Pubic Symphysis Dysfunction (PSD) – Bromley Sports Injury Clinic

Key Points

• Pubic Symphysis Dysfunction (PSD) is pain and instability at the joint at the front of the pelvis.

• It’s common in pregnancy and postnatal women, often due to hormonal changes and increased load.

• Symptoms include pelvic pain, groin discomfort, and difficulty walking or turning in bed.

• At Bromley Sports Injury Clinic we provide pregnancy-safe osteopathy, exercise rehab, and lifestyle strategies to support recovery.

👉 Related: Sacroiliac Joint Pain | Hip Pain Clinic | Sciatica

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What is Pubic Symphysis Dysfunction?

The pubic symphysis is the small joint at the front of the pelvis that helps absorb forces between the hips and spine.

In pregnancy, hormonal changes (especially relaxin) loosen ligaments, and combined with increased baby weight, this joint can become painful and unstable.

This is known as Pubic Symphysis Dysfunction (PSD) or Pelvic Girdle Pain (PGP).

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Symptoms of PSD

• Pain at the front of the pelvis or groin

• Clicking, grinding, or instability in the pubic region

• Pain radiating into hips, thighs, or lower back

• Worsens with walking, stairs, turning in bed, or standing on one leg

• Relief when sitting or keeping knees together

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Causes & Risk Factors

• Pregnancy and postnatal hormonal changes (ligament laxity)

• Previous pelvic trauma or hypermobility

• Rapid weight or load changes in pregnancy

• Weak gluteal or core muscles

• Co-existing pelvic issues such as sacroiliac joint pain

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Diagnosis at Bromley Sports Injury Clinic

• Osteopathic assessment – posture, pelvic stability, movement patterns

• Differential diagnosis – ruling out hip arthritis, SIJ dysfunction, or hernia

• Referral – to midwifery/obstetric team if symptoms are severe or complex

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Self-Help for PSD

• Use a pelvic support belt to reduce strain

• Place a pillow between your knees at night

• Avoid heavy lifting, twisting, or wide-legged movements

• Take smaller steps when walking or climbing stairs

• Gentle glute and core activation (safe during pregnancy)

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Treatment Options at Bromley Sports Injury Clinic

✅ Pregnancy-adapted osteopathy – gentle joint and soft tissue techniques
✅ Exercise rehabilitation – safe strengthening for core, glutes, and hips
✅ Sports massage (pregnancy-safe) – easing tension in hip and thigh muscles
✅ Lifestyle advice – posture, sleeping positions, daily movement strategies
✅ Referral pathways – midwife/obstetrician collaboration if required

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Prevention

• Maintain strong core and glute muscles before and during pregnancy

• Use ergonomic support when sitting or sleeping

• Avoid activities that overload one leg (e.g. lunges, heavy stair climbing)

• Consider postnatal rehab to restore pelvic stability after birth

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FAQs – Pubic Symphysis Dysfunction

Q: Is PSD harmful to my baby?
No. It affects your pelvic joints, not your baby, but can be very painful for you.

Q: Will it go away after birth?
Often symptoms improve after delivery, but some women need postnatal rehab to restore stability.

Q: Can I still exercise with PSD?
Yes, but avoid movements that widen the legs or strain the pelvis. Low-impact, safe exercises are encouraged.

Q: Do I need a scan?
Scans aren’t usually needed. Diagnosis is clinical, but imaging may be used if other conditions are suspected.

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Book Your Appointment

Don’t let pelvic pain limit your pregnancy. Book a pubic symphysis dysfunction assessment in Bromley today for safe, effective support and treatment.

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📍 Bromley Sports Injury Clinic | Same-week appointments available