Fitness and healthy lifestyle 

During pregnancy, the pelvic bones separate. How the female pelvis works. When there is a divergence of the pelvic bones

Having a baby is one of the best times in every woman's life. However, not all of the generic process itself proceeds favorably. This causes the woman unbearable pain, which she, nevertheless, endures steadily. Despite the long preparation, unexpected changes can occur in her body, which can bring her discomfort. For example, a woman may feel as if her pelvic bones have parted. Could this happen? First, it is worthwhile to disassemble a little in anatomy.

What Happens During Childbirth

When childbirth occurs, the baby, in order to be born, must pass through the bone pelvis of his mother. And so it happens. On both sides, the pelvis is formed by two bones. They are fused sciatic, pubic and iliac bones. Behind the pelvis has a sacrum. The symphysis, or pubic junction, connects those pelvic bones in front, and in the back this role belongs to the two sacroiliac joints.

The pubic symphysis is the pubic fusion of two pubic bones. This is done using a fibrocartilaginous disc. In its center there is an articular cavity, similar to a gap. It is logical that there is joint fluid there. Ligaments strengthen the symphysis from below, from above, from behind and from the front. Thanks to this, there is no doubt about the strength of the joint. The pubic joint is a semi-joint. This means that it has very limited traffic access. In a normal state, the width of the symphysis is up to one centimeter. In front of the symphysis pubis is the pubis, which has a fat pad and a ligament that raises the clitoris. The vessels and nerves are located under the symphysis. At the back is the bladder and urethra.

A name such as symphysitis refers to all injuries and changes in the pubic symphysis. These are softening, stretching, loosening, rupture, inflammation and 11 more components. This happens most often during pregnancy, childbirth and after them.

So a discrepancy can actually happen. Only it would be more correct to say that there is a divergence of the pubic articulation. There are reasons for this.

Causes

Why does the pubic symphysis diverge? The reason lies in the physiological changes that occur as an adaptive process. This helps make labor easier. Women who have given birth may object: is childbirth easy? Of course not. However, if physiological changes did not occur, it is even impossible to imagine how the birth would have gone and whether mothers could continue to remain full and alive. Yes, there are normal joint changes.

During pregnancy, the placenta and ovary secrete relaxin. This substance has a relaxing effect. The combined action of relaxin and female sex hormones leads to swelling of the articular ligaments and. They loosen up. In addition, additional cracks develop in the joints, which are filled with fluid. All this leads to increased mobility in the pelvic joints. Also, the distance between the bones that form each joint increases.

Such changes are most reflected in the pubic symphysis. There is an increase in blood supply. The entire ligamentous apparatus swells and loosens. As a result, the pubic symphysis increases in width by several millimeters. Small upward and downward movements of the pubic-type articular ends may occur. This is similar to the movement of grand piano keys. The width of the pubic articulation can reach one and a half centimeters. The divergence of the sacroiliac joint does not increase so much. All these changes are gradually disappearing. That is, over time, the articular cartilage becomes denser, the ligaments still become dense and elastic, and the width of the gap decreases. However, there are other factors in the divergence of the pubic articulation.

There is such a thing as symphysiopathy. This is a strong relaxation of the pubic articulation. It is a manifestation of toxicosis, and the osteoarticular system of the female body is damaged. Unfortunately, some women are faced with the fact that they have the above changes proceeding too actively and acquire a pathological character. As a result, there is a strong divergence of the pelvic joints.

Two factors play an important role in the development of symphysiopathy and, as a consequence, articulation discrepancy.

There is such a thing as pubic symphysis dysfunction (DLS). It could also include his discrepancy. There are three periods and the corresponding conditions in which DLS is observed, however, the exact etiology of DLS has not yet been fully understood.

  1. Antepartum: Genetics, pelvic pain in previous pregnancies, history of low back pain, excessive or insufficient mobility, use of oral contraceptive methods, back or pelvic trauma. DLS is sometimes seen among multiparous women.
  2. Delivery: operative vaginal delivery or delivery of a post-term fetus.
  3. Postpartum: breastfeeding and hip.

Symptoms

It is clear that the main cause of the divergence of the pubic articulation is symphysiopathy. It is worth noting that it can begin to manifest itself before childbirth. As calcium starvation occurs, brittle nails, tooth decay, paresthesias, night leg cramps, fatigue, muscle contraction and twitching begin to develop. If the symphysis is not very widened, flying pains appear in the pelvic bones and lower back. This is usually interpreted as or. Sometimes we are talking about the threat of termination of pregnancy. In the 2nd and 3rd trimester, there are discomfort and severe pain in the pelvic bones, especially when standing and walking.

