Physiotherapy for Pelvic Girdle Pain During Pregnancy

Pelvic girdle pain (PGP) is a common but often misunderstood condition that impacts many pregnant women, causing discomfort in the pelvic region that can significantly disrupt daily activities. This in-depth guide on pelvic floor physiotherapy in Grande Prairie examines how physiotherapy can successfully address pelvic girdle pain, enhancing the pregnancy experience with improved comfort and well-being.
What is Pelvic Girdle Pain?
Pelvic girdle pain encompasses any pain experienced around the pelvic area, including the pelvis’s front, back, and sides. This pain can also radiate to the hips, thighs, and lower back, including the sacroiliac joints and symphysis pubis, ranging from mild discomfort to severe pain that interferes with daily activities. The condition might be caused by the physiological changes accompanying pregnancy, including hormonal fluctuations, weight gain, and changes in posture, which can strain the pelvic joints and ligaments.
Symptoms Of Pelvic Girdle Pain(PGP)
Pelvic girdle pain presents a range of symptoms that can vary in intensity and duration. These symptoms include:
- Persistent pain in the pubic area or lower back: One of the most common indicators of pelvic girdle pain, often leading to significant discomfort and mobility challenges.
- Discomfort during movements involving the pelvis: Walking, climbing stairs, or turning in bed can exacerbate the pain.
- Clicking or grinding sensations in the pelvic area: These sensations may accompany the pain, indicating issues with the alignment or function of the pelvic joints.
The Connection Between Physiotherapy and Pelvic Girdle Pain During Pregnancy
Pregnancy is a remarkable journey filled with joy and anticipation, but for many women, it also comes with its share of physical challenges. One of these challenges is pelvic girdle pain, a condition that affects a significant number of expectant mothers. Pelvic health physiotherapy plays a vital role in managing and reducing pain relief from pelvic girdle pain during pregnancy and postpartum.
Pelvic floor physiotherapy in Grande Prairie offers a safe approach to treating pain and improving mobility.
How Physiotherapy Can Help
1. Manual Therapy
Manual therapy is a cornerstone of physiotherapy for managing pelvic girdle pain during pregnancy. It involves hands-on techniques such as joint mobilizations, soft tissue massage, and myofascial release. Joint mobilizations help to improve the mobility and alignment of the pelvic joints, which can become misaligned or stiff during pregnancy due to hormonal changes and increased weight. Soft tissue massage and myofascial release techniques help relieve muscle tension, diminish pain, and enhance blood flow to the affected areas.
2. Gentle Stretching Exercises
In female pelvic floor physiotherapy, stretching exercises are crucial in managing pelvic girdle discomfort as they enhance flexibility and diminish muscle tightness. Physiotherapists often prescribe gentle stretches that target the muscles around the pelvis and lower back. These stretches aim to alleviate tension and enhance range of motion, thereby reducing discomfort during movements that involve the pelvis.
Example Exercises:
- Pelvic Tilting: Sitting on a chair or birthing ball, tilt the pelvis forward and backward to stretch the lower back and pelvis. Pelvic tilting enhances the flexibility of the lumbar spine and pelvis, potentially alleviating tension and discomfort in the lower back and pelvic area.
- Pelvic Circles: Perform circular movements on a gym or birthing ball to increase flexibility around the hips and pelvis. Pelvic circles improve circulation and flexibility in the pelvic area, helping to alleviate stiffness and discomfort commonly associated with pelvic girdle pain.
3. Strengthening Exercises
Strengthening the muscles around the pelvic area is essential for stabilizing the joints and supporting the pelvis during pregnancy. Physiotherapists design exercises that strengthen the core muscles, including the abdominal, pelvic floor, and lower back muscles. Stronger muscles provide better support to the pelvis.
Example Exercises:
- Lower Tummy Exercise: Engage your lower abdominal muscles by gently pulling them in and holding them for several seconds to support the baby’s weight and reduce back strain. Improved core stability enhances overall posture, alleviating pregnancy-related discomfort and promoting better spinal alignment.
- Child’s Pose Stretch: Kneeling on the floor with knees wide apart and reaching forward with arms stretched out helps relieve low back, pelvis, and bottom pain. This posture promotes relaxation and can alleviate mental and physical fatigue commonly experienced during pregnancy.
4. Transcutaneous Electrical Nerve Stimulation (TENS)
The Transcutaneous Electrical Nerve Stimulation (TENS) technique is a valuable physiotherapy technique for managing pelvic girdle pain during pregnancy. Its ability to block pain signals and promote endorphin release provides significant pain relief, making it easier for patients to participate in other therapeutic activities and maintain an active lifestyle. With its customizable settings, TENS offers a safe, effective, and convenient option for pregnant women experiencing PGP.
Is Pelvic Girdle Pain A Cause For Concern?
While pelvic girdle pain can be uncomfortable and disruptive typically, it is not a serious concern. Pelvic girdle pain usually results from natural changes during pregnancy, such as hormonal fluctuations, increased weight, and alterations in posture. However, early intervention is essential to manage the pain effectively and prevent it from significantly impacting daily activities. Consulting with a pelvic health physiotherapist can help alleviate pain and improve overall comfort during pregnancy.
Who Is Most Susceptible To Pelvic Girdle Pain?
Several factors can increase experiencing pelvic girdle pain during pregnancy:
- History of Lower Back Pain: Women with a history of lower back or pelvic pain before pregnancy are more prone to developing pelvic girdle pain.
- Physical Activity Levels: Very high and deficient physical activity levels can contribute to the risk of developing pelvic girdle pain. Maintaining a moderate activity level with appropriate prenatal exercises can help manage symptoms.
- Obesity: Excessive weight can strain the pelvic region more, increasing the likelihood of pain.
- Pelvic Trauma: Previous injuries or trauma to the pelvis can predispose women to pelvic girdle pain during pregnancy.
Navigating Pregnancy Comfortably: Pelvic Girdle Pain Management With Physiotherapy
Pelvic girdle pain (PGP) condition during pregnancy is manageable with the right approach. Pelvic health physiotherapists, including those specializing in pelvic floor physiotherapy in Grande Prairie, are dedicated to providing expert care tailored to each woman’s needs, ensuring women confidently navigate this phase. Understanding the condition, seeking timely treatment, and following recommended self-care prenatal practices can reduce the impact of pelvic girdle pain, promoting a healthier, more comfortable pregnancy.
Contact Junction Point Physical Therapy for more information or to schedule an appointment for physiotherapy service. A pain-free pregnancy begins with informed care and support by physiotherapy.



