Understanding Pubic Symphysis Dysfunction: How Chiropractic Care Can Help

What is Pubic Symphysis Dysfunction?

The pubic symphysis is a cartilaginous joint that sits at the front of the pelvis, where the left and right pelvic bones meet. It’s supported by ligaments and typically allows for minimal movement—just enough to help with walking and, in pregnant women, to accommodate childbirth.

In Pubic Symphysis Dysfunction, this joint becomes unstable or misaligned. Ligaments may loosen too much (especially under the influence of the hormone relaxin during pregnancy), or there may be uneven tension from surrounding muscles or compensatory imbalances in the spine, hips, or sacrum. This results in inflammation, irritation, and pain.

Common Symptoms of PSD:

• Sharp or aching pain in the pubic bone
• Pain radiating into the groin, hips, or inner thighs
• Difficulty walking or a waddling gait
• Clicking or grinding sensation in the pelvic region
• Pain when lifting one leg (e.g., getting into a car, climbing stairs, or rolling over in bed)

What Causes PSD?

While PSD most often affects pregnant women, it can occur in anyone. Causes include:

• Pregnancy-related ligament laxity
• Pelvic trauma or injury
• Biomechanical imbalances in the spine, sacrum, or hips
• Postural strain from repetitive motion or sitting unevenly
• Muscle imbalances, especially in the core, pelvic floor, and glutes

How Chiropractic Care Helps PSD

Chiropractic care can be a game-changer for people suffering from PSD, especially when other interventions (like rest or stretching) haven't been enough. At Awesome Family Chiropractic, we take a whole-body approach to healing the pelvis—reducing inflammation, restoring alignment, and supporting stability.

1. Gentle Pelvic and Sacral Adjustments

By assessing the alignment of the pelvis and sacrum, we can identify dysfunctions that may be contributing to excess pressure or instability in the pubic symphysis. Gentle, specific adjustments (often using the Activator, drop table, or Webster Technique) can restore proper motion and relieve compensatory tension.

2. Webster Technique for Pregnancy

Our trained chiropractors often use the Webster Technique—a specialized chiropractic approach for pregnant women—to reduce sacral misalignment and support optimal pelvic balance. When the sacrum and round ligaments are functioning properly, it reduces strain on the pubic symphysis and may even help baby positioning.

3. Muscle and Ligament Support

Chiropractors can identify tight or overactive muscles (like the adductors or hip flexors) and underactive stabilizers (like the glutes and core). We provide guidance for stretches, exercises, and at-home care to rebalance muscle tone, reduce pressure on the pubic symphysis, and support pelvic stability.

4. Lifestyle Modifications

We’ll help you avoid aggravating movements and recommend supports like belly bands or pelvic belts when needed. We may also suggest changes to the way you get in and out of bed, carry children, or move throughout your day to prevent flare-ups.

When to Seek Chiropractic Care for PSD

If you’re experiencing pubic pain that interferes with walking, sleep, or daily function—especially during pregnancy—it’s time to get evaluated. The earlier you seek care, the easier it is to manage symptoms and prevent worsening instability.

At Awesome Family Chiropractic, we serve patients across Alpine, La Mesa, and Santee with compassionate care tailored to your body’s needs. Whether you're in your first pregnancy or struggling with lingering pelvic pain postpartum or from an injury, we’re here to help you move better and feel better.

Ready to Feel Relief?

Schedule a consultation with one of our doctors today. We’ll listen, assess, and create a plan to help you move without pain and regain control over your body.

📍 Visit us in Alpine, La Mesa, or Santee
🌐 Book online at www.LiveAnAwesome.Life
📞 Or call us directly to get started!

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This blog is for educational purposes only and not a substitute for professional medical advice. Consult a healthcare provider before starting any new treatment. Outcomes and experiences discussed may vary. For immediate medical concerns, contact your physician.