Such conditions are becoming more common. However, symphysiopathy may not appear before childbirth, that is, it may occur in a latent form. The second half of pregnancy is characterized by the inhibition of the pubic joints by tightening the abdominal muscles. This is due to uterine enlargement. After the end of labor, the abdominal muscles immediately become flabby. The discrepancy can be up to two centimeters. There are three degrees of divergence of the symphysis.

  • 5-9 mm;
  • 10-20 mm;
  • more than 20 mm.

Diagnostics

It is not difficult to diagnose discrepancies of the pubic articulation of the second and third degree. The pain in the symphysis area becomes more pronounced. It intensifies when a woman tries to change her position in bed, move her legs and even walk. Therefore, in the supine position, a woman usually acquires the "frog" pose, that is, lies on her back, but her knees are slightly bent, and her hips are deployed and turned outward. There are times when the discrepancy exceeds two centimeters. In this case, the woman will move with a duck-like gait.

To clarify the diagnosis, the doctor may palpate the damaged area. If he presses on the pubic articulation, soreness will be characteristic both from the vagina and from the front. The discrepancy itself is determined in the following way: if you try to press your finger, then its pad will fit quite easily there.

Of course, it is important to carry out instrumental diagnostics in order to exclude the occurrence of other pathologies and to make an accurate diagnosis. Two methods are helpful.

  1. X-ray. The X-ray can detect a discrepancy, but the pathology of the bones is not detected. In addition, X-rays are harmful to the fetus.
  2. Ultrasound diagnostics. This method is used most often because it is safe and gives a more complete picture.

In the diagnostic process, it is important to determine the concentration of magnesium and potassium in both blood and urine. With the divergence of the joint, their level is reduced by almost two times in the blood. When examining urine, a slight increase in their content is found. These methods help to make a diagnosis when the pregnant woman does not complain of discomfort or pain in the pelvic region.

Treatment

If the symphysis pubis diverges, the operation is usually not done. If the discrepancy is insignificant, after childbirth or during pregnancy, doctors recommend limiting physical activity. It is important to wear a bandage. It is advisable to sleep on an orthopedic mattress. It is also necessary to take calcium supplements, however, their form must be well absorbed by the body. You need to take fish oil, B vitamins, and take ultraviolet radiation.

If the discrepancy has reached the second or third degree, in the process of treatment it is necessary to achieve convergence of the pubic bones, more precisely, their ends. The pelvic bones must be held in a certain position. This effect can be achieved with bed rest. For two to six weeks after giving birth, you are not allowed to walk or even get up. You should also use a bandage and tight bandage. In the first 24 hours after childbirth, cold is applied, and then physiotherapy procedures that are aimed at the pubic articulation. Doctors prescribe calcium supplements and pain relievers. If symphysitis, that is, inflammation, joined the discrepancy, antibiotic therapy is added to the treatment. The foods a woman eats should contain a lot of calcium.

In order to determine the success of the treatment, X-ray control is carried out, after which the woman needs to wear a bandage.

Today, special corsets have been made to help keep the pelvic bones in the desired position. This method helps to extend bed rest.

After a few days of wearing such a corset, a woman can no longer only get up, but also take care of the child, but the limitation of physical activity is still present. The corset is used for 3-6 months.

Consequences

Symphysiopathy and, as a consequence, the divergence of the pubic articulation, usually proceeds favorably. If this condition occurs before childbirth, this is not an indication for a caesarean section. Depending on the degree of discrepancy, obstetric delivery tactics are determined. If the symphysis diverges very strongly and there is a danger of injury to the bone pelvis, a cesarean section is performed.

It seems that the most unpleasant consequence of the divergence of the pubic articulation is prolonged stay in bed and limited activity. This is not true. If the joint diverges by more than two centimeters, the symphysis may rupture. However, this rarely happens. Usually, rupture occurs in childbirth, in which operative delivery is used, if the narrowed pelvis is combined with active labor.

The rupture can be accompanied by trauma to the bladder and the formation of hematomas. An inflammatory process can also join. If the pubic symphysis is severely damaged, there may be a need for surgery, after which the ability to work is restored after three or four months.

A healthy lifestyle before childbirth, that is, good nutrition, regular walks and moderate exercise, will help to avoid such consequences and the discrepancy itself. Every woman should remember that the condition of the baby depends on her health.

