pregnancy, the separation shows up much earlier.
I gave birth to an 11+lb. baby naturally about 2 months ago. My pubic bone (front
of my pelvis) has'nt been the same since. When I lie on my back and turn over in
either direction the pain is almost unbearable. It is difficult to get out of bed and
slightly painful to raise one foot at a time while standing. My midwife suggested
that the pain would get better over time. That has not happened. My pelvic floor
muscles were very sore and painful toward the end of my pregnancy, much worse
than now, but I am concerned that I have an ''unstable pelvis'' and I am not sure
what to do about it. Anyone know of a chiropractor or physical therapist that has
dealt with this issue before? No diagnosis or x-rays as I do not have a gynecologist
and have yet to make an appointment to see my GP (I hate Drs. : ). Any
After giving birth, my pubic bone/sacrum was actually out of alignment and
painful, like what you're describing. I had a physcial therapist work on
it as well as a
Rolpher. Both were quite uncomfortable but well worth it in the end.
I also did Pilates with a trainer and I highly recommend it, it will
strengthen your pelvic
floor, abdominals, back and create stability in your pelvis. In the
beginning I seriously
recommend working with a trainer on the machines, not the mat classes
your specific need.
I do hope you begin to feel better soon.
Linda Avery is a physical therapist who specializes in pelvic
floor issues. She's located in Berkeley, near Alta Bates
(although I believe the practice is moving to Oakland near
Summit). She and her associates are all fabulous. I'm sure
that they would provide you with useful information, and symptom
You have the classic symptoms of pubic bone instability. Since
you are only 2 months post-pregnancy, your connective tissues,
including the ligament between the right and left pubic bone, are
still soft and pliable. This will get a lot better in the next
In the mean time, you need to be careful not to stress the area.
When rolling over in bed, do a ''log roll'' to keep your body in
one piece. To do this, roll your entire spine and legs to one
side, taking care not to twist your body in any way.
Then simultaneously use your arms to help push your torso to
vertical as you lower your legs off the side of the bed. If you
do these moves together your torso will not bend or twist.
You can do a similar move to get up from the floor. But this
time log roll all the way onto all-fours, then holding on to a
piece of furnitiure or a wall with one hand for balance, step one
foot then the other to standing.
Don't try to stretch your grion as this can make the situation
worse. Don't do any exercises that open the legs or twist the
spine. No impact exercise.
Do lots and lots of Kegels, or pelvic floor contactions. For a
complete discription of how to do effective Kegel contractions
visit my web site at: www.befitmom.com, select Prenatal and
Postpartum Fitness and Exercise, then select Pelvic Floor.
Helene Byrne, BeFit-Mom
I had similar pain during my pregnancy. This didn't happen to me
postpartum, so forgive me if this advice seems unrelated. If you
don't find help elsewhere, try chiropractic. Your pubic symphysis
might be out of alignment.
Chiropractors are scary for some people. However, there are good
doctors out there, who are gentle and don't wrench your body
about, and who won't try to rope you in for endless follow up
appointments. (I know I have had a negative experience of my own
with a doctor in NY who needed to see me twice a week
I highly recommend Claudia Kindler at Valley Chiropractic in Noe
Valley, SF. 415-550-1200.
Pregnancy hormones soften the pubic bones to make labour easier
and this combined with the trauma of a baby going through tends
to scar the bone. You can see this on a woman's skeleton as a
telltale sign that they have given birth. The larger your
pubic bone needs to ''stretch'' to accomodate the baby during
birth, the more trauma to the bone and to the cartilage that
connects the two ends of your pubic symphisis (the bones in
front are not connected, they meet). I am trained in osteology
and anatomy, but am not a doctor. If the pain is this bad, it
may just be, as your midwife said, that it will go away in time
as the bone heals (this can take awhile and will probably
happen naturally without any intervention, it will just be
painful for a very long time). If it is something more
serious, the only way you will be able to find out is with an x-
ray. No matter how much you hate doctors (and I sympathize
with that), if you think it is something more serious the only
thing a chiropracter will do is make it worse. This is not
something that involves your spine. As far as a physical
therapist goes, I would be very wary of one who will treat you
without knowing exactly what damage might have been done to
your pubic bone. My advice is either let it heal and put up
with the pain (sorry) or see a real doctor. Otherwise, you
will probably make it worse in the long run. Even if a
chiropractor can make you feel better for a couple weeks,
inappropriate treatment could result in long-term damage.
I FEEL your pain TRULY!! I had this pain (pubis symphisis
dysfunction) from my 3rd month of pregnancy with twins. No one
''got'' how excruciatingly painful it was & Dr.s (good
ones)shrugged their shoulders.
