Updated: Oct 10
PRPGP is any degree of pain or discomfort in the Sacro-iliac joint (back of the pelvic girdle) or the Pubic-Symphysis (front of the pelvis) or groin, occurring during any stage of pregnancy.
As you are already aware, Pregnancy brings about various changes in your body. Your joints become more mobile, your posture changes and you gain a significant amount of weight. PRPGP could be caused a combination of these bodily changes, excessive external load.
Evidence suggests that you may be more likely to have PRPGP if you have had low back pain or pelvic injury prior to becoming pregnant. There is some conflicting evidence suggesting that high workload could also contribute to developing PRPGP.
Pain in the pelvic region while:
Rolling in bed
Standing up from sitting
Getting in and out of the car
Lifting, squatting, bending
Leaning on one leg
Again, It is important to speak with your obstetrician to rule out any internal causes for pelvic pain.
Should you worry?
NO! but it is important to discuss this with your mid wife or obstetrician to rule out an internal issue.
What could you do about it?
Yes, PRPGP could occur as a result of load and bodily changes during pregnancy, but this does not mean you cannot do anything about it.
Complete rest? – NO!. Move within limits of pain: Reduce/modify pain causing activities when very sore. For example, sit first while getting in your car then swing your legs around gently. You could speak to your GP regarding pain medication too.
Brace/ belt- Your Physiotherapist or doctor can advise regarding using a supportive belt/brace/tubigrip to help support the pelvic region.
Load Management: Avoid repetitive lifting, twisting, bending and squatting. If you have a toddler that requires your attention, try cuddling them in sitting, rather than lifting them or repeatedly squatting. Make sure your desk is set up ergonomically. Plan your day and break up tasks- you don’t have to vacuum the whole house in one day!
Rest is important but prolonged sitting can contribute to pain. Try getting up and moving around every 30-60minutes.
Physiotherapy- your physiotherapist could assess and address any muscular imbalance to help better manage pelvic pain.
Will you continue to have pain post pregnancy?
Most women recovery within 12 weeks of delivery
Vleeming, A., Albert, H., Östgaard, H., Sturesson, B. and Stuge, B., 2008. European guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal, 17(6), pp.794-819.
Haag, S. (2021). The impact of a sacroiliac joint belt on function and pain using the active straight leg raise in pregnancy-related pelvic girdle pain. Physio Network.
Physiotherapy, P. O. (2018). Pregnancy-related Pelvic Girdle Pain- Guidelines for Health Professionals.