Pelvic Girdle Pain - really is a pain in the butt (or pubic bone).
- Rebecca Malon
- May 14
- 3 min read
🦴 Understanding Pelvic Girdle Pain: An Osteopathic Perspective
Pelvic Girdle Pain (PGP) is a musculoskeletal condition that can significantly affect mobility, posture, and quality of life. It’s commonly experienced during pregnancy, but can also develop in non-pregnant individuals due to trauma, joint dysfunction, or postural imbalances.
As osteopaths, we take a holistic approach to diagnosing and managing PGP, aiming not just to relieve symptoms, but to address the root causes and restore natural movement.

🔍 What Is Pelvic Girdle Pain?
PGP refers to pain arising from the sacroiliac joints, pubic symphysis, and surrounding soft tissues of the pelvis. It can present as:
A deep ache or sharp pain in the lower back, SIJ, hips, groin, or buttocks
Discomfort during walking, standing, turning in bed, or climbing stairs
Clicking or grinding sensations in the pelvic region
PGP is not “just a normal part of pregnancy” or something to push through—early intervention makes a big difference.
👶 PGP in Pregnancy: Why It Happens
During pregnancy, hormonal changes (especially relaxin) cause ligaments to soften in preparation for childbirth. This, combined with postural changes, increased weight, and altered biomechanics to adjust for baby, can lead to pelvic joint instability and pain.
Osteopathic treatment can be especially beneficial in pregnancy because it:
Supports structural balance as the body adapts
Works on joint mobility, strength and alignment
Relieves muscle tension and compensatory strain
Addresses your biomechanics (the way you move)
👐 How Osteopathy Can Help
As osteopaths, we use hands-on techniques to gently work on balance and function to the pelvic region and whole body. Treatment is tailored to each individual and may include:
✅ Joint Mobilisation
To improve movement in the pubis, sacroiliac joints, lumbar spine, and hips.
✅ Soft Tissue Techniques
To release tight or overworked muscles, especially in the lower back, glutes, and pelvic floor and get 'weak' ones working more efficiently.
✅ Postural Advice
We help patients understand how posture, movement habits, and daily activities can aggravate or relieve their symptoms.
✅ Exercise Prescription
We provide safe, targeted exercises to strengthen the core, glutes, and pelvic stabilisers, helping to maintain alignment and reduce recurrence.
✅ Pregnancy & Postnatal Support
For expectant mothers, we offer gentle, safe treatment and advice throughout pregnancy and the postnatal period.
🧠 Self-Help Tips for Managing PGP at Home
Alongside osteopathic treatment, we recommend:
Avoiding asymmetrical movements, such as standing on one leg, kicking things along the ground or twisting while lifting
Using a pillow between the knees while sleeping on your side
Wearing supportive footwear and avoiding prolonged sitting or standing
Applying heat to ease muscle tension, or cold packs to reduce inflammation
Using a pelvic support belt (if recommended)
📅 When to Book an Appointment
If you're experiencing:
Persistent pelvic, hip, or lower back pain
Pain that limits your walking, sleeping, or daily activity
Discomfort that hasn’t improved with rest or self-care
... then osteopathic treatment can help. Early intervention often leads to faster and longer-lasting relief.
💬 Final Thoughts
We understand how PGP can impact your daily life—especially during the transformative stages of pregnancy. With a combination of expert hands-on treatment, patient education, and tailored movement strategies, we aim to help you move freely and feel better, naturally.
Need support with Pelvic Girdle Pain?Book an appointment with us to find out how osteopathy can help you feel more comfortable and confident in your movement.
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