Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Sacroiliac joint painSacroiliac joint dysfunctionPubic symphysis painPubic symphysis diastasis ++ 648.7 Bone and joint disorders of back pelvis and lower limbs of mother complicating pregnancy childbirth or the puerperium719.45 Pain in joint, pelvic region and thigh724.6 Disorders of sacrum846 Sprains and strains of sacroiliac region846.1 Sprain of sacroiliac ligament846.8 Sprain of other specified sites of sacroiliac region846.9 Sprain of unspecified site of sacroiliac region ++ M25.559 Pain in unspecified hipS33.2 Dislocation of sacroiliac and sacrococcygeal jointCM 026.7 Subluxation of symphysis pubis in pregnancy, childbirth, and the puerperiumCM 026.71 Subluxation of the symphysis pubis in pregnancyCM 026.711 Subluxation of the symphysis pubis in pregnancy, first trimester ++ Pattern 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissue dysfunction +++ Description ++ Pain experienced between the posterior iliac crest and the gluteal fold, particularly in the vicinity of the sacroiliac joints (SIJ) and/or the pubic symphysis1Pain may radiate in the posterior thigh and can also occur in conjunction with/or separately in the symphysis1Endurance capacity for standing, walking, and sitting is diminishedGenerally arises in relation to pregnancy, trauma, or reactive arthritisGradual or acute onset secondary to strain and impairment of load transfer at sacroiliac joints or symphysis pubis +++ Essentials of Diagnosis ++ Diagnosis made by clinical examination including provocation tests and load transfer testsLumbar spine involvement and hip joint involvement must be ruled in or outReproduction of symptoms with clinical examinationNo imaging is performed on pregnant women unless pain is associated with acute trauma such as motor vehicle accident +++ General Considerations ++ PGP in pregnancy is related to impaired functional stability of the pelvic girdle joints resulting in impairment of the transfer of load2Pregnancy predisposes women to pelvic girdle pain because of reduced force closure of the pelvic girdle jointsMay present with or without lumbar spine pain, radicular symptoms +++ Demographics ++ Commonly occurs in women during pregnancy +++ Signs and Symptoms ++ Pain experienced between the posterior iliac crest and the gluteal fold, particularly in the vicinity of the sacroiliac joints (SIJ) and/or the pubic symphysis and/or hips1Pain can be unilateral, bilateral in the symphysis, or in all three joints3Symphysis pubis pain may be extremely tender to the touchPain may radiate in the posterior thigh and/or groin/inner thighPain can occur in conjunction with/or separately in the lumbar spine and pubic symphysisAsymmetrical appearance of bony landmarks of the pelvis and malalignment of pelvic and/or back jointsAudible clicking sound coming from the pelvis +++ Functional Implications ++ Endurance capacity for standing, walking, and sitting is diminished1... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.