When is pelvic floor physiotherapy recommended for pelvic girdle pain?

Pelvic girdle pain, sometimes called symphysis pubis dysfunction, may be felt around the pubic bone, groin, hips, buttocks, or lower back. Turning in bed, walking, climbing stairs, standing on one leg, or getting in and out of a car can become difficult. Pain may lead to guarded movement and changes in the pelvic floor, abdominal, hip, and back muscles. Physiotherapy is considered when an assessment suggests that movement habits, muscle coordination, load management, or support could be improved. Pregnancy and the period after birth are common settings, but pelvic girdle pain can occur in other circumstances too.

Ask for an assessment if pain is limiting walking, sleep, work, stairs, personal care, or caring for a baby. The physiotherapist may observe walking and transfers, assess the hips and back, and discuss pelvic floor coordination. Advice can include pacing, comfortable positions, movement strategies, gentle exercises, pelvic support, and a gradual return to activity. Keep movements within a manageable range and avoid forcing a stretch or repeatedly testing a painful task. During pregnancy or after birth, coordinate care with your maternity or medical team, particularly if pain is new or changing.

Seek urgent medical care after a fall or other injury, or for severe pain with inability to walk, fever, vaginal bleeding, fluid loss during pregnancy, or new leg weakness or numbness. Prompt review is needed for loss of bladder or bowel control, numbness around the genitals, or pain that escalates quickly. These features require medical assessment rather than self-directed exercise.

Ask whether your pain pattern is consistent with pelvic girdle pain, which activities should be modified, and whether a support belt or mobility aid could help. Discuss safe exercises, pelvic floor relaxation or strengthening, birth or postpartum considerations, and when to return for reassessment.