Chiropractic Care for Pubic Symphysis Dysfunction

One of the common issues I see in pregnant patients is pubic symphysis dysfunction (PSD), a condition that causes pain in the pelvic region, particularly around the pubic bone. This pain can make everyday activities like walking, standing, or rolling over in bed challenging, especially as pregnancy progresses. Thankfully, chiropractic care offers a safe and effective way to address pubic symphysis dysfunction and alleviate the discomfort that comes with it.

What Is Pubic Symphysis Dysfunction?

The pubic symphysis is a joint located at the front of the pelvis where the two pubic bones meet. During pregnancy, a hormone called relaxin is released to soften the ligaments in the pelvis, allowing it to expand and accommodate childbirth. In some cases, the pubic symphysis becomes too loose or the joint becomes too mobile, causing the joint to move excessively. This excessive movement can lead to pain and instability in the pelvis, which is referred to as pubic symphysis dysfunction (PSD) or symphyseal pain.

Symptoms of PSD:

Pain in the front of the pelvis, groin, lower back, or even the inner thighs. The pain may be sharp or aching and is typically worsened by movements like walking, standing on one leg, or spreading the legs apart (rolling over in bed, getting in/out of a car).

What Causes Pubic Symphysis Dysfunction?

Several factors contribute to the development of pubic symphysis dysfunction, particularly during pregnancy:

1. Hormonal Changes: During pregnancy, the body produces the hormone relaxin, which loosens the ligaments and joints in preparation for labor. While this is a normal process, the increased laxity in the pubic symphysis joint can lead to instability, misalignment, and pain in some women.

2. Pelvic Misalignment: As the uterus expands and the baby grows, the pelvis can become misaligned, which places additional strain on the pubic symphysis. Misalignment of the pelvis can cause the joint to move unevenly, leading to pain and discomfort.

3. Postural Changes: The growing belly shifts the center of gravity, leading to changes in posture. Pregnant women often develop an exaggerated curve in the lower back (lordosis), which can increase the pressure on the pelvis and pubic symphysis.

4. Previous Pelvic Trauma: Women who have experienced previous pelvic trauma, such as from a fall, accident, or previous childbirth, may be more prone to developing pubic symphysis dysfunction during subsequent pregnancies.

5. Weak Core Muscles: Weak abdominal and pelvic muscles can contribute to instability in the pelvis, making it harder for the body to maintain proper alignment. This can exacerbate the strain on the pubic symphysis joint.

How Can a Chiropractor Help with Pubic Symphysis Dysfunction?

Chiropractic care is an excellent, non-invasive option for managing pubic symphysis dysfunction. Dr. Kara is trained to address the musculoskeletal imbalances that contribute to pelvic pain, particularly during pregnancy. She also has additional training to treat pregnant women (Webster Certified). Here’s how chiropractic care can help:

1. Pelvic Alignment: One of the primary goals of chiropractic treatment for PSD is to ensure proper alignment of the pelvis. Misalignments in the pelvic bones can increase the strain on the pubic symphysis joint, causing pain and discomfort. Dr. Kara uses gentle, precise adjustments to correct pelvic misalignment and restore balance to the pelvis. By aligning the pelvis, the pressure on the pubic symphysis is reduced, which can alleviate pain.

2. Reducing Ligament Strain: Through adjustments and soft tissue techniques, chiropractors can help relieve tension in the ligaments and muscles around the pelvis. By reducing ligament strain, chiropractors can ease the excessive movement of the pubic symphysis, allowing for more stability in the joint.

3. Improving Mobility: Chiropractors work to improve overall mobility and function in the pelvis and spine. They often recommend exercises to strengthen the core and pelvic muscles, which can help provide additional support to the pubic symphysis. This increased strength and stability can prevent further misalignment and reduce pain.

4. Posture and Movement Education: Chiropractors provide guidance on posture, body mechanics, and movements that can reduce strain on the pelvis. They may offer tips on how to stand, sit, and walk in ways that minimize pressure on the pubic symphysis. Additionally, they may recommend specific pregnancy-safe exercises to strengthen the muscles that support the pelvis.

5. Holistic Approach: Chiropractors take a holistic approach to care, considering how the body’s various systems work together. By addressing issues in the spine, hips, and other areas, chiropractic care can promote overall health and well-being during pregnancy.

What Does Chiropractic Treatment for Pubic Symphysis Dysfunction Look Like?

Chiropractic care for pubic symphysis dysfunction is safe and gentle. Dr. Kara uses specialized techniques designed to accommodate the changes in a pregnant body (Webster Certified).

Here’s what treatment typically looks like:

1. Assessment and Diagnosis: During your first visit, Dr. Kara will perform a thorough assessment of your pelvis, spine, and posture. They will ask about your symptoms, medical history, and pregnancy to develop a personalized treatment plan that targets the root cause of your pain.

2. Pelvic Adjustments: Chiropractors use gentle, low-force adjustments to restore normal joint function in the pelvis and relieve pressure on the pubic symphysis. The Webster technique is a common chiropractic method used during pregnancy to address pelvic misalignments and ensure optimal alignment for both mother and baby.

3. Soft Tissue Therapy: In addition to adjustments, chiropractors may use soft tissue techniques such as myofascial release or trigger point therapy to relieve tension in the ligaments and muscles around the pelvis. This can help ease pain and promote better function in the pelvic region.

4. Exercise and Stretching: Dr. Kara may recommend exercises and stretches to strengthen the muscles that support the pelvis, such as the core and pelvic floor muscles. Strengthening these muscles can provide more stability to the pubic symphysis and prevent further misalignment.

5. Lifestyle and Ergonomic Recommendations: Dr. Kara will provide guidance on how to modify daily activities to reduce strain on the pubic symphysis. This may include recommendations for sleeping positions, sitting posture, and movements to avoid, all aimed at improving comfort and preventing pain.

It’s Time to Enjoy Your Pregnancy!

Pubic symphysis dysfunction can be a painful and limiting condition, but with the right care, it can be managed effectively. Chiropractic care offers a safe, non-invasive solution for relieving PSD pain by addressing pelvic misalignment, reducing ligament strain, and improving overall stability. If you’re struggling with pubic symphysis dysfunction during pregnancy, chiropractic care can help you feel more comfortable and regain mobility, allowing you to enjoy a healthier, more pain-free pregnancy. If you have any questions about how chiropractic care can help with pubic symphysis dysfunction, feel free us at 510.634.5574.