Symphysis Pubis Dysfunction

What is it?

Symphysis Pubis Dysfunction (SPD) is the name given to pain and mobility problems caused by instability of the pelvis during pregnancy.


During pregnancy pain can develop in the joints in and around the pelvis. This is usually caused by altered position of the joints (asymmetry). The pelvis is a closed system of bone and muscle so any change in movement at one joint will affect the function of all the others. The combination of unstable joints, the growing baby and changes in the centre of gravity and posture can result in varying degrees of pelvic pain.


The pelvis can also be damaged by trauma eg. a fall or a blow to the area, or by labour itself, although that is quite unusual.


The pain may remain static, or may increase as the pregnancy progresses. However, it is important to seek treatment early, as checking the alignment of the joints and realigning them can greatly reduce pain during pregnancy.

General tips

- Keep your legs together - be ladylike
- Keep symmetrical when you move, sit, stand or lay down
- Avoid lifting
- Avoid twisting movements
- Avoid things you know will hurt you
- Allow the joints to heal while remaining as active as possible
- Be extremely careful not to slip, as your pelvis is very vulnerable
- Place a folded towel or pillow between your knees at night

How can chiropractic help?

McTimoney chiropractic places a strong emphasis on pelvic alignment and includes specific adjustments for the pubic symphyses. It can therefore be very effective in addressing SPD. The gentle adjustments of the McTimoney approach are particularly suitable for treatment during and after pregnancy.

The information on this page has been taken from the 'Pelvic Partnership' website which can be viewed at:

The Pelvic Partnership