Pubic Symphysis Dysfunction

Many pregnant women experience pubic pain during pregnancy. Although not a common symptom, we do see about two cases a month, or about 25 cases a year. The pain can be extremely uncomfortable and patients often think there is no hope for relief because their doctors have dismissed this pain as either "inconsequential," "unfixable," or "just one of those pregnancy discomforts that have to be endured." Occasionally, some uninformed doctors have even erroneously told women that such pubic pain means that they would need an elective cesarean section to avoid permanent damage to that area during birth, or as a result of prior damage to the area. None of this is true. Pubic pain in pregnancy is certainly not "inconsequential"; it can also be very difficult to deal with. However, many women are able to get improvement or relief with chiropractic treatment. It is not something that you "just have to live with." And although extra care should be taken during labor and birth in order to prevent trauma, it absolutely does NOT mean that you must have a cesarean delivery.

Although not every provider has a name for this condition, it is most commonly called Symphysis Pubis Dysfunction (or SPD), especially in Britain. Other names for it include: pubic shear (an osteopathic term), symphyseal separation, symphysis separation, separated symphysis, pelvic girdle relaxation of pregnancy, and pelvic joint syndrome. The symptoms of SPD vary from person, but almost all women who have it experience substantial pubic pain. Tenderness and pain down low in the front is common, but often this pain feels as if it's inside. The pubic area is generally very tender to the touch; many moms find it painful when the doctor or midwife pushes down on the pubic bone while measuring the fundal height of the uterus. Any activity that involves lifting one leg at a time or parting the legs tends to be particularly painful. Lifting the leg to put clothes on, getting out of bed or a car, bending over, sitting down or getting up, walking up stairs, standing on one leg, lifting heavy objects, and walking can be difficult at times. Many women report that moving or turning over in bed is especially excruciating. Many of our patients with SPD also report very strong round ligament pain (pulling or tearing feelings in the abdomen when rolling over, moving suddenly, sneezing, coughing, getting up, etc.). Some providers consider round ligament pain normal, part of the body adjusting to the growing uterus. Chiropractors who are experienced with treating pubic and/or low back pain feel that round ligament pain can be an early symptom of SPD problems, and indicates the need for adjustments.Although pubic pain often does go away after pregnancy, many women find that it sticks around afterward, usually diminished, but still present. If the underlying causes are not treated, long-term pain usually sticks around. Anecdotally, this often seems to be associated with long term low back pain or reduced flexibility in the hips. Most of our patients experience some relief of their pubic bone pain. About 50% say they feel drastic improvement, although regular visits throughout the remainder of pregnancy are often necessary to maintain the relief. Nearly all of our patients report that after our care the SPD did not cause them pain or dysfunction in labor. If you or someone you know suffers from pubic pain during pregnancy, please call for more information or to set up an appointment (303) 431-8588.

Newsletter Signup

Office Hours

Our Regular Schedule

Monday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Tuesday:

Closed

Wednesday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Thursday:

Closed

Friday:

