Diastasis Recti, Pregnancy Pelvic Girdle Pain, Symphysis Pubis Dysfunction, Rectus Distension… What Does It All Mean?

Diastasis Recti is one of the causes of your mummy tummy, Symphysis Pubis Dysfunction means you can’t get out the car comfortably when pregnant… and then there’s the acronyms for all these pregnancy & postnatal aches & pains: SPD, PSD, PGP, DR, RD. You need a copy of Gray’s Anatomy just to give a name to your sore joints & back ache once you’re pregnant!

Confused? You’re not alone. A few new clients lately have been feeling a little flummoxed by some of the terms being used for whatever it is they’re suffering from…  sometimes midwives, antenatal teachers, doctors, personal trainers or your best friend, don’t use the same language.

So I’ve done a mini glossary of the ones you’re likely to come across or suffer from. Hope it helps, & if you have any others you’d like to know about, do ask!

Diastasis Recti, Rectus Diastasis or Rectus Distension all refer to a very common separation of the rectus muscles at the front of your tummy during pregnancy. I post frequently on this condition & here you can find some instructions on how to test for diastasis recti, which exercises are recommended & which ones you should avoid.

Diastasis Symphysis Pubis (DSP) is not the same as diastasis recti, it is an actual separation of the Symphysis Pubis Joint. This can only be confirmed by diagnostic imaging by a doctor or physiotherapist.

Pregnancy-Related Pelvic Girdle Pain (PGP) & Symphysis Pubis Dysfunction (SPD) refer to the same thing.

Pelvic Girdle Pain is the term more used more nowadays, but both refer to pregnancy-associated pain, instability & dysfunction of the Symphysis Pubis Joint &/or the Sacro-Iliac Joint.

Pain may be a minor discomfort, necessitating some modification of movement… right up the scale to severe pain & disability. Make sure you consult a physiotherapist or professional trainer who specialises in this area, & don’t go to just any generic exercise class or instructor.

The joints affected are the ones at the front & back of the pelvis. You may feel pain over the front of the pubic bone at the front, across your tummy, or across one or both sides of your lower back, or down your legs.

You may feel a clicking or grinding in your pelvis & have difficulty walking, especially up or down stairs. This ’shearing’ movement (one leg in front of the other) or abduction (legs out to the sides) may also hurt, making getting in or out of a car, your bed, or any number of other everyday activities, painful.

Pregnancy-Related Pelvic Girdle Pain affects around 1 in 5 women, at varying degrees of severity. Around 7% of women continue to have problems postnatally.

In general:

You will be advised by your Midwife or doctor to avoid or adapt as many painful movements as possible. So avoid heavy lifting, go carefully & slowly up stairs; keep your knees together as mush as possible when getting on or out of the car; roll over onto your side to get out of bed…but many of these are part of life, & can’t realistically be avoided.

You can however help to alleviate pain with correctly prescribed core strengthening exercises.

The stability of your joints is affected by the pregnancy hormone, relaxin, but also by the strength of the muscles that hold them in place. Do NOT go to a generic class or instructor with PGP, they cannot be expected to accurately prescribe the correct exercises for you. But controlled, guided core strength & lower body resistance work will definitely help to strengthen & stabilise your joints, & reduce pain.

Let me know what else you need on these conditions – I know from my clients that they are  commonly diagnosed, but also often misunderstood pregnancy & postnatal considerations which affect the exercise you can comfortably undertake.