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Pubic Symphysis Dysfunction

"Lightning Crotch"

Pubic symphysis dysfunction (PSD) is a condition characterized by pain and dysfunction in the pubic symphysis joint, which is located at the front of the pelvis. The pubic symphysis joint is a fibrocartilaginous joint that connects the left and right pubic bones.

PSD is most commonly experienced by women during pregnancy and postpartum, but it can also occur in men and non-pregnant women. The condition is caused by an imbalance or dysfunction in the muscles and ligaments around the pubic symphysis joint, which can result in inflammation, pain, and reduced mobility. Symptoms of PSD can include:

  • Pain in the pubic region, often felt as a deep ache or sharp, shooting pain

  • Pain with activities such as walking, climbing stairs, or lifting

  • Pain with movements that require spreading the legs, such as getting in and out of a car or rolling over in bed

  • Difficulty standing up straight or maintaining good posture

  • Pain during sexual activity

  • Difficulty walking or performing daily activities

  • Pain in the lower back or hips

Pelvic floor physical therapy can be an effective treatment for pubic symphysis dysfunction. The pelvic floor muscles are interconnected with the muscles and ligaments of the pelvis, including those around the pubic symphysis joint. Strengthening and stretching exercises can help to restore proper alignment and movement of the pelvis, reducing pain and discomfort in the pubic symphysis area. During a pelvic floor physical therapy session, the therapist may use a variety of techniques to address pubic symphysis dysfunction, including:

  • Manual therapy: The therapist may use hands-on techniques to stretch and manipulate the muscles and ligaments around the pubic symphysis joint, helping to reduce inflammation and improve mobility.

  • Exercise therapy: The therapist may recommend specific exercises to strengthen and stretch the muscles around the pelvis, including the pelvic floor muscles. This can help to improve pelvic stability and support the pubic symphysis joint.

  • Biofeedback: The therapist may use biofeedback technology to help you better understand and control your pelvic floor muscles. This can be helpful in identifying areas of weakness or tension that may be contributing to pubic symphysis dysfunction.

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