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Can you help our new 'Stickmum' leaflet on it's way?

Posted by Madeleine Speed, the Pelvic Partnership, November 2015


The team at the Pelvic Partnership are very excited about the launch of our new leaflet for frontline healthcare professionals and we would like our members and website readers to be involved, too.

Big lottery logoThis month the Pelvic Partnership is launching its very own 'Stickmum' leaflet about pregnancy-related Pelvic Girdle Pain (PGP), its symptoms and how best to treat it. Thanks to the Big Lottery Fund's Grant of £10,000, we are able to produce and distribute over 100,000 copies of this informative and upbeat leaflet about how to recognise and treat PGP promptly and effectively with manual therapy. The aim is to include a copy of the leaflet for all UK GPs, midwives and physiotherapists within their respective professional journals during November so that they have direct access to this vital information about PGP.

Stickmum good story verticalIt's a big undertaking for a small charity like ours but we are taking this action because we know that PGP is still poorly understood and often ignored. Without prompt diagnosis and suitable treatment, the symptoms of pain and immobility can be needlessly prolonged. PGP affects up to 1 in 5 pregnant women; it causes pain and difficulty in walking during pregnancy and after birth which can prevent women from doing the everyday tasks necessary to look after a new baby and care for her family. Research indicates that 7% of women affected may still need crutches or a wheelchair two years after having their baby if they don’t get the right treatment.

Can you help us extend our reach even further?

We want to help women with PGP by asking everyone who reads this on our website to spread the word that PGP is treatable through manual therapy from an experienced manual therapist such as a physiotherapist. Please CLICK HERE to access a downloadable fact sheet version of our ‘Stickmum’ leaflet or order two free copies of the leaflet and give out to the healthcare professionals caring for you or someone you know with PGP. If you are a member of the Pelvic Partnership, we will be sending out copies with our newsletter. The leaflet features our 'stickmum' character and has key information about the causes of PGP and that manual therapy is the best form of treatment. If you take a leaflet to your GP, your midwife and an NHS physiotherapy department in your area, you will really be helping us to spread the word.

Sarah Fishburn, Chair of the Pelvic Partnership emphasises that at this time when time when budgets are being cut and resources reduced "We wanted to provide a resource for healthcare professionals throughout the UK." The fun, upbeat and concise leaflet explains what PGP is, how to spot the symptoms and how manual therapy can bring relief. Sarah continues by explaining that "By treating it early, as well as improving women’s quality of life, it can also save money for the NHS by reducing the number of women with long-term symptoms, which has an impact on GP and specialist resources."

So please help us to help women with PGP by handing a copy of our downloadable 'Stickmum' leaflet to as many healthcare professionals as you can. You will be joining us in taking action across the UK to help women with PGP to get the prompt and appropriate care they need towards a good recovery.

Thank you.

What is prolotherapy and could it help relieve my PGP symptoms?

Posted by Madeleine Speed, the Pelvic Partnership, October 2015


You may have heard of Prolotherapy in relation PGP but want to know more about it. Prolotherapy is seen as an approach for a number of pain-related problems, too, such as long-term back pain where it has been used for some time. Prolotherapy is an increasingly used therapy for women with instability associated with PGP. It seems to work well for women whose pelvis can be realigned and pain-free during a physiotherapy or osteopathic session, but as soon as they return to the normal activities of life, the pain and instability returns. 

If you have been newly diagnosed as having PGP, there are some key steps that you would benefit from considering first before looking at Prolotherapy. The Pelvic Partnership team suggest that PGP blog oct 2015 tina bolton imageusually responds very well to manual therapy. So it's worth looking for a manual therapist who has experience of PGP as your first step. Manual therapy is a 'hands-on' approach where a manual therapist, such as a physiotherapist, chiropractor or osteopath, examines your pelvis to check how it is functioning and if PGP symptoms are apparent. Once stiff or stuck pelvic joints are identified, the healthcare professional uses various techniques to restore smooth and effective movement again. This may take one or several sessions (everyone is different so generalising can be misleading) but after each you should feel some significant progress such as a reduction in pain or an increase in mobility.      

Prolotherapy may be useful if you have longer-term PGP and where pain and instability seem to return almost as soon as you've received a successful treatment session. So if you find that your pelvis cannot seem to stay in position whenever a manual therapist has newly aligned it and you notice that the pain and immobility quickly return as a result, this procedure may be well worth considering. This failure to keep the pelvis in position is often due to a true instability at the pelvic joints where the ligaments have been overstretched. Ligaments are different from muscles, and once overstretched, sometimes cannot return to their normal length. 

Prolotherapy works by injecting a sucrose solution into the ligaments, which causes a local inflammatory reaction, which in turn makes the ligaments tighten up. Some patients report this as a painful procedure but most practitioners use sedation before doing the injections which makes it much less uncomfortable. It is usually given as a course of injections, once a month for three months.

Many of the women who have received this treatment are reporting improvements in their symptoms with a reduction in pain and increase in stability. The best results are in women who have had their pelvis realigned just before and after the injections, so the pelvis is in the best possible position for the ligaments to hold and maintain it. If this has not been done, people have reported disappointing results.

Most women who have had good manual therapy find that this alone works for them  and they make a full recovery. However, if you have good reason to believe that your pelvis regularly shows an instability at the pelvic joints soon after a successful manual therapy session, then it may well be a procedure worth considering. Prolotherapy is sometimes available on the NHS (but not widely) so there may be a significant cost implication to trying this treatment. It is usually seen as an option to try when other options have failed to maintain an improvement.

We have found some weblinks about Prolotherapy that may be useful to you:

* Image courtesy of Tina Bolton.
Charity Registered in England: 1100373                                           © Copyright Pelvic Partnership 2017
 
Please note, the Pelvic Partnership consists of volunteers who have had Pelvic Girdle Pain and wish to support other women. We aim to pass on information based on research evidence where available. We are not medical professionals and cannot offer medical advice. The Pelvic Partnership takes no responsibility for any action you do or do not take as a result of reading this information.
 
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