What is pubic symphysis dysfunction?

Living with this condition can be frustrating and exhausting. Simple tasks like turning in bed, climbing stairs, getting dressed, or carrying a child may trigger pain and limit independence. Pelvic girdle pain, which includes pubic symphysis pain, affects about 1 in 5 pregnant people, and many feel worried about how long symptoms will last. The good news is that most people improve with the right support, education, and active care, especially in the months after birth1,2.

What are the symptoms of pubic symphysis dysfunction?

  • Pain at the front center of the pelvis, often sharp or burning
  • Pain that spreads to the groin, inner thighs, hips, or lower abdomen
  • Pain when walking, climbing stairs, or standing on one leg
  • Trouble turning in bed or getting in and out of chairs or cars
  • Clicking, grinding, or feeling unstable in the pelvis
  • Sleep disruption due to pain
  • Difficulty caring for a baby or managing daily tasks

What causes pubic symphysis dysfunction?

Pubic symphysis dysfunction happens when the joints of the pelvis struggle to handle everyday loads during or after pregnancy. As your body changes, muscles may not support the pelvis as well as usual, which can increase strain at the front pelvic joint. This is not caused by one hormone alone, and it is not your fault.

Common factors that can increase risk or trigger flare-ups include:

  • Previous low back or pelvic pain
  • Pregnancy-related changes in movement and muscle control
  • Higher body weight or physically demanding daily tasks
  • Stress, anxiety, or low mood
  • Multiple pregnancies or a prior history of pelvic girdle (pelvic girdle ( strong bony ring connecting the spine to the lower limbs) pain

Research shows that changes in how the pelvis is supported and controlled play a larger role than hormones alone1,3.

When should I see a doctor?

Most pelvic girdle pain can be managed safely with conservative care.

How is pubic symphysis dysfunction treated?

Most people recover with active, non-surgical care. Treatment focuses on reducing strain on the pelvis while gradually rebuilding strength and confidence in movement.

Typical options include:

  • Education and activity guidance to reduce painful movements and improve daily habits
  • Exercise-based rehabilitation that improves pelvic, hip, and core support
  • Support belts or shorts to improve comfort and stability during daily activities
  • Pain relief medications, such as acetaminophen, when appropriate and guided by a clinician
  • Injections or surgery, only in rare or severe cases when conservative care fails

Many people notice meaningful improvement within 6 to 12 weeks of guided exercise and education, especially after childbirth1,4.

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Footnotes

1

Vleeming A, et al. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008. https://link.springer.com/content/pdf/10.1007/s00586-008-0602-4

2

Royal College of Obstetricians & Gynaecologists. Pelvic girdle pain and pregnancy. 2024.

3

Aldabe D, et al. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels. Eur Spine J. 2012. doi:10.1007/s00586-012-2162-x

4

Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015. doi:10.1002/14651858.CD001139.pub4

5

Simonds AH, et al. Clinical Practice Guidelines for Pelvic Girdle Pain in the Postpartum Population. J Women’s Health Phys Ther. 2022. doi:10.1097/JWH.0000000000000236

6

Burani E, et al. Predictive factors for pregnancy-related persistent pelvic girdle pain. Medicina. 2023. doi:10.3390/medicina59122123

7

American College of Obstetricians and Gynecologists. Guidelines for Diagnostic Imaging During Pregnancy and Lactation. 2017.

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