From the very first days of pregnancy, the woman's body undergoes significant physiological metamorphoses: changes in gait are observed, the figure becomes more rounded, taste preferences and habits change. Changes of this kind include a phenomenon attributed to the natural norms of physiology, namely, the divergence of the pelvic bones during pregnancy.

The process of softening the ligamentous apparatus and slight discrepancy of bone tissue is very important when the baby passes through the birth canal.

Moreover, a narrow pelvis may well become an indication for delivery by caesarean section. Bone separation is a common cause of discomfort, especially in the last weeks of gestation. Moreover, excessive deviation of the pelvic segments relative to the initial position is possible. This phenomenon is one of the pathologies and is called "symphysitis".

What Happens During Childbirth

The massive element of the human skeleton, which bears the name "pelvis", is a ring consisting of bones and cartilaginous tissues. During the period of active growth of the body, bone tissues retain relative softness and pliability, however, upon reaching physiological maturity, which occurs at twenty to twenty-five years, the skeleton is finally ossified.

Throughout the entire period of pregnancy, the woman's body intensively produces the hormone relaxin - a hormone that promotes mobility of the coccyx, directly softening, increasing the elasticity of cartilaginous tissues, and slight discrepancy. Thanks to this physiological phenomenon, the baby's head moves freely along the birth canal during the period of active labor.

Most expectant mothers are interested in this kind of question: when do the pelvic bones begin to diverge during pregnancy. The peak of this process occurs immediately at the time of childbirth, but preparation for delivery begins in the early stages of pregnancy. Many pregnant women note the appearance of the first discomfort in the pelvic bones in the third or fourth months of gestation.

Causes

The physiological norm is the expansion of the pelvic bones during pregnancy by an amount not exceeding half a centimeter. It is also possible to increase this indicator, but this phenomenon is pathological, and its main cause is symphysitis. Symphysiopathy of pregnancy can be caused by a variety of reasons. The most common among which are:

  • Pathological disorders of calcium metabolism in the body.
  • Physiological abnormalities in which the ligaments are insufficiently formed.
  • Lack of important vitamins and minerals, including vitamin D.
  • Hereditary predisposition.
  • Diseases associated with a violation of the structure of bone, cartilage tissue.
  • Diseases of infectious, inflammatory pathogenesis.

If a pregnant woman's pelvic bones are widely dispersed, carrying out natural childbirth can aggravate the pathology, cause a rupture of the pelvic joint. In addition, there is the likelihood of pelvic dehiscence after childbirth. To prevent this when diagnosing "symphysitis" during pregnancy, childbirth by caesarean section is practiced.

Video

Discrepancy of the pubic articulation

Symptoms

The need for treatment of the discrepancy of the pelvic bones occurs only against the background of severe degrees of pathology. Against the background of the first and second stages, it is enough to take measures that will prevent the progression of the disease. The main methods of therapy for pelvic bone pathology include:

  • Taking antibiotic, anti-inflammatory, anesthetic drugs. The use of such medicines carries a potential threat to the health of the fetus, and therefore treatment with medicines can be indicated only if there are vital indications.
  • Wearing a support corset or bandage. It is necessary to choose such a device according to the recommendations of a specialist. Wearing an overly narrow bandage can cause the formation of pathologies in the fetus.
  • Remedial gymnastics, swimming, yoga.

    Regular performance of physical exercises permitted by the doctor will help to strengthen the muscles, eliminate painful sensations, discomfort.

If there are no contraindications, regular exercise at home will also help to cope with pain in the pathology of the pelvic bones. You can perform, for example, the following options for remedial gymnastics: sit on the floor, pull your feet as close to you as possible, and then carefully spread your knees.

It will also be useful to perform the following exercise: get on all fours, lower your head as low as possible, and then stretch your back up as much as possible. Return to the starting position, exhale, relax as much as possible. It should be remembered that you can perform any exercise only after consulting your doctor.

An additional, but partly controversial method of treatment for divergence of the pelvic bones is the use of drugs, foods fortified with large amounts of calcium. Such a diet and medication can increase the strength of the pelvic bones, but this can negatively affect the course of natural delivery.

Unpleasant sensations, pains can be relieved by wearing a bandage, gymnastics, swimming. It is important to remember that these measures are not radical therapy options, and can only slightly reduce the discomfort in the pelvic region. In severe forms of pathology of a pregnant woman, surgical intervention may be prescribed.

Consequences

According to medical statistics, different degrees of divergence of the pelvic bones are detected in every second woman. But only severe degrees of development of the disease are considered quite dangerous. Provided the woman observes the recommendations prescribed by the doctor, the prognosis of the pathology of the pelvic bones is favorable.

