The aim of manual therapy treatment is to assess the position and the symmetry of movement of your pelvic joints, especially the sacroiliac joints at the back of the pelvis. A thorough assessment will help your manual therapist to identify which joint/s is causing the problem, and then treat it. You should expect to feel an improvement or some relief of your symptoms after each treatment. Keep going until you are completely pain-free after you have had your baby. We get a lot of calls from women who only had a few niggles in their joints after one pregnancy but just put up with it because it was much better than it had been, then develop symptoms very early in their next pregnancy because the underlying problem has never been resolved. This can be prevented or at least minimised by making sure that you are pain-free through continuing with treatment after your baby is born.
Gentle hands-on techniques are used to treat PGP and these focus on making sure that the joints are moving symmetrically and normally, rather than focussing on treating pain. This treatment is offered by physiotherapists, chiropractors or osteopaths with training and experience in treating PGP. Treatment involves a combination of joint mobilisation and soft-tissue or muscle treatment including myofascial release, muscle energy techniques and trigger point release with or without the use of dry needling. Joints will need to be mobilised if they are stiff or 'stuck' and are not working symmetrically. Muscles supporting the pelvis are also likely to become tight or go into spasm if they are trying to compensate for the pain in one or more of your pelvic joints. This muscle tightness will often need to be released as part of the treatment to allow the joint/s to move normally and prevent the problem from occurring again.
There are varying approaches to treating PGP, but the main things you should expect from your therapist are:
Content reviewed and updated in 2017.