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What are PGP and SPD?

Pelvic girdle pain (PGP) and symphysis pubis dysfunction (SPD) are two common conditions that many pregnant women experience. However, they are not the same. While both conditions involve pain in the pelvic region, the location and severity of the pain are distinctly different.

PGP

PGP is a term used to describe pain that occurs in the whole pelvic region during pregnancy. It can be felt in the back, hips, groin, and thighs. The pain can be mild or severe and can vary from woman to woman. PGP is generally caused by the relaxation of the ligaments and joints in the pelvic area, which puts extra stress on the muscles and causes pain.

SPD

SPD, on the other hand, is a more specific type of pelvic pain that occurs when the symphysis pubis joint, which connects the two halves of the pelvis, becomes unstable, inflamed or, in very rare circumstances, slightly misaligned. This can result in severe pain in the pelvic region and groin and difficulty walking, standing, or sitting.

What to do

Both PGP and SPD can be treated with osteopathy, as we focus on improving the function of the musculoskeletal system (bones, muscles, ligaments, tendons and their nerve and blood supply).

Osteopathic treatment for PGP and SPD usually involves a combination of gentle hands-on techniques, such as massage, stretching, and mobilisation of the joints and associated areas, as well as exercises to strengthen the muscles in the pelvic region. We can also provide advice on posture and guidance on activities to avoid to reduce the risk of further injury.

Osteopathy is a safe and effective way to treat PGP and SPD during pregnancy, as it does not involve the use of medication or invasive procedures. It can also be used alongside other treatments that you may already be utilising, such as yoga, pilates or acupuncture. Sometimes people also combine aromatherapy or other relaxing therapies, to provide a holistic approach to pain relief and function.

Conclusion

Reassuringly, at Bolton Osteopathic Clinic, we are experienced in helping pregnant (and postpartum) mothers in all the stages of pregnancy and our approach is an effective way to treat both conditions. It can provide relief for pregnant women without the use of medication or invasive procedures. If you are experiencing pelvic pain during pregnancy, we are here for you, just book a consultation today.

Alex Green

Author Alex Green

Alex Green (BSc Hons Ost. D.N. D.O. F.S.C.C.O. CRTS) has spent 25 years doing one thing exceptionally well: helping people leave in less pain than when they arrived, and making sure they stay that way. He combines the clinical depth of osteopathy with Dynamic Movement Skills training to treat the whole picture, not just the symptom in front of him, but the patterns and underlying causes that created it in the first place. That philosophy shapes everything about how Manchester & Bolton Osteopathic Clinic operates. Rather than managing pain on a session-by-session basis, Alex works to resolve it, restore movement, and then equip patients with the tools to maintain their own health long term. It is an approach that has earned the clinic recognition as the best osteopathic practice in the UK for three consecutive years from 2017, a Patient Care Excellence Award for both 2024 and 2025, and Best Osteopathic Clinic 2025, alongside a string of other accolades in between. These awards reflect what patients already know from their own experience: this is a clinician running a clinic that genuinely cares about getting it right. Never content to stand still, Alex is continuously expanding his knowledge and professional skills, always looking for the next improvement in both clinical outcomes and patient experience. As a father of five, ranging from 5 to 22 years old, he brings that same driven, caring, and deeply practical mindset to every patient he sees, whatever their age or condition.

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