Pubic Pain / Pubic Symphysis Dysfunction

“Restoring comfort and confidence with every step.”

What is Pubic Pain / Pubic Symphysis Dysfunction?

Pubic pain most often develops when the joint at the front of the pelvis—the pubic symphysis—becomes irritated, unstable, or strained. This joint is made up of two pubic bones connected by a small cartilage disc and reinforced by four strong ligaments. When these tissues are working properly, they provide stability for everyday movements like walking, standing, and lifting.

During pregnancy, hormonal changes (especially the hormone Relaxin) naturally increase ligament laxity and joint mobility to prepare the body for childbirth. For many women, this change is temporary, but studies show that about 1 in 3 women experience pubic pain during pregnancy, and for some, the discomfort may continue even after delivery.

As the gap of the pubic symphysis widens—sometimes more than the typical 2–3 mm increase seen in pregnancy—the joint may become painful and unstable. This can make simple activities like rolling in bed, getting dressed, or caring for your newborn feel difficult or uncomfortable.

Common Symptoms

How Does It Feel?

  • Burning, sharp, shooting, grinding, or stabbing pain in the pubic area
  • Aching or persistent discomfort at the front of the joint
  • Pain that may radiate into the low back, abdomen, groin, perineum, or legs
  • Clicking or grinding sensation in the pubic bone
  • Difficulty moving the legs apart (abduction) or together (adduction)
  • Discomfort or instability with walking, climbing stairs, rolling in bed, or standing up from a chair
  • Pain that increases with lifting, carrying, or caring for your baby

HOPE

What Causes It?

One of the most common contributors to pubic pain is pregnancy. During this time, the surge of the hormone Relaxin softens the ligaments around the pubic symphysis, allowing more mobility in preparation for labor and delivery. While this flexibility is helpful for childbirth, for some women it can create joint instability, leading to inflammation and pain.

The pubic symphysis also experiences strain from everyday activities. Sitting compresses the joint, standing places pulling and compressive forces, and movements like walking or climbing stairs add repetitive stress. When the joint is already irritated or inflamed, these normal activities can trigger significant discomfort.

Other contributing factors may include:

  • Trauma or direct injury to the pelvis
  • Repetitive strain from high-impact activity or exercise
  • Muscle weakness or imbalance in the core and pelvic floor
  • Postpartum changes or previous pelvic surgeries

When these influences combine, the pubic symphysis loses stability and becomes more vulnerable to pain with simple, daily movements.

How We Identify the Root Cause

At Sarton Pelvic Healing, we take a comprehensive approach to understanding your pain. Our evaluation may include:

  • A detailed history of your symptoms, pregnancy, or delivery experience
  • Assessment of pelvic alignment and joint mobility
  • Gentle palpation of the pubic symphysis and surrounding muscles
  • Evaluation of pelvic floor strength, coordination, and tension patterns
  • Observation of posture, walking, and movement mechanics
  • Collaboration with your physician, midwife, or doula when needed

Our goal is to identify not just the irritated joint, but the underlying muscle, ligament, or movement imbalances that contribute to your pain—so we can create a targeted, effective treatment plan.

How We Help 
You Heal

At Sarton Pelvic Healing, treatment for pubic pain is individualized and comprehensive, with the goal of reducing pain, restoring stability, and helping you move with confidence in your daily life.

Our approach may include:

  • Manual therapy to release tight muscles and fascia, and to gently align the pelvis and pubic symphysis for improved stability
  • Neuromuscular re-education to retrain pelvic and surrounding muscles for better coordination and support
  • Supportive belting or bracing when needed, to provide temporary relief and external stability
  • Posture and movement training to reduce stress on the pubic joint during everyday tasks
  • Education on activity modifications, including positions and strategies that lessen strain during pregnancy and birth

Our team of board-certified pelvic health physical therapists is here to guide you through recovery with compassionate, evidence-based care—so you don’t have to live with this pain.

Begin Your Healing Journey

You deserve answers and relief from your pelvic pain. Our experienced team is here to guide you in reclaiming your confidence and quality of life.