I saw a chiropractor at the time, but relief was nominal. The
best thing I could do was spend 4 hours a day in our big bathtub
and float... seriously. I know you are dealing with a newborn so
you may not have that same kind of time, but maybe an hour a day?
The pain persisted after they were born. I believe nursing will
also make it last longer as your hormones are still producing
relaxin. Give it time -- hard to do when you can't take a decent
stride or roll over in bed--it will pass.
I had moments up to 1yr where I would sort of pull something if I
lunged, but the hardcore pain left when my nursing decreased (6
months solids) (again, I had twins so I was doing DOUBLE nursing
with that much more hormonal activity -- it may not take as long
for you to feel better).
Try Dr. Audrey Egan in SF (chiropractor)- I know she's dealt with
this before and she really takes extra special time with people.
Very caring chiropractor! It may offer some relief.
Good luck. I wish you the best quickly!
Wow - you have exactly explained my symptoms since having my
daughter by VBAC 10 months ago. I, too, have not made it to the
doctor, mostly because I am tired of the ''well, nothing obvious
is presenting itself to me in the 7 minutes I've allotted to this
I don't have any answers for you, but wanted you to know there
was someone else out there is very glad you asked the question.
You may need to give your midwife's advice a little more
time....My son was posterior (face up rather than face down); the
improper positioning did quite a bit of damage to my pubic bone,
and I had pain similar to what you describe. It did get better,
and eventually stopped hurting entirely, but it was maybe 6
months after giving birth.
Best of Luck
Two months isn't long, but since you are worried I would highly
recommend Dr. Jerome Weiss and the Pacific Center for Pelvic Pain
and Dysfunction. He is expensive and doesn't accept insurance
(you can submit to your insurance company anyway and probably get
some money back, I did) and his missed appointment policy is
prohibitive (I think they require a two day notice for missed
appointments and they WILL charge you if you really can't make
it, even for emergencies). BUT I think he saved my vagina. 16
months postpartum and I still have some pain, but I can have sex
now, and pick up my son, and sit in my car comfortably, etc. Dr.
Weiss used both western and eastern therapies and is just a
lovely, comforting man.
i am a PT, and this is very common, and having a big baby makes
it more likely (bones having to separate more).
i work inpatient, but even i know a few exercises. try lying on
your back, knees bent, and squeeze a basketball between your
knees, or something else that size or a few inches smaller, that
is firm but slightly yielding. you can pad it a bit with a folded
washcloth if it feels too bruising on your knees. squeeze as hard
as you can for 5-10 seconds. at the same time, try to do a slight
kegel (tightening your pelvic floor muscles, you may have learned
this prenatally?), focusing on the forward muscles, ie the ''pee''
area, but not the anus, or not as much towards the back. repeat 5
or so reps.
if you are lucky, you will feel a shift, as the sacroiliac joint
and pubic symphysis realign into a better fit.
then get up and try some of the things that bother you (gently,
just to the onset of pain), to see if there's an improvement. if
so, you know you're on the right track. repeat the exercise as
necessary while waiting for a PT appt.
and definitely see a PT, since one can evaluate you specifically
to see what direction the misalignment is (upslip, rotation,
etc.), and do manual resistance to help you pull things into
I have the *identical* symptoms, except for my babe wasn't quite
as large (congratulations on pushing yours out)! It is appalling
that allopathic medicine barely recognizes our condition, which
is called Symphysis Pubis Dysfunction (SPD), and is when the two
sides of the pelvis are misaligned at the pubis symphysis joint.
A more severe version is called Diastasis Symphysis Pubis (DSP)
and is when the pubis symphysis joint is separated as well as
being misaligned. Your midwife absolutely should have been able
to diagnose your condition -- I would find a new practice at
once. The following website has very useful information, with a
description of SPD/DSP and first hand accounts of women who have
successfully dealt with the problem:
SPD/DSP are essentially bone injuries and so take a long time to
heal, especially with the relaxin pregnancy hormone still
lingering in your body. Avoid as much as possible any movements
that hurt, which may include all motion that involves separating
your legs and/or that is weight-bearing. For me this has
included standing for prolonged periods and just plain walking.
It may seem impossible to limit yourself that much, but with a
supportive husband I have managed to feed and soothe my newborn
and verbally entertain my toddler all from the confines of a
Lazy-boy chair. Try to keep your hips in the same plane at all
times (i.e. don't cross your legs, sit on the floor sideways,
etc.). I found it extremely helpful to sleep with a pillow
between my legs at night. You may need to experiment with pillow
number and/or thickness (don't overextend your legs).
