Region involved | Risk factors | Symptoms | Management |
Pubic symphysis pain | - Fetal macrosomia
- Precipitous labor
- Forceps
| - Suprapubic pain and tenderness
- Pain radiates to the legs, hips, or back
- Pain worse with weight-bearing
| - Analgesics
- Physical therapy
- Supports
- Injections
- Acupuncture
- Consider MRI after 6 weeks
|
Sacroiliac joint pain | - Parity
- Previous low back pain
- Obesity
| - Stabbing pain in the sacroiliac joint (unilateral or bilateral)
- May radiate to posterior thigh
- Pain worse with weight-bearing
| - Analgesics
- Physical therapy
- Supports
- Injections
- Acupuncture
- Consider MRI after 6 weeks
|
Pelvic girdle pain | - Increasing gestation
- Obesity
| - Involvement of sacroiliac joints and symphysis pubis
- Pain between posterior iliac crest and gluteal fold
| - Analgesics
- Physical therapy
- Supports
- Injections
- Acupuncture
- Consider MRI after 6 weeks
|