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  • Writer's pictureDr. de Castro

Pubic Symphysis Pain: Navigating the Aches and Pains of Pregnancy and Postpartum

Updated: Dec 12, 2023

Hey there, fabulous mamas and mama-to-be's! Today, let's dive into a topic that's close to my heart as a chiropractor who loves working in women's health, pregnancy, and postpartum care: pubic symphysis pain. This is a condition that many of us may face during this incredible journey of motherhood, so let's break it down, understand what it is, who suffers from it, and most importantly, how to treat it.


Pregnant woman competing exercise

What is Pubic Symphysis Pain?

The pubic symphysis is the joint that connects the two halves of your pelvis. It's right at the front of your body, and during pregnancy, it becomes extra important as it stretches and adjusts to accommodate your growing baby. Sometimes, the increased pressure and hormonal changes can lead to discomfort, pain, and instability in this area, and that's when pubic symphysis pain comes into the picture.


Who Suffers from Pubic Symphysis Pain?

Pubic symphysis pain can affect pregnant women, particularly those in their second and third trimesters, and even some postpartum mamas. While it can occur for various reasons, the following factors may increase your risk:

  1. Hormonal Changes: Pregnancy hormones like relaxin soften the ligaments around the pubic symphysis, making it more prone to discomfort or pain.

  2. Increased Pressure: As your baby grows, there's extra weight and pressure on this area, which can lead to pain and instability.

  3. Previous Trauma: If you've had an injury to the pelvis or pubic symphysis in the past, you might be more susceptible to this condition during pregnancy.

  4. Multiple Pregnancies: Women who have had multiple pregnancies may experience pubic symphysis pain more frequently, as the ligaments and muscles in the pelvic region might be more relaxed and less supportive.

How to Treat Pubic Symphysis Pain

Now, let's get to the good stuff—how to manage and alleviate pubic symphysis pain naturally. As a chiropractor, I'm a huge advocate for non-invasive, holistic approaches to pain relief:

  1. Chiropractic Care: Seeing a chiropractor who specializes in pregnancy and postpartum can work wonders. They can use gentle, precise adjustments to align your pelvis and provide relief.

  2. Pelvic Support Belts: These belts can help stabilize the pelvis and reduce discomfort. Wearing one during activities or when you're on your feet for an extended period can be quite beneficial.

  3. Physical Therapy: A physical therapist can guide you through specific exercises and stretches to strengthen the pelvic muscles and alleviate pain. Look for a pelvic floor PT specifically

  4. Rest and Modify Activities: It's essential to listen to your body. Rest when needed and modify your activities to avoid putting extra stress on your pelvis.

  5. Heat and Cold Therapy: Applying warm compresses or cold packs to the painful area can help reduce inflammation and ease discomfort.

  6. Prenatal Yoga: Gentle yoga poses and stretches tailored for expectant mothers can be a fantastic way to keep the pelvis supple and relieve pain.

  7. Postpartum Recovery Exercises: Even after giving birth, it's crucial to continue exercises and stretches to support your healing and rehabilitation.

Remember, every pregnancy is unique, so what works best for one person might not work for another. Consult with healthcare professionals, including chiropractors, physical therapists, and your OB-GYN or midwife, to develop a personalized plan for managing and treating your pubic symphysis pain.


Experiencing pubic symphysis pain during pregnancy or postpartum is not uncommon, but it's manageable. By taking a holistic approach to your well-being, listening to your body, and seeking professional guidance, you can make this journey into motherhood a more comfortable and joyful one.


Stay fabulous, mamas! 💕🤰🌼

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