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round ligament pain vs symphysis pubis dysfunction
what is the difference?


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#1 b723

Posted 07 May 2012 - 08:44 PM

ok, so I've been getting some pain in my left groin on and off for the last few weeks. (I'm nearly 31 weeks). I mentioned it to my midwife last week, and she was very much "it's all part of being pregnant - not much you can do" which is fine.I don't have a problem with that.

Today we went into the city and wandered around a bit - I walked much more than I have done for awhile. Then we came home and I sat down for a few hours, with my legs on a footrest. Tired, but not overly so.

Now I got up half an hour ago - and wow! the pain was really intense, on both sides! rather than just the one! So it is now in my groin on both sides, worse than it has been before. It is worse when I first get up and first start to move, and when I turn. Once I am walking it settles down a little, but is still pretty sore.

So I've been researching, and it seems that it is either round ligament pain OR symphysis pubis dysfunction. But can anyone tell me the difference between them? I can't work out which one I am more likely to have?

(In the end, I think that knowing which one it is will make very little difference to me, mostly I am curious)

But if anyone also has suggestions about how to manage over the next 9 or so weeks -I'd appreciate that too!

#2 3_for_me

Posted 07 May 2012 - 08:52 PM

I have always found that symphosis pain is right in the groin whereas round ligament pain is more across the top of the bikini line and around the sides.

That's just my experience though

As far as managing the best thing ever for my SPD was swimming, I used to go to the local pool with the kids and just float around and with DD i did an aquarobics class(did the seniors class as they didn't have a pregnancy one here), best thing ever!

Edited by 3_for_me, 07 May 2012 - 08:53 PM.


#3 Expelliarmus

Posted 07 May 2012 - 08:52 PM

When I had SPD it was painful right up the middle on my pubic bone - right down near the mons. It hurt when I tried to put my legs apart - for example if I tried to get out of the car by putting the one leg out of the car first instead of swivelling my legs out with knees together.

The SPD pains included sharp stabbing, shooting pains that were exacerbated by walking.

I did exercise in water, got a belt thing from the physio and kept my knees together always.

Edited by howdo, 07 May 2012 - 08:53 PM.


#4 IShallWearMidnight

Posted 07 May 2012 - 08:55 PM

My SPD pain is across my lower back/pelvis, but I also get pain in my vagina (feels like bellyfruit is trying to fall out)
I wear a pelvic support belt thingy

#5 chickychook

Posted 07 May 2012 - 09:00 PM

Sounds like SPD rather than round ligament pain.  I had quite bad ligament pain with my first pregnancy.  It is higher up around your tummy and feels like a bad stitch.

SPD is located around your groin as you have described or can be around the back of the pelvis (between your back and your bum).  The pain can radiate down your legs.  

If possible see a physio or osteo and they will be able to help you with some exercises.  

Self-help tips include doing lots of pelvic floor exercises, no heavy lifting or pushing if possible, try to keep your legs close together doing everyday activities (ie. no squatting, no breaststroke), rest lying on your left hand side when possible and sit down to put your pants, knickers etc on and off.

#6 hiccamups

Posted 07 May 2012 - 09:05 PM

I find that the round ligament pain is a more sharp, short lived pain whereas the SPD and pelvic instability pain is lingering.  Also, it cuts down the middle of the pubis.  It can also be in your hips.  From what you describe, it sounds like the latter, rather than the round ligament pain.






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