Hello, my name is Mosken and I am running this International Support Group for people with chronic pain (including FMS and CFS), together with Linda in California. I live in Norway. My own backproblems started with low back pain after and during pregnancies (although my healthproblems started before this).
However, also men and women never being pregnant also get this disease/dysfunction. It is then often called Sacroiliac Joint Dysfunction-disease.
I have made this post about hip pain/ Sacroiliac Joint Dysfunction because we have so many people visiting our board because we had one post about this long time ago. And I want to continually improve our information at this topic. I am a member of the Norwegian organization for people with this disease and also get some websites from their magazines and my contacts there.
You are of course welcome to add your own reply to this thread. Ask us any question and we will try to answer. Also you are welcome to click around the board/website and join us in any forum you want. This is a very active group with a lot of nice and caring people. Several of the members are very good at doing research. You can also post in Norwegian if you want, or German or French if that is your language.
Here is a good website in English:
We also have alot of links throughout this post. Please read on for more.
www.plus-size-pregnancy.o...icpain.htm
Where is the Symphysis Pubis?
The pelvic girdle is made up of three large bones, the Sacrum (base of the spine) and two large isometric bones which form a joint at the front, the Symphysis Pubis, and join with the Sacrum at the back, at the Sacro-iliac joints. The Coccyx or tailbone is attached to the Sacrum. Separation of the Symphysis Pubis is known as Diastasis Symphysis Pubis but there can be other causes of Symphysis Pubis pain during pregnancy and after the baby is born.
About the cause (from the site above):
No one knows why SPD occurs for sure, or why it happens in some women and not in others. Some ethnic groups report a high incidence, especially Scandinavian women and perhaps Black women. Other risk factors may include having lots of kids, having had large babies, pre-existing problems with this joint, past pelvic or back pain, or past trauma (car accident, obstetric trauma, etc.) that may have damaged the pelvic girdle area. It also seems logical that women who have broken or injured their pelvis in the past would probably be prone to this problem.
Some sources view SPD simply as a result of pregnancy hormones. As noted, the pregnancy hormones relaxin and progesterone tend to loosen the ligaments of the body in preparation for birth. One theory is that some women have high levels of hormones before pregnancy, and then additional pregnancy hormones cause excessive relaxation of ligaments, especially in the pelvis. Another theory is that women whose joints are especially flexible before pregnancy may be more susceptible to the effect of hormones, or that some women's bodies are just simply more affected by hormones than others. Traditional medical sources tend to view the problem of pelvic/pubic pain (when they acknowledge it at all) as simply a hormone problem.
A different theory holds that the problem usually results from a misalignment of the pelvis. In this view, if the pelvis gets out of alignment, the bones don't line up correctly in front, and this puts a lot of extra pressure on that pubic symphysis cartilage. The two sides are not aligned, restricting full range of motion, pulling on the connecting pubic symphysis, and making it quite painful. The more out of alignment it is, the more painful this area becomes. It also tends to affect the back, especially in the sacroiliac area, since the pelvis is interconnected and works as a unit. And since many areas are affected by back problems, pain can also extend to other areas too.
Kmom's opinion is that this condition is probably primarily a problem of misalignment, although hormone levels and sensitivity to hormones may also play a role. In her opinion, the first line of SPD treatment should probably address the possibility of misalignment. Others may not agree. But whatever the cause, SPD is certainly annoying and painful to deal with, and Kmom knows this from personal experience!
www.pelvicpain.org/






USA
