SYMPHYSIS PUBIS DYSFUNCTION TREATMENT

Typical SPD Symptoms

Understanding the signals your body sends is the first step toward getting the care you need. While SPD is common during pregnancy, it’s important to know when your symptoms are more than typical discomfort. Here are some signs of SPD that can be easy to recognize:

• Pelvic Pain Or Pressure: This is a localized pain that feels sharp, deep, or stabbing, especially with walking, climbing stairs, or rolling in bed. The pain usually comes from the front center of the pelvis (where the pubic bones meet).

• Clicking, Popping, Or Grinding: Audible or felt sensations may be heard or felt within the pelvis, especially when shifting positions or placing uneven weight on the legs.

• Radiating Discomfort: Pain may extend into the lower back, abdomen, groin, inner thighs, perineum, or down the legs, particularly with movement or weight-bearing activities.

• Waddling Gait: A noticeable change in the way you walk may develop as your body unconsciously shortens steps or alters walking patterns to reduce pelvic pain or instability.

• Difficulty With Daily Movements: Activities like dressing, getting out of a car, or rising from a chair may become painful or feel physically challenging.

• Pain During Intimacy: Some women may experience discomfort during or after penetrative sex (dyspareunia).

• Fatigue And Muscle Tension: Chronic pelvic pain may contribute to unmotivated fatigue or tension in the back, glutes, or pelvic floor.

Red Flags That Warrant Prompt Attention

While discomfort can be fairly common during pregnancy or postpartum, some symptoms require more urgent attention:

• Numbness, Tingling, Or Weakness In The Legs: These may suggest nerve involvement and should be assessed by a healthcare provider.

• Loss Of Bladder Or Bowel Control: Sudden or increasing incontinence, particularly when paired with pelvic pain, may indicate a need for a medical evaluation. At-home pelvic floor therapy can be a non-invasive, holistic way to treat incontinence.

• Persistent Pain Unrelieved By Rest: If your symptoms don’t ease with position changes, rest, or gentle movement, you may benefit from early pelvic health intervention.

• History Of Traumatic Birth Or Previous Pelvic Injury: These factors can increase the risk of more complex pelvic joint dysfunction and may require personalized support.

When To Seek Support

If you’re experiencing pain when walking, climbing stairs, getting out of a car, or turning over in bed (especially if it feels sharp or radiates from the pubic area), you might be dealing with SPD. If you’re wondering, “When does SPD start in pregnancy?” The answer is that it can begin at any stage, though it’s most common in the second and third trimesters, as the body undergoes structural and hormonal changes.

Knowing what’s at play isn’t just about naming the culprit; it’s about reclaiming control and making informed decisions about your route to recovery. Pain that affects your ability to sleep, care for your family, or move through your day comfortably is not something you need to “push through.” If home care tools or rest haven’t brought meaningful relief, working with a professional pelvic floor specialist can provide the targeted support you deserve.

For women searching for answers on how to relieve pubic bone pain, many have found meaningful relief through Blair’s gentle, guided interventions tailored to pregnancy and postpartum recovery. If you’re located in Brooklyn or lower Manhattan, including Brooklyn Heights, Cobble Hill, Park Slope, Tribeca, or Dumbo, a pelvic floor specialist in NYC like Blair Mauri can offer personalized pelvic floor therapy in NYC in the comfort of your own home.

What To Expect During Your Pelvic Floor Therapy Evaluation

Early intervention can help you feel more in control of your body. At Blair Mauri Pelvic Health, your first pelvic floor therapy session is all about collaboration, comfort, and building trust. At the start of your session, Blair will start with a thoughtful conversation. During this time, she will review your intake form in detail and invite you to share any additional insights about your history, symptoms, or goals. This may include a detailed discussion of your symptoms, when they began, and what movements tend to aggravate or relieve the pain.

If you’re unsure about what’s relevant, that’s okay! There’s no rush; this is your space to feel heard and supported. Blair will guide you through the process with care and curiosity. The full evaluation typically lasts between 60 to 90 minutes, giving you plenty of time to ask questions, share concerns, and begin creating a sustainable, personalized care plan.

Physical Evaluation (With Your Full Consent)

If you choose to participate in a physical assessment, Blair may begin with external and/or internal exams to gather more information. These assessments are always optional, and Blair will only proceed with your ongoing consent.

• External Exam: This involves gentle observation of the perineum and surrounding tissues, as well as light palpation of bony landmarks and vulvar structures. Blair may assess sensation and note any patterns in tissue movement or tone.

• Internal Exam: If you choose to proceed, this portion involves inserting a gloved, lubricated finger into the vaginal canal to assess pelvic floor muscle tone, strength, endurance, and coordination. Blair may also screen for pelvic organ prolapse if that’s relevant to your symptoms. You might be asked to perform a few guided movements. The process typically lasts a few minutes and is conducted with care, consistent check-ins, and full respect for your comfort. You can pause or stop the exam at any time.

These exams help identify what’s happening below the surface, and how best to support healing. If you have any questions, please don’t hesitate to ask! Nothing is off-limits if it feels relevant to you. If Blair doesn’t have an immediate answer, she’ll offer trusted referrals and do her best to get you the care you need.

What Symphysis Pubis Dysfunction Treatment Might Look Like

Based on your evaluation, Blair will create a personalized treatment plan. This may include:

• Gentle, Hands-On Techniques: Blair may use light manual therapy to help ease joint strain and reduce discomfort, prioritizing your comfort and respecting your boundaries.

• Symphysis Pubis Dysfunction Exercises: Your treatment plan may include guided exercises designed to strengthen and stabilize the pelvic floor, core, hips, and lower back, helping to support your body during daily movement.

• Movement Modifications: Blair may work with you to assess your ergonomic setup at home or work and offer personalized suggestions on how to move more safely and comfortably, reducing unnecessary strain throughout the day. If you are experiencing SPD while pregnant, Blair will create customized birthing recommendations that can reduce trauma to the pubic symphysis joint during labor and delivery. 

• Supportive Strategies For Daily Life: Simple adjustments—like using pillows for extra support in bed or modifying how you lift household items—can help ease discomfort and protect your pelvis as you heal.

You’ll leave every session with practical tools and evidence-backed techniques that are aligned with your specific needs. With every recommendation, Blair will explain the reasoning behind her care methods, and you are always encouraged to ask questions or clear up any concerns you may have with her. These factors are what make Blair’s pelvic floor therapy in Brooklyn a supportive way for women with SPD to regain ease, comfort, and confidence in their daily lives.

Flexible Packages For Continued Care

To support those ready to invest in their healing while reducing the overall cost, Blair offers two specially priced package options. Pelvic Floor Package 1 includes six follow-up treatment sessions at a 10% savings, which is ideal for existing patients. What would normally cost $1,290 is available for $1,161 (a savings of $129). Meanwhile, Pelvic Floor Package 2 is perfect for new patients. It includes your initial evaluation fee ($299) plus five follow-up visits, also discounted by 10%. This would regularly cost $1,374, but the sale price is $1,236.60 (save $137.40). These options are for women seeking consistent, personalized care while making the most of their investment in long-term pelvic health.