The Creaky Pelvis in Pregnancy

Hi everyone!

One of the most common complaints we get from our pregnant patients is low back and pelvic pain.

There are many reasons for this and they are related to pregnancy itself. As we gain weight, the spine curves, allowing the  center of gravity to remain over the legs so we don’t topple over.  This curvature in the spine keeps us stable so we don’t tip over,  but it also causes low back pain.  Sometimes a pregancy girdle will help with this.

The second common complaints  are either SI (sacro-illiac) pain or pubic symphysis pain.

The SI joints are located below the belt line on the lower back and when we’re sitting, are just above the buttocks. The pubic symphysis is located in the front and is the hard bone where our thighs come together.

Our bony pelvis is actually made up of several bones and where the bones meet is a piece of cartilage. Normally, our pelvises are stiff and the cartilage doesn’t allow for much movement.

However, during pregnancy, we release a hormone called relaxin that softens the cartilage in our bodies. This makes all of those joints in our pelvic girdle shift a little bit more. These joints are normally non-moving joints so when they do shift, there is pain.

So, when we roll around in bed and notice pain, or walk and notice pain, it is just nature’s way of softening up the pelvic girdle so that there will be more “give” during labor.

Once we deliver, our pelvis does eventually return to normal. Until then, any movements that will un-balance the pelvis will cause pain: crossing our legs, standing with weight on one leg, walking quickly, sitting on one buttock instead of both, etc.

The short term solution is heating pads and limit movements that will unbalance the pelvis. So, we want to stand with weight equally distributed on both legs, don’t cross our legs at the knee, and when we roll in bed, put our knees together and roll the pelvis out of bed as a block, instead of swinging one leg out of bed at a time.

Bottom line: normal but uncomfortable, and temporary

You Might Also Enjoy...

Why You Should Never Ignore Pelvic Pain

Any persistent pain in your pelvic region deserves medical attention, though many tend to ignore these symptoms as part of being a woman. It doesn’t matter if pelvic pain is dull or sharp, constant or intermittent.

We have a new website!

Check out our new website with an enhanced reading room! You can now find lots of information about our practice and our services. Our goal is to deliver a great online experience for all patients!

Autumn……First Day

“Autumn is the mellower season, and what we lose in flowers we more than gain in fruits” -Samuel Butler

Flu Vaccine…Do you really need it?

If you’ve been to our practice in the last several months for your ob visits, we should have discussed with you flu vaccines and how important it is for you and your baby.

The Scent of Light

“Like a great starving beast My body is quivering Fixed On the scent Of Light” Hafiz

Confinement and Exercise

It’s interesting to reflect how attitudes about pregnancy have changed. When you come to our office and are given an EDC or “due date’, EDC is actually short for Estimated Date of Confinement.