Keep in mind that DSP sometimes cannot be detected by X-ray
since pregnancy already scars the joint, so don't get dejected
if you go to an MD of some sort and s/he can't help. However, it
is downright ridiculous (someone needs to chide you) for you to
be in severe pain for two months and have not gone to a doctor!
Get off your butt and get over your fear/reluctance -- the best
case scenario is that they refer you to a helpful health care
practitioner that is covered by your insurance and you might
feel better in days.
Although time is a factor, there are other anecdotal things you
can do to actively manage the pain and heal more quickly. Many
women have been helped by chiropractors and physical therapists,
as well as by osteopaths and postpartum-specialized exercise
instructors (e.g. Pilates). When searching for a practitioner,
it is important to find one who has experience treating SPD/DSP.
Below are some resources to find practitioners (I have found
that it's most useful to play dumb when you are calling to
determine their experience level):
1) Chiropractors -- go to the International Chiropractic
Pediatric Foundation website at www.icpa4kids.org and search for
providers with experience in the Webster technique (used to turn
2) Physical therapists -- go to the American Physical
Therapy Association website at www.apta.org and search for
providers specializing in women's health and orthopedics
3) OB/GYNs -- ask the physical therapists for doctors who
refer their clients
4) Various practitioners - check the provider list for your
area on the International Pelvic Pain Society website at
I am naturally suspicious of chiropractors, but I am seeing one
for the first time and it is helping with the pain. The
osteopathic poster whose said that SPD/DSP does not involve your
spine is incorrect -- your symphysis pubis is the front joint of
your pelvis and your sacrum (the bottom of your spine) is the
back of your pelvis. Thus if something is wrong with your sacrum
(spine), it will also affect your SP joint and vice versa. A
chiropractor may not help long term, but if they adjust your
sacrum and shift your pelvic alignment, this allows your muscles
and ligaments a chance to heal with the pelvis in better
alignment. My PT sister explained (to convince me not to chase
after my toddler too much) that there should not be much
movement in a functioning SP joint, so while you are healing,
minimal activity and proper pelvic alignment (i.e. with PT or
chiropractic adjustments) are helpful to ensure that the muscles
and ligaments surrounding the joint heal tightly.
You don't have to "just wait" for your relaxin hormone to
dissipate, like allopathic medicine recommends. At the minimum
do pelvic floor exercises. If you are not sure you are doing
pelvic floor exercises effectively, get a consultation from a
Pilates/yoga/PT/etc. person so they can guide you through
various exercises -- the personal feedback is much better than
watching a video or looking at a website. In addition, I have
gotten the same isometric exercise that the PT poster
recommended (squeezing a ball between your legs) from multiple
health care practitioners so it is probably safe and possibly
helpful. I have been doing it in conjunction with chiropractic
adjustments and pelvic floor exercises with slow but sure
success. It is probably true that SPD/DSP will eventually heal
on its own with no active management, but anything that makes
the healing process go faster is essential for maintaining
sanity and for being able to care for your new baby. Good luck!
I'm about 20 weeks into my second pregnancy and have been
experiencing near-constant pelvic pain, especially on the pubic
bone. It's not so intense that I can't go about most of my usual
routine but it's still bothersome. I talked to my doctor about
it, who kind of shrugged it off as ''one of those pregnancy
things'' (absent other symptoms). I also experienced this with my
first pregnancy but it wasn't as intense or long-lasting. Any
advice on how to relieve the pain or specific activities to
avoid so as not to make it worse? (is walking good or bad? I'm
not clear.) I'm trying to rest more and avoid squatting and
picking up my 2-yr-old, but would appreciate other remedies and
I experienced some serious discomfort in my pelvic area during
the last month or two of my pregnancy. It would generally
happen while I was walking and felt like a deep shooting pain.
My midwife and chiropractor both said it was from cartilage
softening in that area due to increased levels of the ''relaxin''
(sp?) hormone that kicks in during pregnancy. I found that
limiting my walking and wearing a pregnancy support belt both
helped. I swam for exercise instead.
From your brief description, I'm guessing you may have symphysis pubis
dysfunction, or separation at the joint in the middle of the pubic bone. If the pain
focused in the center of the pubic bone and it hurts when you straddle your legs,
this is probably what you have. I had this problem with my pregnancy and I got a lot
of relief by altering my activities. I stopped standing on one leg (e.g., while
on pants I sat down), tried to eliminate all lateral and straddle movements with my
legs, and tried to keep my legs together (e.g., when getting in the car I sat on the
seat first then moved both of my legs together into the car). I was also careful to
keep my legs together when rolling over in bed and avoided any exercise that hurt
my pelvis or involved separating my legs (e.g., sideways shuffling and breaststroke).
