Osteopath for Pelvic Girdle Pain
In the below article we have discussed causes and treatment options for Pelvic Girdle pain. We also provide complimentary services to aid in the treatment of pelvic girdle pain. These are listed at the bottom of the page.
Where is Pelvic Pain located?
Pelvic Girdle Pain (PGP) is defined by pain experienced between the posterior iliac crest and the gluteal fold, particularly close to the sacroiliac joints (Vleeming 2008). The pain may radiate into the back of thighs and can also occur in conjunction with/or separately in the pubis symphysis. PGP symptoms include pain while walking, bending, climbing stairs and turning over in bed which can have a major impact on your life. The pain can feel dull and achy, a sharp shooting pain or a deep muscle pain.
Why am I Feeling Pain in my Pelvic Area?
PGP is more common in pregnancy, following trauma or reactive arthritis. PGP is a common, usually a mechanical joint problem and in most cases is a treatable condition. Your pelvis consists of three joints (symphysis pubis and sacro iliac joints) which work together in a ring-type system. In PGP these joints are not working normally. Often, one joint becomes stiff and this causes irritation in the other joint/s as they have to work harder than they should. At Wellthy Clinic we offer PGP treatment in London to get restricted joints moving more freely to help reduce tensions and pains.
What can Pelvic Girdle Pain be a Sign of?
Other possible causes for PGP include ovarian cyst, pelvic inflammatory disease, appendicitis, peritonitis and urinary tract infection. Indeed constipation, irritable bowel syndrome, pelvic abscess and endometriosis are possibilities. Therefore it is very important to speak with your GP or manual therapist to describe your symptoms. To gain a specific diagnosis so your symptoms can be treated effectively.
Pain Relief During Pregnancy
GPs are advised to not prescribe any medications during pregnancy if possible to avoid interactions with your pregnancy (NICE 2020). They may prescribe paracetamol but if this proves ineffective then you would need to ask for a referral to your obstetrician for pain management during pregnancy.
Osteopath for Pelvic Girdle Pain
Osteopathy provides a non surgical drug free alternative treatment. PGP can be safely treated at any stage (during or after pregnancy). Osteopaths have extensive training in joint problems however they are rarely available through the NHS. Osteopathy sessions will include hands on joint articulations, muscular stretching and joint manipulations. Cranial Osteopathy techniques are fantastic for PGP as there are gentle and help to regain pelvic balance. In addition rehab exercises (mixture of stretching and strengthening) for the pelvic girdle muscles and upper back hips to aid mobility. The focus of the treatment will be to reduce mechanical loading into the irritated joint, restore function and reduce pain. It may take a few sessions but our Osteopath will discuss with you how long it is likely to take to feel better. They will give you exercise and lifestyle advice to optimise your recovery. We also offer paediatric Osteopathy for babies, children and teenagers.
Symphysis Pubis Dysfunction Treatment London
Symphysis Pubis Dysfunction is a collection of signs and symptoms of pain and discomfort in the pelvic area which can also radiate to the upper thighs and perineum. Typically these occur with pelvic ligament relaxation and increased joint mobility experienced in pregnancy. Symphysis Pubis Dysfunction can vary from mild discomfort to severely debilitating pain. At Wellthy Clinic we offer hands treatment to stretch muscles and articulate joints to reduce pelvic tensions and pains which can be very beneficial.
Pelvic Girdle Pain Treatments & Prevention
Physiotherapy is available on the National Health Service (NHS) through most maternity units or through your GP. Ideally seeing a physiotherapist who has undergone extra training in treating pelvic joint pain, women’s health or musculoskeletal and use hands on techniques.
Attending our Pregnancy Pilates classes are specifically designed to address the unique needs of pregnant women. They offer a gentle yet effective way to maintain fitness, manage pain, and prepare your body for childbirth. Learn more about our Pregnancy Pilates services and how they can support your journey through pregnancy.
Nutrition also plays a significant role in your musculoskeletal health. You can visit our clinic or schedule an online consultation for personalised advice. Our holistic approach ensures you receive comprehensive care that addresses your physical and nutritional needs during this pivotal time.
Matthew is a Structural & Cranial Osteopath, Pilates Instructor with a sports science background.
Osteopath for Pelvic Girdle Pain References
NHS Pelvic Pain (2020) available at https://www.nhs.uk/conditions/
NICE (2020) https://bnf.nice.org.uk/guidance/prescribing-in-pregnancy.html
Pelvic Partnership (2020) available at https://pelvicpartnership.org.uk/
Pelvic Obstetric and Gynaecological Physiotherapy Guidance for Health Professionals
Pregnancy related Pelvic Girdle Pain https://pogp.csp.org.uk/system/files/pogp-pgppros_1.pdf
Vleeming (2008) Guidelines for the diagnosis and treatment of pelvic girdle pain Eur Spine J. 2008 Jun; 17(6): pp. 794-819.