Against the background of the development of complications, there is a likelihood of serious consequences, which include a gap, a woman's loss of the ability to move independently, and the development of inflammatory processes. Most often, complications of symphysitis are the result of natural childbirth. To minimize the risks when making the appropriate diagnosis, a woman is recommended to undergo a caesarean section.

Prophylaxis

The range of reasons, the negative influence of which can lead to the divergence of the pelvic bones, is more than extensive, respectively, it is extremely difficult to clearly identify preventive measures that could help prevent the development of pathology.

Most pregnant women will sooner or later experience pelvic pain. This is usually attributed to bone divergence.

The pelvis is preparing to let the baby pass through it, so the ligaments become softer and can really stretch a little before childbirth. Expectant mothers are interested in exactly when this happens and how it affects their well-being.

Why does pregnant women have pain in the pelvic area?

Many mothers-to-be are sure that pelvic pain is caused exclusively by bone separation. But often unpleasant sensations appear long before childbirth. Is the pelvis opening so early? In fact, the pelvic bones do not diverge at all, since they are a single ring consisting of two pelvic bones, the tailbone and the sacrum. Only the cartilaginous tissues in the pubic and sacral joints have the minimum ability to stretch or diverge.

If the pelvic bones had the ability to diverge to the desired width and converge back, there would be no problem with natural childbirth in women with a narrow pelvis. But with such a feature of the body structure, doctors often recommend a cesarean section.

Nevertheless, some expansion of the pelvis is still possible. Cartilage is normally inelastic, but during pregnancy, the hormone relaxin appears in the woman's blood, which softens the tissue. Under its action, the cartilage of the pubic and sacral joints can become more elastic and stretch a couple of millimeters. But an increase in the distance between the bones by more than 0.5 cm is considered excessive and causes severe discomfort.

Therefore, in most cases, pelvic pain in expectant mothers is not caused by the divergence of the pelvic bones, but by the tension of the ligaments that support the uterus. It gradually increases and it becomes more difficult to keep it. In this case, the ligaments are weakened by the action of relaxin. From here comes pain and discomfort, which increases with movement.

About the divergence of the pelvic bones

We have already figured out that there is no significant divergence of the pelvic bones in women. Then why do almost all expectant mothers feel it? The reason is not only the stretching of the ligaments that support the uterus. Even the smallest softening of the symphysis pubis or the symphysis pubis causes noticeable discomfort.

Feelings of women during this period are very similar. In addition to the pain that annoys them, it seems as if the pelvic bones have become wider and the legs are about to part in different directions, and the stomach will fall to the ground. In this case, the gait automatically changes, it becomes like a duck. Many women begin to protrude their belly forward, even at small stages of pregnancy.

If you have previously walked in heels, if you experience such sensations, you should immediately switch to flat-soled shoes. Firstly, in this state, cartilage softens not only in the pubic articulation, but also in all joints, and the heels increase the load on them and can lead to injury. Secondly, the gait changes, and it will be more difficult to maintain balance on heels, which is fraught with a fall.

Minor stretching of the pubic symphysis, accompanied by mild pain and discomfort, is the norm. But too much divergence of the pubic articulation is a pathology and requires attention from doctors. Therefore, if the pain has become very intense, you must inform your gynecologist. You may be at risk of symphysitis.

When there is a divergence of the pelvic bones

In fact, there is no exact timing of the "discrepancy". The timing and degree of softening of the pubic articulation cartilage in a woman is purely individual. This can happen both at the very beginning of pregnancy and immediately before childbirth. Therefore, it is better not to diagnose yourself on your own, but to tell your doctor about any ailments.

What is symphysitis?

In fact, this term is not used quite appropriately. Symphysitis is an inflammation of the pubic symphysis tissue and is extremely rare in pregnant women. And excessive softening of cartilage, which causes pain and discomfort in the expectant mother, is more correctly called symphysiopathy. It is diagnosed if the distance between the bones has increased by more than half a centimeter.

Excessive divergence of the pubic articulation is accompanied by the following symptoms:

  • Pulling or shooting pubic pain;
  • Increased pain during physical activity, especially when moving the leg to the side;
  • Pain in the pubic articulation on palpation;
  • Pain during intercourse;
  • Change in gait.

At the same time, almost all unpleasant sensations disappear at rest or when choosing a comfortable body position.

