PSD Pregnant Woman with Pelvic Dysfunction

[barrs1985]

Hi i have a lady presenting with DSP or SPD (Pelvic Dysfunction). I have never treated a lady with this condition before. Would love any advice when she returns to me next week. Ive started her on core work to start with. She is 4 months pregnant now.
Kind regards.

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[mraf1234]

I too have just had my first patient with the same condition, I was needing some feedback on best practice as well. My patient is 4 weeks post natal and has had it since day one post delivery after feet where in stirrups for a prolonged period of time due to having an epidural.

My treatment consisted of:
Education: Educating the patient on the positions likely to aggrevate the condition eg getting into and out of the car and then practised doing it without adducting too much hips too much.

Gluteal soft tissue massage and stretches as they where tender and tight on palpation.

Trnasverse Abdominus (Tra) exercise in isolation as a strength training exercise

Practise using TrA in daily activities, supine- sidelying - sit, sit to stand and putting on pants her most aggrevating factor.

My plan may be (depending on my finding next session): taping the sij? progressing TrA strengthening, Hamstring stretches? Soft tissue release to gluts and piriformis?

Any feedback would be good!

M

[Hunhveps]

Serola SIJ stability joints are great (you can order online). If the symptoms are in the pubic symphysis area, rather than the SIJs, just put the belt on backwards. Lots of co-contraction of transversus abdominus and the anterior pelvic floor are also really helpful, especially with ADLs. Muscle energy therapy is really helpful, if you have someone in your area who does this, or you are interested in learning it yourself.