The 2 halves of the pelvis are connected by a fibro cartilaginous joint known as the Symphysis Pubis.  SPD is caused when gap widens due to softening hormone relaxin.  The gap can be as much as 5mm – 10mm increased and can even increase to 3cm.   Usually occurs mid pregnancy, but can start earlier with multiple pregnancy.  You will know this happens by clicking, grinding pubic pain with pain radiating to inner thighs.

It is cartilaginous so it is a problem if it separates because its usually fixed and rigid.  Sometimes one can move up down or back in relation to the other.  This can be linked to a SIJ issue.

SPD advice:

• Don’t move legs apart – keep hips and shoulders in line, maintain lumbar lordosis Poses like Padottanasana are a no
• Avoid heavy lifting and pushing
• Climb stairs with best leg leading, one step at a time
• Sit down to put knickers on
• Avoid breast-stroke and wide legged postures with asanas
• Work with block between knees in asanas engages thighs and makes muscles work in harmony bridge, down dog
• SPD serola belts lift the belly and help stability holds the two surfaces together and the SIJ joint