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Symphysis Pubis Dysfunction Physio Singapore

Symphysis pubis dysfunction (SPD) causes pelvic pain and instability, commonly during pregnancy. At ACE Physio Sports in Singapore, we provide specialised physiotherapy to reduce pain, improve stability, and support safe daily movement.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 29 May 2026
Symphysis Pubis Dysfunction Physio Singapore

What is Symphysis Pubis Dysfunction (SPD)?

The symphysis pubis is a joint at the front of the pelvis that normally has very little movement. Symphysis pubis dysfunction (SPD) occurs when this joint becomes unstable or moves excessively, leading to pain and difficulty with movement.

It is most commonly seen during pregnancy but can also occur due to trauma or repetitive stress.

Many patients describe it as:

  • “pain in front of pelvis when walking”
  • “pain when turning in bed”
  • “difficulty getting in and out of car”

If you are looking for symphysis pubis dysfunction physiotherapy in Singapore, ACE Physio Sports provides targeted care to help you move comfortably again.

Causes (How It Happens)

SPD is usually caused by ligament laxity (looseness) around the pelvic joint.

Common causes include:

  • Pregnancy-related hormonal changes (relaxin hormone)
  • Increased pelvic load as pregnancy progresses
  • Excessive movement at the pelvic joint
  • Trauma (e.g., falls or accidents)
  • Repetitive stress (e.g., horse riding, high-impact activity)

During pregnancy, the body naturally prepares for childbirth, but excessive loosening can lead to instability and pain.

Symptoms (What People Commonly Feel)

Symptoms can vary from mild discomfort to severe pain:

  • Pain in the front of the pelvis (pubic area)
  • Pain when walking or standing on one leg
  • Difficulty turning in bed
  • Pain when climbing stairs
  • Pain when getting dressed or lifting one leg
  • Pain when getting in and out of a car
  • Clicking or grinding sensation in the pelvis
  • Waddling walk or altered gait
  • Pain radiating to lower back, hips, groin, or inner thighs

Common real-life descriptions include:

  • “cannot walk properly due to pelvic pain”
  • “pain when standing on one leg”
  • “sharp pain in pelvic area during movement”

What Should I Do?

  • Seek physiotherapy assessment early
  • Modify activities that trigger pain
  • Keep movements controlled and symmetrical
  • Follow a guided exercise programme
  • Use support (e.g., pillow between knees when sleeping)

Early management helps reduce pain and prevents worsening.

What Shouldn’t I Do?

  • Do not ignore pelvic pain
  • Avoid standing on one leg for long periods
  • Avoid sudden or uneven movements
  • Do not push through pain
  • Avoid high-impact activities

Physiotherapy Treatment for Symphysis Pubis Dysfunction

At ACE Physio Sports, we focus on stabilising the pelvis and reducing pain.

Your treatment plan may include:

  • Core stability exercises to support the pelvis
  • Pelvic stabilisation exercises
  • Soft tissue therapy to reduce muscle tension
  • Stretching exercises to improve flexibility
  • Postural and movement correction
  • Activity modification advice
  • Hydrotherapy for low-impact strengthening
  • Electrotherapy for pain relief
  • Acupuncture where appropriate

We ensure safe, guided recovery tailored to your stage and symptoms.

Recovery & Long-Term Effects

Recovery varies depending on severity and individual factors.

With physiotherapy at ACE Physio Sports, you can:

  • Reduce pelvic pain
  • Improve stability and movement
  • Maintain independence in daily activities
  • Support a more comfortable pregnancy and recovery

In some cases, recovery may take several months, especially if symptoms are severe or prolonged.

Without proper treatment, SPD may lead to:

  • Persistent pelvic pain
  • Difficulty walking or standing
  • Long-term movement limitations

Why Choose ACE Physio Sports

Located near East Coast Road, ACE Physio Sports is a trusted physiotherapy clinic in Singapore for pelvic and musculoskeletal conditions.

Why patients choose us:

  • Personalised assessment and treatment plans
  • Safe and gentle rehabilitation approach
  • Experience in managing pregnancy-related conditions
  • Hands-on therapy combined with guided exercises
  • Focus on comfort, safety, and long-term recovery

If you have pelvic pain and “cannot move comfortably during daily activities,” we can help you regain stability and confidence.

Book Appointment

If pelvic pain or instability is affecting your daily life, don’t wait.

👉 Book your session at https://acephysiosport.com 📞 Call: +65 81535374

Frequently Asked Questions

Why is my hip pain worse when lying on my side at night?

Night-time pain in Symphysis Pubis Dysfunction is often due to compression of irritated structures when lying on the affected side. Your physiotherapist will recommend positioning strategies and begin targeted strengthening to reduce this pattern over time.

Is walking good or bad for Symphysis Pubis Dysfunction?

Walking is generally beneficial, but load management matters. Too much too soon can aggravate symptoms, while appropriate amounts support tissue recovery. Your physiotherapist will advise on pacing and help you build walking tolerance progressively.

Can physiotherapy fix Symphysis Pubis Dysfunction without cortisone injections?

Yes — many patients with Symphysis Pubis Dysfunction recover fully with physiotherapy alone. Targeted gluteal and hip strengthening, load management, and addressing contributing factors are usually highly effective without the need for injections.

Ready to start your recovery?

Our specialist physiotherapists are here to help. Book a consultation today.

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