Changing Beliefs Surrounding Pregnancy-related Pelvic Girdle Pain
There is a lot of misinformation and outdated beliefs surrounding Pregnancy-related Pelvic Girdle Pain (PR-PGP) which includes pain into the joints of the sacrum and pubic symphysis. The research into this area in the last ten years has drastically changed our understanding and practices when treating PR-PGP and the importance of better education surrounding the condition!
MYTH: PR-PGP is a NORMAL part of pregnancy
TRUTH: while PR-PGP is COMMON in pregnancy, it is not normal. There are some factors that increase your risk of PR-PGP including biological factors as well as psychosocial factors such as work dissatisfaction and a lack of belief that there will be an improvement in your prognosis. (i.e. “This is only going to get worse because I am pregnant!”).
MYTH: My pelvis is unstable/I have “pelvic instability”
TRUTH: The pelvis maintains its stable structure throughout pregnancy and is resilient and adaptable to all the demands of childbearing. There are many misguided beliefs that arise from this (such as having to keep the core muscles always switched on and avoiding certain movements) that can lead to women fearing movement and guarding, ultimately increasing sensitivity to the area and often ceasing exercise and other helpful activities. It is important to know that it is safe and beneficial to continue to move in variety of different ways that you feel comfortable doing.
MYTH: Relaxin (a hormone) is the cause of PR-PGP
TRUTH: There is no current evidence correlating relaxin levels and PR-PGP. All women have hormonal changes during their pregnancies including altered flexibility and changes in tissue sensitivity and systemic inflammatory processes, and these changes are necessary and helpful to accommodate the demands of pregnancy. These changes are helpful and necessary to increase the width and tilt of the joints of the pelvis. On a side note, lactation/breastfeeding will not worsen nor prolong your symptoms and can have a global anti-inflammatory effect!
So, what should you do if you experience PR-PGP?
The current evidence suggests that PR-PGP is influenced by factors such as stress, emotional wellbeing and sleep, therefore, trying to make lifestyle changes to improve these aspects is a great first step. Exercise has also been shown to reduce PR-PGP during pregnancy and to prevent it if started prior to pregnancy. Consulting with a health practitioner who can guide you to commence safe exercise during pregnancy is an excellent next step. Exercise during pregnancy has the additional benefit of decreasing your risk of gestational diabetes and pre-eclampsia! Lastly, belts and manual therapies from a trained health professional can help to promote your confidence to move freely and comfortably throughout your pregnancy.
