Pelvic Girdle Pain and Sacro-iliac Joint Issues
PGP is a term used to describe pain or discomfort that occurs in the joints and tissues around the pelvis region. SIJ is specifically associated with pain at the back of the pelvis where the iliac bones join the sacrum but is known to radiate to the front of the inner thigh.
These issues may be caused by a number of factors including hyper mobility (too much movement) and hypo mobility (too little movement), uneven muscle forces acting on the pelvis such as the quadriceps or hamstrings, excessive running and more commonly pregnancy (pregnancy related pelvic girdle pain).
Symptoms can often be felt when turning in bed at night, getting in and out of the car, crossing your legs and bending forwards.
Sports related pelvic pain is also very common and includes conditions such as symphysis pubic dysfunction and osteitis pubis (athletes’ groin). In contrast to PGP, these symptoms are typically reported at the front of the pelvis.
Treatment can vary among clients and what they present with. Manipulative therapy, conservative treatments such as stretching and strengthening programmes as well as deep tissue release can facilitate healing. Acupuncture and dry needling are also very effective modalities.