Some women feel chiropractic care helps them and I did see a chiropractor who
specializes in treating pregnant women, but it was unclear if it helped.
Pubic bone pain at twenty weeks gestation is unusal. At his point
in pregnancy, your ligaments (which connect bone to bone, and are
responsible for joint stability) have not softened or stretched
that much. So instability at the pubis, which is most often
associated with late pregnancy and postpartum, though possible,
From my experience, many people mistake groin pain for pubic
pain. If your pubic bone is unstable, you will feel pain directly
on the center of the joint, right in the middle, where the two
bones connect. Groin pain is more commonly felt just off to one
side. And groin pulls/injuries are notoriously slow to heal.
I'd suggest that you see a specialist, either a PT or
chiropractor who specializes in pregnancy, to sort out what is
actually going on in your body. You shouldn't have to suffer with
this level of discomfort at only 20 weeks. Dr. Elon Bartlett in
Berkeley is a good choice.
As for what to do and not to do...
Avoid picking up all heavy objects. When your toddler needs to
cuddle up, sit down in a chair, and then have her climb up onto
Always sit in a neutral spine position, with lower back support,
thighs parallel to the floor, knees bent at a right angle, both
feet flat on the floor.
Avoid all sitting positions that bend or twist your pelvis and
spine. Do no try to stretch the area to relieve pain. Unstable
joints should never be stretched.
To relieve flare-ups, use an ice pack for 10 - 15 minutes, to
reduce inflammation. When using ice, always wrap the ice pack in
a thin towel or other material. Never place an ice pack directly
in contact with skin.
For more in depth advice on pelvic pain during pregnancy, consult
my web site: www.befitmom.com. Click on Prenatal and Postpartum
Fitness and Exercise, select Common Pregnancy Discomforts, and
then click on Pelvis.
Helene Byrne, BeFit-Mom
I am at exactly the same stage of pregnancy as you (due mid July)
and it's also my second pregnancy... and I had pelvic pain
starting at 13 weeks this time. Same spot as last time (in the
back, just to the left of the tailbone) but much, much earlier.
Like you, my doctor was dismissive of it as ''just part of being
pregnant'' and wouldn't refer me to anyone else who could have helped.
You don't say where your pelvic pain is (in the front? in the
back?) but chances are it is loosening ligaments, which is
definitely a pregnancy thing. Mine is in the sacro-iliac joint.
I don't know about what you can do if it's in the front
(symphesis pubis - maybe try googling it?) but for me a couple of
things helped for the SI joint pain. I sleep with a much thicker
pillow between my knees or under my knee... I think that did the
most good. There is also an exercise my yoga teacher showed me
involving lying on your side with the painful side up, top leg a
little forward, and having your partner gently pull on your leg
on your exhale, and release on your inhale. I think this also
helped a bit. Between those two things my pelvic pain is really
Aside from that, a hot pad kind of worked when it was really
painful. People recommended massage but I didn't pursue that.
I would like to suggest that you see a chiropractor and/or a
You very possibly have weakness/tightness in your pelvic floor
muscles which can cause the kind of pain you describe.
I can recommend a chiropractor who works with pregnant women and
newborns. His name is Elon Bartlett.His office number is 510 843-
I'm a massage therapist (I work with Elon) and I understand the
muscles and mechanisms of the pelvic floor muscles. In
truth,I've never had a pregnant client with your complaint
(though I''ve had many pregnant clients) but i''ve had non-
pregnant people with similar complaints.
I have experience in exercising the pelvic floor muscles and can
show you how to strengthen them (a must during pregnancy and
esp. after delivery. My office number is same as Dr. Bartletts.
I would also suggest, if not me, that you see a massage
therapist who is experienced with pregnancy massage.
It may be ''one of those pregnancy pains'' but is definately not
something you have to live with.
I am now 36 weeks pregnant.Starting in about week 24 I have had
terrible pelvic and groin pain.I am not able to walk half a
block w/o feeling a ripping sensation in my pelvis and groin.
The pain became more intense as my belly grew. Now I'm a total
mess. Together with this I have been having braxton hicks
contractions, fairly strong and painful also starting around
week 24. I've been told by my OB that what I've been
experiencing is round ligament pain along with early and
apparently nonproductive contractions.By the way,(kienahora)
everythings is fine with the baby. I was just wondering if
anyone out their went through something comparable?
I can so relate! Go buy a belly support belt today. It has
saved me. If you can, go to Fashion after Passion on Webster
St. in alameda - the belts are about $10 and come in all
different sizes. They will make sure you get the right size.
