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What Is PFP?
PFP, or pregnancy-related Pelvic Girdle Pain, is pain that affects your pelvic joints and lower back. Generally, it develops during the second or third trimester of your pregnancy, but some may experience it earlier.This pain can be constant or inconsistent and range from mild to severe. PFP makes your daily life challenging, but it does not harm your baby. Simple routine tasks, such as walking, climbing stairs, or turning in bed, may get harder to accomplish due to pain.
Causes of PFP
A mix of physical and hormonal changes in pregnancy causes PFP in most individuals. Here are the most common causes:- Hormonal changes: Your body produces a hormone called relaxin during pregnancy. It helps soften your joints and ligaments to prepare for childbirth. When these ligaments become too loose, it can lead to joint instability and pain.
- Extra weight: You gain weight as your pregnancy progresses. Your spine and pelvis muscles often get strained due to the pressure of extra weight.
- Posture changes: Your centre of gravity shifts due to the growing baby, which affects how you stand, walk, and sit. This posture change can lead to discomfort and pelvic pain over time.
- Weak or uneven muscles: Some joints may move more than they should if the muscles around your pelvis are not working evenly. This uneven movement can lead to pain and stiffness.
- Previous injuries: You may be more likely to develop PFP if you have already experienced lower back or pelvic injuries before pregnancy.
Symptoms of PFP
PFP may vary from person to person, and it is common to notice the following symptoms.- Pain in the front of the pelvis: You may feel a sharp or aching pain near your pubic bone. This can become worse when walking or moving your legs apart.
- Lower back or hip pain: You may feel pain on one or both sides of your lower back or hips. It may also travel to your hips or thighs.
- Discomfort when moving: Climbing stairs, getting out of a car, or turning in bed may cause pain. Some people find it hard to walk for long or lift their legs while dressing.
- Clicking or grinding sensation: You may feel or hear a clicking sound from your pelvic joints while walking or moving.
- Difficulty with daily activities: Pain may make it difficult to perform regular tasks, such as shopping or household chores. You may also find it harder to care for other children.
When Should You Seek Help?
Consult your doctor or midwife if pelvic pain is affecting your daily life. Do not wait for the pain to get worse or become unbearable. Early support can stop the pain from becoming more severe.How Is PFP Diagnosed?
There is no special test for PFP during pregnancy. Your doctor will only ask about your symptoms and how they are affecting your movement. They suggest that you get tips or exercises from a physiotherapist to manage the discomfort.Managing PFP in Pregnancy
Although you may not be able to prevent PFP completely, there are ways to reduce the pain and improve your comfort.- Physiotherapy: A physiotherapist can teach you exercises that help strengthen your pelvic muscles and improve joint movement. They may also guide you on safe ways to move and sit during pregnancy.
- Pelvic support belts: Wearing a support belt around your hips can help stabilise the joints and reduce strain.
- Rest and positioning: Take regular breaks during the day. Avoid standing or sitting in one position for too long. Try to keep your knees together when getting out of bed or getting in and out of the car.
- Sleep support: Use pillows between your knees and under your hips when lying on your side to support your lower back. This can help alleviate pressure on your pelvis.
- Gentle exercise: Activities like walking, swimming, and prenatal yoga can help keep your muscles strong. However, strenuous exercises or movements can exacerbate the pain and discomfort.
- Avoid heavy lifting: Do not lift heavy items. Maintain good posture by bending your knees to keep your back straight when lifting anything from the floor.
PFP can be frustrating, especially when you are already dealing with the physical demands of pregnancy. However, you can always get help or support from your doctor to manage the pain. Understanding the causes and symptoms is the first step. A comfortable pregnancy is possible when you learn to manage your pain.
Give your body enough rest and seek professional guidance when necessary. Trust your doctor, and do not hesitate to take guidance from your medical team.
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FAQs on Causes and Symptoms of PFP in Pregnancy
- Will PFP go away after delivery?
PFP improves within a few weeks to months after giving birth for most individuals. However, it is best to continue gentle exercises after delivery to help your recovery. - Can I still have a normal delivery with PFP?
Normal delivery is possible for most, even with PFP, if there are no complications. You can find comfortable and safe positions during labour with the help of your healthcare team. - Is it safe to exercise if I have PFP?
Generally, exercise is safe, but always be gentle and follow a low-impact exercise routine. Avoid strenuous activities that can make the pain worse. You can also take the help of a physiotherapist to guide you on what is safe.