Genevieve asked the Guru about her pelvic girdle pain

August 5, 2014

I have had pelvic girdle pain for about 4 years now, since about 7m pregnant with my first child. I have two children, nearly 4y and nearly 2y, and each time the pain has got worse after birth.

I have seen three physios and two osteopaths. Two physios are in agreement: my pelvis is locked up on the right sacroiliac joint, and requires realignment. But each time my pelvis is realigned, the pain becomes unbearable: mostly at the centre front, but also both sacroiliac joints and down the legs. It feels like they’re going to fall out of their sockets. The latest osteopath I’ve seen (once) also believes my pelvis is tilted – can’t remember which, but either forwards or backwards, and my posture and the way I walk is all wrong. But after I saw him, the physio (about 4 days later) found my pelvis to be completely misaligned. Again.

Can core stability and gluteal strengthening solve this problem? Could all these experts be missing something? Why does the pain get worse after realignment? Is prolotherapy an option?

Thank you for any help you can offer!

August 5, 2014

Hi Genevieve

You’ve entered the twilight zone….

Pregnancy, and all that it entails, is an absolute specialist area. I’m not keen on the idea of non specialist practitioners meddling with something which is very common, apparently easy to look after but can have quite devastating consequences if not looked after properly.

I’m going to ask Milly to get in touch as she is our head honcho, specialist women’s health Physio. Simply put, she is The Don and can give you some great advise.

Saying all of that, I’m not at all keen on the idea of something being “locked” or having to be “realigned”. It’s a fabulous concept for our brain to get around as we can truly visualise it and it makes total sense in relationship to your pain. But, alas in reality it can’t happen – or if it does it’s under really, really, really specific circumstances….and if it doesn’t I’m not sure we can detect it anyway!

You sound as if you need great advice, a great stability program and need to see an an amazing Physio who can put you back on the path to your former glory, for good.

Avoid prolotherapy like the plague!

The Guru
Six Physio

Guru Responded

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