Symphysis pubis dysfunction, often referred to as SPD for short, is a pain in the ar * e. Well actually it's a pain in the groin, hips, back, abdomen and Ar * e. It 'was during pregnancy, the production of body relaxin, a hormone that causes the ligaments of the pelvis flexibility for the passage of the baby through the pelvis as easy as possible. Although it is unclear why some women produce too much of this hormone. This means that the tapes allowed too much to softenfor the greater movement of the pelvis. This can cause much pain and discomfort.
Symptoms
* Pain in the pubic area and groin (the pubis symphysis) is the most common symptom.
* Many women also suffer from lower back (sacroiliac joints), pain in the gluteus maximus (posterior pelvic pain), abdominal pain and hip. It may also make the inner thigh.
* E 'common to hear a grinding or clicking in the pubic area when walking.
* The pain is oftenaggravated by the separation of the legs, feet, get into or out of a scale car, go up or down or in bed.
Diagnosis
Fortunately, practitioners are recognizing more general obstetricians and gynecologists to diagnose SPD. E 'is usually diagnosed by your description of symptoms. You can also control the movement, stability and pain in the pelvic area to research. Once diagnosed, you should go to a physiotherapist who has experience will be appointed bySPD.
Some women find it a struggle to be taken seriously, but it is important that you take. If your doctor or midwife is not useful to ask to see someone else. Take information on SPD and explain your symptoms in detail. It 'important that you get a rapid diagnosis can begin treatment as soon as possible.
Treatment
During pregnancy, the influence of hormones and the weight of growing baby pressing "cure" is often not possible, you can do much to facilitatePain. It 'important that the first thing that happens is that the alignment of the basin controlled and manipulated, if necessary. A physical therapist can do, but make sure it is an experiment with the SPD. Exercises can be given to strengthen the muscles around the joints, provide better support. A support belt can help to maintain the basin and in extreme cases, crutches or a wheelchair is necessary to limit strenuous activities.
Analgesics may be prescribed if the painevil, but they are limited during pregnancy. A GP to find a suitable drug for each patient. Other treatments such as acupuncture and TENS should be advantageous.
The long-term operation is sometimes offered in extreme cases, but this can not always put a positive result and should be discussed with health professionals.
There are many things to do to alleviate the symptoms with the individual. SPD is a condition that suggests you Push is so important for patients is white, there are no limits and get help when needed. Other suggestions:
* Plan the day to avoid unnecessary trips up and down the stairs. Do not wear a backpack, the necessary things, on the morning of the day.
* Shopping online can be difficult, but first saves so much time and long-term commitment.
* Do you have a baby changing table and the bottom to avoid frequent trips down the stairs with a child.
* Aphone> cordless phone or extension means that you can keep by the phone.
* Cleaning can be difficult. Accept offers of help and allow you to adjust your standards to your SPD - the house must be perfect!
* A chair sitting in the kitchen can cook.
* Keep snacks and drink bottles to avoid unnecessary travel.
* Do not attempt in one position for too long, causing stiffness and discomfort in sitting. Take regular short walks (onlythe room).
* Get a seat in comfort and surround them with all the things you want for the day (phone, book, remote control, etc.).
* Sitting in bed with your legs straight can exert more pressure on the symphysis. A chair is better.
* In bed: going to bed carefully, sit on the edge of the bed and keep your knees and lay on its side. So, keep your knees and legs in-line roller on the back / side. Keep your knees at any time (robecan help to ensure that the cable in my sleep.
* In satin or silk pajamas to bed itself much easier.
* A folded towel or pillow between your legs can contribute to the pool right in line. AV shaped cushion can be used to support the growing belly at the same time.
* When dressing sit to avoid standing on one leg. Slip on shoes reduce the amount of bending you have to do.
* If you use the shower to wash may be easier to avoid climbing in the bathtub. ShowerHeadquarters to facilitate the showers.
* If you can swim, sitting on the edge and swing legs closer together, if possible, avoid or overcome carefully holding something, that weight on one leg. Use your arms to many of bodyweight when you leave the bathroom. Try to bath when someone is at home, so you can get help if you find it difficult to know.
Jobs
A birth plan can help during labor. Give a brief explanation first hand what SPDand how they are affected. (Ie SPD pain in the joints of the pelvis caused by pregnancy. I can not lie on my back or walk without crutches). Measure distances without pain it should not be exceeded during childbirth and should, above all during epidural or instrumental delivery will be considered if you can (by lying on your back, knees bent and indicates the extent to which the legs without pain taken from open) no control over your legs. Add your desire to relieve painboth at birth and postnatal.
The different positions for internal investigations of work and should be avoided as abduction (legs opened too far). These include all fours, lying on its left side, or kneeling. If necessary, the seam is a midwife may be able to do so without legs in stirrups (lithotomy). If the lithotomy position is safe and his two legs to be moved for so short a time as possible.
Talk to them all your partnerscan help with the difficult, he says, remember your needs.
When the child arrived
Many women notice a difference in symptoms almost immediately, but do not expect miracles. It takes time for your body to return to normal after a baby and the pregnancy hormones are in circulation for up to 6 months after birth. Continue the exercises, even if you feel better and get all the help possible.
It 's a common misconception that breastfeeding increasesrecovery time for the SPD, but there is no research evidence on the basis of these again. Many women find a better way to communicate with your child and is a way to participate, if mobility is limited.
If you are bottle feeding plan ahead and make-up bottle in advance. I day and night to feed, or even a coffee pot and Travel upstairs to heat bottles to reduce night driving down the stairs to collect bottles.
Some women find the time in which the SPDThe symptoms recur. This is due to hormonal changes and pain medication and limiting painful activities can help now.
Many women with SPD also suffered post-natal depression (PND) due to physical problems, in combination with changes after childbirth with a baby. About 1 in 10 women experience PND and women who have more difficult pregnancies and deliveries, they have experience. It 'important to seek help as soon as it is curable.
If youpregnancy, SPD is animated, if not inevitable that recur in subsequent pregnancies. If left untreated, the symptoms appear earlier and be more painful, it is important to start early treatment with active physiotherapy SPD. It 'best to leave further pregnancies until your body has recovered and at a distance of 2 to 3 years is generally recommended to reduce the likelihood of the SPD is a rebirth.
If you have had SPD it can appear that everyone has aComment if you have a child, but the decision is yours and your partner alone. A child is not just about pregnancy, childbirth and the first month and most women with SPD eventually return to their mobility. The memories of pain and calm her problems, but there is still the joy of the child.
