Pelvic instability - Painful pelvic girdle in pregnancy

Pelvic instability is a term describing a group of conditions causing pelvic girdle pain in pregnancy. Although a common problem in pregnancy, it is easily overlooked and sometimes dismissed as 'normal' by primary care professionals.

This article outlines the clinical features, diagnosis and management of pelvic instability in pregnancy.

General practitioners are in an ideal position to diagnose pelvic instability, implement treatment, and refer for further care to a physiotherapist with an interest in women's health. Use of a supportive belt or taping, appropriate analgesia, core stability and pelvic floor exercises, and avoiding heavy lifting and activities that exacerbate the pain are the mainstays of treatment.