Post-partum management of severe pubic diastasis

Area of Science:

• Obstetrics and Gynecology
• Orthopedic Surgery
• Physical Therapy

Background:

• Pubic symphysis diastasis (PSD) is a rare pregnancy complication characterized by pelvic pain and instability.
• Current treatment strategies for PSD lack consensus, with options ranging from conservative management to surgical intervention.
• This case highlights a severe instance of PSD following childbirth.

Observation:

• A 31-year-old female presented with severe lower back pain post-delivery.
• Radiographic evaluation revealed a significant pubic symphysis diastasis of 5.5 cm.
• The patient was treated with a conservative pelvic binder on postpartum day 3.

Findings:

• The patient experienced complete pain relief and regained full range of motion within six weeks.
• Follow-up at six weeks showed a reduced diastasis of 2.1 cm.
• Long-term follow-up (1 year, 3 months) indicated a stable diastasis of 2.4 cm with persistent full mobility.

Implications:

• Conservative management with a pelvic binder can be effective for severe pubic symphysis diastasis.
• This approach offers a viable alternative to surgical intervention for PSD.
• Further research into conservative PSD treatments is warranted to establish optimal management protocols.