David A Mitchell
Danielle M Esler
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.
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