1
What is Pelvic Girdle Pain?
Let’s start with understanding what the pelvic girdle is. The pelvic girdle, also known as the bony pelvis, is a ring-like structure located at the base of your spine. It connects your spine to your lower limbs and consists of several bones including the hip bones, sacrum, and coccyx. The pelvic girdle plays a crucial role in supporting the weight of your upper body, facilitating movement, and protecting organs in the pelvic region.
​
Pelvic girdle pain (PGP) refers to discomfort or pain in this region. This can affect anyone but is particularly common during pregnancy due to changes in your body. PGP can make everyday activities like walking, standing, or sitting quite challenging.
2
What causes Pelvic Girdle Pain?
Several factors can contribute to pelvic girdle pain, and understanding these can help in managing and preventing it. Here are some common causes:
​
Pregnancy: Hormonal changes during pregnancy loosen the ligaments in your pelvis, preparing for childbirth but also potentially causing instability and pain.
Biomechanical Factors: Issues like joint dysfunction, muscle imbalances, and poor posture can put extra strain on your pelvic girdle.
Injury or Trauma: Any injury or trauma to the pelvic area, such as falls or accidents, can lead to PGP.
Overuse and Strain: Repetitive movements or high-impact activities can strain the pelvic region.
Inflammatory and Degenerative Conditions: Conditions like arthritis or ankylosing spondylitis can cause inflammation in the pelvic joints.
Structural Abnormalities: Differences in leg length or conditions like scoliosis can affect pelvic alignment and cause pain.
Genetic and Congenital Factors: Some people have naturally more flexible joints, which can make them more prone to PGP.
Lifestyle Factors: Being overweight or leading a sedentary lifestyle can increase the risk of developing PGP.
Psychosocial Factors: Stress and anxiety can exacerbate pain perception and muscle tension.
​
Hormonal Factors (Non-Pregnancy Related): Hormonal changes during the menstrual cycle can also affect ligament laxity and sensitivity.
3
How do you experience Pelvic Girdle Pain?
PGP can present itself in various ways. You might feel a sharp, stabbing pain or a dull, aching sensation in the front or back of your pelvis. The pain might radiate to your hips, thighs, or lower back. It often worsens with activities like walking, climbing stairs, or standing on one leg. You might also notice a grinding or clicking sensation in your pelvic joints, and simple tasks like getting out of bed or a car can become painful.
4
How can we help?
As physiotherapists, we can help manage and alleviate your pelvic girdle pain through a personalised treatment plan. Here’s how we can work together:
​
Assessment and Diagnosis: We will conduct a thorough assessment to understand the specific areas of pain and identify any underlying causes.
Pain Relief Techniques: Manual therapy, such as joint mobilisations and soft tissue massage, can help reduce pain and improve joint function.
Exercise Therapy: We can guide you through targeted exercises to strengthen the muscles around your pelvis, improve core stability, and enhance flexibility.
Education and Advice: We can provide tips on maintaining good posture, modifying activities to avoid pain, and using ergonomic supports in your daily life.
Supportive Devices: If necessary, we can recommend and fit pelvic support belts or orthotics to provide additional stability.
Pelvic Floor Therapy: Strengthening your pelvic floor muscles can be crucial in stabilising your pelvic region and reducing pain.
​
By working together, we can develop a comprehensive plan to manage your pelvic girdle pain effectively, improve your mobility, and enhance your quality of life. Don’t hesitate to reach out if you have any questions or need further assistance!