9:00 AM-12:00 PM

2:30 pm-6:00 PM

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map

Testimonials

  • "could barely walk at 9 months pregnant she worked a miracle! My 5 year old is so much better also. Plus when I noticed that the new baby always held her head to one side and had a problem breastfeeding on one side we went in. They were able to fix it and it became so much easier to breastfeed and the baby is so much happier."
    Sarah S.
  • "I will shout it from the rooftop! This place has changed my life. I didn't even realize how much pain I was living with until Dr. D and Dr. J started my treatment. I'm so much more aware of my body and am nearly pain free. I'm stronger. I'm happier. I'm not self medicating anymore. They are miracle workers here! My heart is filled with gratitude."
    Jessica C.
  • "I came to Dr. Dee with such back pain that I couldn't stand up straight and it was hard to walk and stand. I am a hair stylist and a single mother of six kids, I needed to be able to work and function. My doctor prescribed pain killers instead of trying to address the real cause of the problem. Chiropractic has given me my life back!! I couldn't live without Dr. Dee!"
    Wendy Wilson
  • "I began care with Dr. Dee on May 30, 2015, after a car accident that left me with upper and lower back pain and neck pain. I was unable to lift my one year old grand-daughter and missed walking, hikes and taking exercise classes. I tried to control the pain with OTC medications and alternating heat and ice, but it just didn't get better. Chiropractic adjustments have given me back my mobility, reduced and eventually eliminated my pain and I'm able to do my normal activities!"
    Joan Medina
  • "I was in a car accident in 2011 that left me with constant pain in my upper back and neck and it would become very severe at times. I lived day to day not knowing what I would be able to lift or accomplish at work. I did take physical therapy over the years and was prescribed muscle relaxants by my physician, but was open to another form of treatment, as it seemed these other things weren't working. Dr. Dee had restored most of my mobility and the pain is mostly gone!"
    Arnold Rodriquez
  • "I came to Alpine Wellness with a herniated disk in L-4 /L-5. At one point I couldn't even move. I felt like a fish out of water, life was miserable! The orthopedic surgeon recommended surgery and prescribed pain medication when I refused to go through with the surgery. Dr. Dee and chiropractic have helped so much, I never have had the surgery. I can move! The best side effect in my opinion is how strong my immune system has become. I'm a teacher and I never get sick!! My son was diagnosed "failure to thrive" when he was born and has seen Dr. Dee since he was a week old and man have we proved that wrong! He is so happy and healthy and big for his age!"
    Jennifer Archibald
  • Making the Grade

    The recent school year has long been over, but the echoes of learning, striving, and achieving persist. We may, if we choose, apply these remembrances of ourselves when we were in school to the circumstances of our health and well-being. We all want good health for ourselves and the members of our families, ...

    Read More
  • The Sounds of Summer

    The variegated songs of the mockingbird. The crack of the bat on the baseball diamond. The screaming of little children at play in the community pool. Wherever we turn, the sounds of summer surround us in a joyful uplifting cacophony. Summertime may mean barbecue and it may mean the beach, but it also ...

    Read More
  • Double Indemnity

    In the classic 1944 film noir, "Double Indemnity", insurance salesman Walter Neff (played by Fred MacMurray), gets into some pretty hot water involving his client (Barbara Stanwyck) and his co-worker (Edward G. Robinson). Neff tries to misuse the concept of double indemnity and he pays a heavy price. ...

    Read More
  • Health Statistics and You

    We are awash in numbers, thanks in large part to the proliferation of personal mobile devices and the wrong-headed use of so-called big data.1 But applying statistical tools to the same set of data can support competing theories and lead to contradictory results. Such conflicting outcomes, known as antinomies ...

    Read More
  • Helping Your Chiropractor Help You

    Your chiropractor has many powerful tools at his or her disposal to help you get well. These powerful tools include chiropractic care itself and specialized knowledge in nutrition, exercise, and rehabilitation. There are some things that you, too, can bring to the chiropractor-patient relationship in ...

    Read More
  • Meditation and Me

    For many of us, the practice of meditation seems like a totally foreign notion. In an era of full-time, morning-to-night distractions and distractibility, the concept of quietly sitting with nothing else to do seems impossibly ridiculous. Why would anyone do that, we ask, as we text message with one ...

    Read More
  • New Beginnings

    The time is always right to begin returning to good health. Regardless of whether your issues involve weight, exercise, diet, blood pressure, diabetes, or chronic pain, now is the time to begin taking action on your own behalf. You are not alone. Literally hundreds of millions of people worldwide have ...

    Read More
  • Remember to Schedule Your Spinal Screening

    Most of us have undergone some type of screening exam in the last several years. Depending on your age, personal history, and family history, you may have needed to go for a periodic mammography, colonoscopy, or cardiac stress test. If everything was fine, you have probably been instructed to follow-up ...

    Read More
  • The Circle of Life

    Many people - adults and children - are familiar with the marvelous animated feature "The Lion King". Most have found themselves humming the film's theme "The Circle of Life" long after they've stopped actively thinking about the film itself. "The Circle of Life" is not only a terrifically catchy tune, ...

    Read More
  • The Light Within

    What animates us? In other words, what is it that causes us to be living matter? For example, what distinguishes a living orchid from a tissue-paper-and-paint model of an orchid? Or what distinguishes a hawk from an airplane? What is it that causes the material that is us to hold together and function ...

    Read More
No form settings found. Please configure it.