Pelvic instability is a common condition affecting women more so than men. It is often referred to as pelvic girdle pain and can be a debilitating condition for many women. Commonly, it affects up to 50% of women during pregnancy to some degree, many of which develop chronic instability issues post pregnancy. Physiotherapy treatment is extremely effective at modulating pain during acute episodes, and our physios at Dandenong Ranges Physio are well trained to pick up the warning signs with accurate diagnosis, and implement effective treatment and strengthening strategies.
The sacro-iliac joint (SIJ) sits on either side of our spine, right at the base of the spine. Usually there is little to no movement in the SIJ, but during pregnancy, and sometimes from a fall, trauma or genetic instability predisposition, the SIJ begins to move in order to increase the size of the birthing canal in preparation for childbirth. Women who present with pain from pelvic instability during pregnancy tend to first recognise symptoms around the 20 week mark, though it can be earlier, and the pain tends to worsen as the pregnancy progresses. The earlier physiotherapy treatment is sought, generally the better outcome. Treatment at this stage involves muscle release of the gluteals (buttock muscles) and lower back, and basic core and pelvic floor exercises. Physiotherapists can also use braces or taping to effectively limit movement in the SIJ, reducing shearing through the joint and therefore reducing inflammation and pain.
Strengthening the ‘core’ or stability muscles around the lower back and pelvis is essential to treating pelvic instability in the long run. Without appropriate and guided strengthening by a women’s health physiotherapist, the excessive SIJ and pelvis movement continues to trigger muscle overactivity in the gluteals, lower back and even the hamstring and inner thigh muscles. Clinical Pilates is an extremely effective option for patients once acute symptoms have settled, and out physiotherapists at Dandenong Ranges Physio are able to smoothly segue hands-on treatment into core stability and Clinical Pilates sessions as the condition responds to treatment.
Please feel free to contact one of our staff to find out more about how physiotherapy and Clinical Pilates could help your pelvic instability or pelvic girdle pain.
To book an appointment with Dandenong Ranges Physio please call our reception on 9751 0400.