The pubic symphysis is the cartilage joint between the two pubic bones. Under the hormones acting in pregnancy, the mobility of the pelvic joints changes - the sacroiliac joints, and the pubic symphysis too becomes mobile. Physiologically this happens from around week 36 of pregnancy and reaches up to 10 mm. Sometimes, though, the symphysis separates as early as the second trimester, or goes beyond 10 mm.
Symphysis separation shows itself as considerable pain when changing position, moving the legs apart, standing on one leg, walking and standing.
Therapy
- Manual mobilisation techniques
- Kinesiotaping
- Offloading techniques
- Transverse massage of the pubic symphysis and the abdomen
- Osteopathic techniques
- Offloading and strengthening exercises