Pelvic Girdle Pain (PGP) in Pregnancy
Definition
Pelvic girdle pain refers to discomfort or pain in the joints and soft tissues surrounding the pelvis during pregnancy. It most commonly affects the sacroiliac joints at the back or the pubic symphysis at the front. Pelvic girdle pain is distinct from general low back pain, as it specifically involves the pelvic joints and often feels sharper or more localised.
Symptoms
Pain in the pubic bone, buttocks, sacrum, or hips
Pain worsening with walking, climbing stairs, turning in bed, or getting in and out of the car
Clicking, grinding, or instability in the pelvis
Difficulty with daily activities such as dressing, lifting, or carrying
Pain radiating into the thighs or groin
Who is Most Affected?
Pelvic girdle pain affects up to one in five pregnant women. It’s more common in those with a history of pelvic or low back pain, multiple pregnancies, hypermobility, or physically demanding jobs.
Common Causes
Hormonal changes increasing ligament laxity and joint mobility
Altered posture and movement as pregnancy progresses
Muscle imbalance or weakness in the pelvic floor, glutes, or abdominals
Previous pelvic trauma or injury contributing to instability
Management Approaches
Pelvic Floor and Osteopathy care can support people with pelvic girdle pain through:
Gentle manual therapy to improve joint alignment and mobility
Targeted exercises for strength and stability
Education on posture, lifting, and safe movement patterns
Use of pelvic support belts or taping if needed
Key Point
Pelvic girdle pain is common but highly manageable. Early assessment, tailored exercise, and supportive care can significantly reduce symptoms and improve comfort throughout pregnancy.
