Pelvic Pain

Pregnancy-related pelvic girdle pain (PGP)

Also used to be known as pubic symphysis dysfunction (SPD), is common in pregnancy and affects approximately 20% of pregnant women by the third trimester. It may occur with or separately to low back pain. A small number of women experience PGP after having their baby.

PGP can be felt in the lower back, buttocks, hips, groin, inner/ backs of the thighs. It is often brought on by activities such as walking, climbing stairs, getting in/out of bed and the car. PGP can occur during pregnancy as a result of postural changes, carrying more weight, weakening of the tummy muscles, pelvic floor muscles, buttock and inner thigh muscles and uneven movement of the back and pelvic joints.

PGP varies from person to person but if you are struggling to sleep, work and generally get about seeing a pregnancy specialist physiotherapist can really help to manage and improve your pain.

Gemma Barnes MSc MCSP MPOGP is a specialist physiotherapist with 15 years of experience treating pregnancy related pelvic girdle pain.

The first physiotherapy appointment will involve detailed questioning about your problem to identify the cause. A physical examination of the back, hips and pelvis will also be carried out to confirm a diagnosis and determine the best course of treatment. Physiotherapy treatments for PGP include: advice about adapting daily activities and exercises, exercise advice for pregnancy, home exercises, mobilisation of the back and pelvic joints, acupuncture and postural education.

Further information can be found at:

POGP website

NHS website

Pelvic Pain

Pelvic pain is usually referred to pain below the umbilicus (belly button) but above the top of the legs. It can occur in women and men. Pain may be felt in the lower tummy, the pubic bone, vagina, penis, anus, tail bone, lower back and buttocks.

Pelvic pain may be associated with conditions such as bladder pain syndrome, interstitial cystitis, IBS, endometriosis, vulvodynia or chronic prostatitis. However, quite often a specific cause for pain is not found.

If you have had pelvic pain for more than 6 months it is usually referred to as chronic. You will need to be checked by your GP to make sure that there is no specific medical condition that needs to be treated. Once this has happened it can be very beneficial to have an assessment with a specialist physiotherapist who is experienced in treating pelvic pain.

Pelvic pain can be treated very effectively by physiotherapy. Treatment often includes a combination of exercises and manual therapy to make sure that the muscles, joints and ligaments of the pelvis are working as well as possible. It is also very important to address your emotions, stresses and lifestyle factors (such as diet, exercise/ activity, sleep) as these factors can increase the pain you feel. It is also important to consider any events that have happened in your past that may be linked to your pain.

Here at Park Physiotherapy Gemma Barnes MSc MCSP MPOGP is a specialist in this subject and would be able to provide a specialist assessment and treatment to help you. So please do get in touch.

Further information/ links (specifically look for prostatitis)


Treatments with a Chartered Physiotherapist are recognised by private medical insurance companies. Please check with your insurer. Park Physiotherapy is recognised by all the major Medical Insurance Companies. We take medico-legal referrals for treatment following accidents Please contact us for details of this.

Park Physiotherapy, Leys Farm, Hockering, Dereham, Norfolk, NR20 3JE
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