I am about 36 weeks and bought the belt about 2 months ago. I
wish I had bought it sooner. It does not make the pain go away
totally, but I don't (can't) go on walks without it.
I had severe pelvic pain, starting at 6-1/2 months. I got disabled plates from my
GYN, and used a wheelchair when I had to walk more than half a block. It lasted
until the day before the birth, when the baby moved.
Feldenkrais helped, as did removing prescribed shoe arch supports. Today I'd try
chiropractic or energy healing, in the same situation.
I have a 6-week-old baby and experienced the same sort of pelvic pain.
It was really awful, particularly rolling over/getting out of bed. I also
could not walk comfortably by the last month or so. The only thing that
helped while I was pregnant was not being too active, which is not the
best solution, but the only thing that worked for me. On the plus side,
most of the pain went away as soon as I gave birth. I have noticed pain
as I have begun to exercise again, but nothing like before. I am
planning to go to a physical therapist who specializes in women for a
post-partum appointment. Ask your OB for a referral. As an aside, most
people including my OB did not seem to understand the level of pain
this can cause. It is not the same as the round ligament pain I felt at
other times in my pregnancy and it was ! so bad it brought me to tears at
times. Hang in there and good luck!
I had very similar experiences with both of my pregnancies. I
had tons of groin and pelvic pain. It was especially painful
when changing positions (sitting up from lying down, standing
up from sitting, etc). It did get progressively worse as my
pregnancy went along. It also got so bad that when I moved, you
could actually hear popping and grinding noises from my pelvic
bone. My doctor assured me that this was normal round ligament
pain and that my pelvis was just ''loosening up'' in preparation
for birth. She said that it was a similar feeling to someone
who has broken their pelvis. Anyhow, the pain was gone as soon
as I delivered both times. In my situation, I had VERY large
babies - 9.13 and 10lbs. Both delivered vaginally and
naturally. I assume this is why there was so much pressure and
pain! on my pelvis. Hopefully that doesn't scare you if this is
your first child :o) But, if it helps, they were both easy
I had similar groin pain while I walked. I felt it the worst
when I tried to turn while I slept. The pain was so sharp I
would wake up in tears. A physical therapist recommended that i
wear a special belt around my hip when it hurt. I only wore it
at nighttime. After a few weeks, the pain went away. It only
recurs when I exercise and do a lot of squats or other hip
flexing exercises. I highly recommend Dawn Loretz, a physical
therapist. She provides pre-natal exercises once a week.
-Almost done with my pregnancy!
I feel (er, felt?) your pain! I too had terrible ligament pain during both my
pregnancies: toward the end of the first, and then starting just 12 weeks into my
second. At night, I was waking my husband up crying out with the pain in my
sleep when I tried to roll over--it felt like my pelvic bones were coming apart at the
seams; during the day I could barely walk.
By my 4th month my OBGYN suggested I wear a maternity belt to take some of the
weight off my pelvis and this helped tremendously. I couldn't go an hour without it,
once up out of bed for the day, without feeling the strain.
You can get one at Cotton and Company on College Ave., where they were very
helpful in fitting me with one. There are a couple different kinds, but I settled on
least expensive, a simple band of cotton and elastic that wraps around under your
belly with velcro straps. I also found sleeping with a pregnancy body pillow very
helpful at night.
Unfortunately the only cure for this is giving birth--your hormones are prepping
your body to be more limber to facilitate delivery. It does go away afterwards, so
chin up: it's a temporary inconvenience. Good luck!
I had terrible pelvic pain in all three of my pregnancies. It
was just my pattern of pregnancy. In my case it was separation
of the symphysys pubis joint (where the pelvis joins in the
front.) I also had problems with the back of the pelvis
separating (sacro iliac joint) earlier in pregnancy, but it was
the p.s. pain that I remember the most. (I'm writing these names
because unless you are really specific about where it hurts,
your issue will get brushed off as round ligament pain, which it
probably is not.) Turning over in bed was out of the question &
those many, many trips to the bathroom were torture. I remember
crying and gripping the wall as I walked the 10 feet to the
bathroom. Physical Therapy was the only thing that helped and
that was just so-so. I coped with an occasional Tylenol PM, but
never found complete relief. Childbirth was the magical cure in
all three cases, and I mean magical. The pain was instantly
The suggestion about getting a disabled licence placard for your
car is an excellent one and I wish I'd thought of that for
myself! Another friend with the same issue says now that she
wishes she had just worn Depends to bed. I think she's kidding
but I'm sure you can relate to that sounding like a good option
at this point.
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