The main causes of excessive stretching of the symphysis are:

  • Features of connective tissue. In some women, the cartilage is naturally more elastic. Most often, a similar feature is found in relatives and is genetically determined.
  • and / or vitamin D. It can provoke brittle bones and weak ligaments.
  • Kidney disease. Some diseases lead to increased excretion of minerals from the body.
  • Past trauma to the pelvic bones.
  • Frequent and / or multiple labor.

If you are at risk and have symptoms of symphysis overstretching, tell your doctor. An ultrasound examination will help to diagnose. Also, excessive softening of the pubic articulation can be determined by palpation.

Symphosyopathy does not affect pregnancy in any way, but significantly worsens the well-being of the mother. In addition, excessive stretching of the cartilage can thin it and lead to rupture during childbirth. The treatment will take several months. Therefore, with severe symphysiopathy and a narrow pelvis, a caesarean section is often recommended.

If the stretching of the symphysis in a woman is within normal limits, but at the same time she is worried about severe pain, it is necessary to try to reduce the discomfort. This will help:

  • ... Wearing the right brace can help relieve the feeling of heaviness and aching pain.
  • Taking calcium or vitamin and mineral complexes, as well as a diet rich in nutrients.
  • Reducing pain sensitivity with No-shpa.
  • Physiotherapy.

Self-medication in this case is unacceptable. Any medications or procedures must be prescribed by a doctor. Even a suitable bandage is desirable to select with his participation.

The process of separation of bones during pregnancy is a physiologically determined program of preparation for childbirth. In the woman's body, at the end of the second trimester, the hormone relaxin begins to be produced. This substance is responsible for changing the structure of the cartilage tissue in the area of ​​the symphysis of the sacral and pubic joints of the iliac bones of the pelvis. Under the influence of relaxin, cartilage joints become softer and more pliable for deformation. This is necessary so that during labor, the head of the fetus can freely come out.

Physiological discrepancy of the pelvic bones is permissible within 3-5 mm. All changes that exceed these values ​​are pathologies. Medical attention is needed for their therapy. If not treated, then after physiological childbirth, a woman may experience partial or complete paralysis of the lower extremities. Loss of the ability to move occurs in the case of a complete divergence of the pubic and sacral articulation of the bones.

Prevent the divergence of the pelvic bones during pregnancy by wearing a special prenatal bandage. Also, to strengthen the muscles of the back and the anterior abdominal wall, courses of therapeutic gymnastics and kinesitherapy are conducted. Starting from the 20th week of pregnancy, manual therapy is indicated, which will allow you to safely and effectively endure pregnancy and prepare the body for childbirth.

Causes of the discrepancy of the pelvic bones during pregnancy

The divergence of the pelvic bones, as mentioned above, is a natural process by which nature has programmed the preparation of the birth canal. But with a physiological discrepancy of the pelvic bones during pregnancy, a woman does not experience severe pulling pains and this does not lead to the fact that she loses the ability to sit, stand freely or walk.

Program failure and abnormal separation of bones during pregnancy can occur for a variety of reasons. Among them, the following pathogenetic factors of influence should be indicated:

  • excess body weight of a pregnant woman - an excessive load on the pubic articulation is created;
  • pronounced edematous syndrome against the background of preeclampsia - the body weight increases due to fluid retention in the intercellular space;
  • lack of calcium and some other minerals in food;
  • dehydration of the cartilaginous tissue of the pubic articulation as a result of impaired blood microcirculation against the background of varicose veins in the pelvic cavity;
  • posture disorders;
  • incorrect positioning of the foot;
  • deformity of the hip joint.

Predisposing factors can be the use of hormonal drugs (including those aimed at maintaining pregnancy), wearing tight clothes and improperly selected shoes, polyhydramnios and multiple pregnancy.

The development of the process of symphysopathy begins with the primary softening of the cartilaginous tissues. if the pregnancy develops normally, the woman does not have an increased load on the pelvic joints of the bones, then the whole discrepancy remains in the parameters of 5 mm. If the fetus is large or not alone, then the pressure on the pelvic floor increases every day. The pelvic bones begin to diverge more than is required for the normal birth process. When the bones diverge by more than 10 mm, an irreversible process of destruction of the cartilaginous connection starts. There may be a risk of developing complete dehiscence of the pelvic bones. This is a threat to a woman's future disability.

The discrepancy between the bones of the pubic articulation during pregnancy

The risk of divergence of the pubic bones may occur in women who decide to give birth to their first baby over the age of 30. Usually at this age there are already prerequisites for the development of primary osteoporosis against the background of accumulated pathological changes in cartilage and bone tissue. Therefore, even during the planning period of pregnancy, it is important to conduct a complete examination. The state of the phosphorus-calcium metabolic process and the content of vitamin D in the chemical composition of the blood should be especially carefully checked.

