Snow union dysfunction

Because SPD symptoms can progress slowly, it can be difficult to determine exactly how much discomfort there is due to this condition. It can pay off to spend some time and thought focusing on certain areas that are causing problems.

What are the symptoms of Symphysis Pubis dysfunction?

• Acute and sometimes severe pain in the anterior part of the squash area.

• Pain in the hips, throbbing or burning, which can also be felt in the hips, back, perineum and back of the legs.

• Sailing

• It is the result of knee pain that can extend up to the ankles and feet and flattening problems in the pelvis in general.

• The pain can be felt more acutely when you lift one leg in front of the other or stand on one leg, i.e. when climbing stairs, getting out of bed, or turning.

• Often the pain is exacerbated at night when lying on your back, so lifting your legs to get out of bed by turning in bed can exacerbate the pain

• A grating, clicking, or grinding noise can be heard or even felt in the region of the intestinal bone

• Some women have difficulty urinating

What increases the risk of getting Symphysis Pubis dysfunction?

• Being overweight during pregnancy

• Having multiple pregnancies or having a very large child (gestational diabetes can increase pregnancy weight and birth weight)

• Repeated squatting exercises, strenuous activity, poor posture, and previous injuries increase the likelihood of developing this condition.

• The quality of an individual woman’s muscles and connective tissue also affects pelvic stability

• Anterior trauma or fracture of the pelvis

What causes Symphysis Pubis dysfunction?

The pelvic bones are usually kept stable and well supported by the ligaments that surround them. During pregnancy, hormones are released that help soften the joints and facilitate childbirth. However, these hormones can destabilize pelvic pain, leading to pain and discomfort.

A specific site of SPD is the narrowest point of the bones in the pelvic girdle, which lies directly in front of the bladder. The symphysis pubis is located in front of your pelvis and is usually covered with pubic hair.

Another contributing factor is the change in weight distribution, which causes stress on the pelvis, spine, and all the structures that support them.

How is it diagnosed?

Symphysis Pubis dysfunction is determined by a thorough medical history. Ultrasound can also help in diagnosis. X-rays are not recommended for pregnant women unless there is an absolute guarantee.

What is the management of Symphysis Pubis dysfunction?

Treatment is usually around limiting movement, which can make the situation worse. Avoiding any actions that exacerbate SPD can be difficult, especially when older children need care. Adjusting work and sleeping areas can be helpful; so help can be sought in events that have become painful. Obstetric physiotherapists and occupational therapists can provide advice and guidance to specialists on changing work and rest areas.

Straddling attempts do not occur when SPD is diagnosed. Think about the position of your feet when riding a horse or riding a bicycle. It is the separation of the legs that causes the problems. The key is to try to keep the pelvis stable and the knees together before any movement, so the pelvis is not able to rub against each other and cause pain.

What can help you overcome the pain?

• Stiff or non-rigid support belts / belts or corsets of the pelvis will help a lot. These help support the pelvis in proper alignment. Corsets should be ordered by a physiotherapist and tailored to the abdomen. If SPD pain affects sleep and comfort in bed, they may need to be worn during sleep.

• If the abdomen and upper leg are well provided with a pillow, sleeping on the side will be beneficial. Full-length body pillows can be very useful during pregnancy and are available in large stores and private sleeping areas.

• Avoid lying on your back during sex and try lying down instead. Often, SPD can be so uncomfortable that it makes sex impossible.

• Be careful when getting in and out of the car, when moving in bed, and when performing any movement that requires lifting one leg, not one leg together. Squeezing them together while moving, rather than separating the knees, is beneficial and helps stabilize the pelvic joint.

• Exercises aimed at training and strengthening the pelvic floor muscles are generally beneficial.

• Avoid standing on one leg, which can exacerbate the pain.

• Avoid wearing high heels. It is ideal to limit the height of the heel to no more than 3-4 cm. This helps reduce the load on the lower back.

• Avoid sitting with your feet crossed, sitting with your back bent, or sitting on the floor.

• Avoid riding a bike, it can cause additional problems with opening an already unstable attachment.

• For some women, acupuncture, massage, and deep muscle relaxation exercises have been found to be beneficial.

• Sometimes a gentle treatment with an osteopath or chiropractor can be helpful. Be careful when going through any free or alternative medicine path. It is always wise to consult a health care provider to make sure there are no contraindications.

• Putting isolated ice cream on a soft surface will relieve swelling and pain. Be careful not to leave them for too long: every few hours there will be 5-10 minutes more.

• Analgesics are sometimes needed, but you should talk to your healthcare provider or pharmacist to ensure that the medications you plan to treat are safe to take during pregnancy.

How long will it take?

There is usually an improvement in symptoms and joint stability after birth. If pregnancy relaxant hormone is not produced, the joint becomes more stable and the level of comfort improves.

Sometimes SPD is so severe that it cannot be delivered through the vagina. In this case, a caesarean section is performed.

Do I always have problems?

This is not possible. Some women experience permanent problems with the back or pelvis after childbirth, but most recover very well. If you have suffered from SPD during pregnancy before, you are more likely to get sick again. If there is pain, discomfort, or insomnia, there are real benefits to seeing a specialized obstetric physiotherapist.

Are there any complications?

Sometimes the pelvis can become attached, which can cause severe pain. This is a condition called symphysis division or diastasis of the symphysis pubis. This can be very painful. Usually bed rest and heat treatment are ordered. Evaluation and management of orthopedic and physiotherapy are necessary to manage this condition. Some women are advised to limit weight-bearing activities and walk with elbow sticks to relieve pain.

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