Previous Pelvic Girdle Pain

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Previous Pelvic Girdle Pain

Previous Pelvic Girdle Pain

Hi, I have a student due to start my class soon who is 18weeks into her second pregnancy. In her previous pregnancy she suffered with severe pgp and had to use crutches from 34weeks onwards. Her child is now 3. I'm not sure what birthlight standard practice is in this situation, but knowing that it is very likely to reoccur and probably earlier this time my instinct is telling me to treat her as if she already has pgp even though she is not suffering with any pain as yet, modify asana within the class and suggest she gets a referral to a physio asap before any pain starts. I would be grateful of any suggestions or guidance, I really don't want to cause my student any alarm or more anxiety than she is feeling already by being over the top but would hate to be the cause of another miserable pregnancy. What do you think? Sharon Nagle
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Fri, Feb 25 2011 11:19 AM In reply to
Rosanna

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Re: Previous Pelvic Girdle Pain
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Hi Sharon, forgive the brief reply but am away so have limited interent access and time! Yes do treat her as though she already has SPD but be very careful that you empower her with ´dos´rather than ´donts´regarding what she can and cant do (see your manual about this- there is a page on it). working in dandasana and offering double lifts of pelvic floor 10 breaths in each of the 3 areas- lifting on inh, then lifting further on exhale to relseas at end of exhale works very well if she uses yoga belt-scarf around the feet and holds each end to lift the sternum. This will strengthen both the pelvic floor, recuts abdominus and deep back muscles. Really watch her transitions and ask ker how she lefts her toddler- show her how to do so whilst engaging PF. I find that cranial osteopathy tends to be more effective than physio but anything she can get for free is a plus. If she can afford to go to cranio too, then this is great. Self nurture will be really important and lots of encouragement so she can feel positively and build strength and hopefully have a much better experience of pregnancy this time round. If she treats it preventatively then there is no reason to encounter the same discomfort as last time. Hope this helps- abdominal breathing every day aslo super helpful and isometric movement against wall with hands to strengthen rectus- see if you can give her a 5-10 min programme to try at home every day. Good luck! xx