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Pelvic girdle pain (SPD), explained
Common, treatable — and not something to grit through.
Updated · Sources
Pain in the pelvis, hips, groin or lower back — sometimes a grinding or clicking, sometimes a sharp catch when you move — is common in pregnancy. It's called pelvic girdle pain (PGP), once known as SPD. It's common, it's not harmful to your baby, and importantly, it's treatable. You don't have to just put up with it.
Why it happens
Hormones soften the ligaments around your pelvis to prepare for birth, which can leave the joints less stable and unevenly mobile. Add shifting weight and posture, and everyday movements — stairs, getting out of the car, turning in bed — can become painful.
What helps day to day
- Keep your knees together getting in and out of cars and bed (sit and swivel).
- Take stairs one at a time, or lead with your less painful leg.
- Sit down to dress; avoid standing on one leg.
- A pillow between your knees at night keeps the pelvis aligned.
- A support belt helps some people; warmth on the area can soothe.
Get treatment — it works
The most effective step is a referral to a women's-health physiotherapist, who can assess you, give targeted exercises, and sometimes a support belt or crutches. Treating it early keeps it from worsening, and most people improve. It usually eases after birth.
Sources & editorial process
Written by the Elara editorial team from the sources above. This page has not been reviewed by an independent clinician. Read how we write and update health pages. Last updated .
Medical disclaimer: this page is general education, not medical advice, diagnosis or treatment. If you are worried about yourself or your baby, contact your midwife, doctor or maternity unit straight away. In an emergency call your local emergency number.