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Pelvic joint pain in post pregnancy women is thought to be derived from the inability of the stretched out ligaments to return to normal tautness. [13] Women who have delivered large babies or who have had extended labors also are prone to developing chronic sacroiliac joint pain and instability. [citation needed]
Previous pelvic girdle pain during pregnancy. Hypermobility, genetical ability to stretch joints beyond normal range. An event during the pregnancy or birth that caused injury or strain to the pelvic joints or rupture of the fibrocartilage. The occurrence of PGP is associated with twin pregnancy, first pregnancy and a higher age at first ...
The main symptom is usually pain or discomfort in the pelvic region, usually centered on the joint at the front of the pelvis (the pubic symphysis). Some sufferers report being able to hear and feel the pubic symphysis and/or sacroiliac, clicking or popping in and out as they walk or change position. Sufferers frequently also experience pain in ...
Sacroiliac joint pain may be felt anteriorly, however, care must be taken to differentiate this from hip joint pain. Women are considered more likely to suffer from sacroiliac pain than men, mostly because of structural and hormonal differences between the sexes, but so far no credible evidence exists that confirms this notion.
Descent greater than 2 cm below this line is considered mild and descent greater than 6 cm is considered severe. Lastly, a line from the pubic symphysis to the puborectalis muscle sling is drawn, which is a measurement of the pelvic floor hiatus. Measurements greater than 6 cm are considered mild, and greater than 10 cm severe.
These postural compensations culminate in an increased load on both lumbar spinal musculature and the sacroiliac ligaments, manifesting as low back pain and/or pelvic girdle pain. [12] Hormonal changes throughout pregnancy also cause an increase in joint laxity further contributing to the development of PLBP and PGP.
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