The beginning of the divergence of the bones of the pubic articulation occurs at the end of the second trimester of pregnancy, while the following processes occur:

  • the position of the femoral heads in the acetabulum cavity changes;
  • the width of the setting of the feet increases when walking;
  • posture changes with smoothing of the lumbosacral bend of the spine (it becomes almost flat);
  • this entails a change in the sacroiliac junction of the bones;
  • then the hormone relaxin is released and the cartilage joints soften.

The whole process of divergence of the pubic bone during pregnancy in women with a well-prepared body for childbirth is completely painless and almost imperceptible. Pain sensations with the discrepancy of the bones of the pubic articulation during pregnancy can be determined in the area of ​​the hip joints, coccyx and pubic bone. For diagnostics, a manual examination is used. It is not recommended to take an x-ray before the baby is born.

Discrepancy of the pubic bone during pregnancy

The divergence of the pubic bone is one of the varieties of this pathology. It manifests itself for a period of 30 - 35 weeks. Pain in the pubic region is accompanied by swelling and hyperemia of soft tissues. The pain is worse when trying to sit on hard stools. In the supine position, pain decreases.

A significant discrepancy of the pubic bone during pregnancy provokes a pathology of the bladder. His hyperactivity may occur, accompanied by urinary leakage and mild incontinence. Pain can radiate to the groin and spread along the inner thigh to the knee joint.

This pathology of the pubic articulation can be prevented only with an integrated approach. It is imperative to use a bandage that supports the anterior abdominal wall. It is also recommended that if vitamin D deficiency is detected, it should be taken in the form of oil drops in strict accordance with the doctor's prescription.

Feelings, symptoms, and signs of pelvic dehiscence during pregnancy

Unpleasant sensations with the divergence of the pelvic bones during pregnancy, if this process does not go beyond the physiological norm, pass rather quickly. A woman is advised to rest more, experience less physical exertion, etc.

Clinical symptoms of bone divergence during pregnancy begin to manifest themselves intensively when the process reaches 6-7 mm. In this case, the woman begins to experience the following sensations:

  • constant pressure on the pelvic floor;
  • frequent urge to empty the bladder;
  • irregular bowel movements, alternating diarrhea and constipation;
  • severe pain in the pubic area, hip joint and sacrum;
  • limitation of mobility when trying to turn to one side or the other;
  • pain in the lower abdomen and in the lumbar region.

Aggravating symptoms of pelvic dehiscence during pregnancy are an indication for a cesarean section. Natural childbirth with such a pathology is contraindicated, since there is a high probability of complete rupture of the cartilaginous connection of the symphysis of the pubic and iliac bones.

Of particular danger are cases of divergence of the articulation of the sacrum and iliac bones. This can cause compression of the radicular nerves, stretching of the ligamentous apparatus and the formation of instability in the position of the vertebral bodies. Such pathologies often lead to further destruction of the cartilage tissue of the lumbar spine.

Clinical signs of dehiscence during pregnancy can be expressed as pain in the projection of the hip joints, knees and ankles. This is due to the fact that with significant symphysopathy, the femurs diverge and the position of the foot changes. This leads to an incorrect distribution of the amortization load on the lower limbs and the spinal column.

What to do if there is a discrepancy of the bones during pregnancy?

the first thing to do if the pelvic bones are diverging during pregnancy is to see a doctor immediately. An experienced specialist will conduct the necessary examination and identify the degree of pathological changes. If the symphysopathy is within the physiological norm, then a slight correction of the diet is performed, the woman is recommended to wear a prenatal bandage.

You can also use remedial gymnastics and kinesitherapy. These techniques will help prepare the muscular apparatus for the further bearing of pregnancy and labor. Manual therapy can be used after the pregnancy has reached 20 weeks. Previously, the use of such techniques is not desirable.

If symphysopathy reaches 6 mm or more, more serious treatment is required. It can include osteopathy and special massage therapy. By activating the processes of blood microcirculation in the area of ​​cartilaginous joints, it is possible to increase the elasticity of tissues and prevent the risk of complete separation.

The course of prevention and treatment is always developed individually. We offer you to sign up for an initial free consultation with a chiropractor in our clinic. During the appointment, the doctor will conduct an examination, diagnose and give all the necessary recommendations for prevention and treatment.