I work alongside Vanessa Fisher, an experienced Osteopath on Sydney's Northern Beaches and today I wanted to discuss Symphysis Pubis Dysfunction (SPD) with her —a common yet often overlooked source of discomfort for pregnant women. Vanessa brings her expertise in osteopathic care, movement therapy, and hands-on treatment to help us understand SPD, also known as pubic symphysis pain and how osteopathy can support women through pregnancy.
What causes SPD during pregnancy?
Vanessa: Symphysis Pubis Dysfunction (SPD) happens when the ligaments supporting the pelvic joints become overly relaxed and stretchy due to pregnancy hormones like relaxin. This leads to instability and misalignment of the pelvis, causing pain around the pubic bone, lower back, and sometimes hips or thighs. The growing baby’s weight and changes in posture can add more strain, worsening the discomfort.
How can osteopathy relieve SPD?
Vanessa: Osteopathic treatment focuses on improving pelvic alignment and reducing muscle tension.
Gentle techniques, such as soft tissue work, pelvic balancing, and mobilisation, help ease pressure on the pubic symphysis and surrounding structures. Additionally, osteopaths provide advice on posture, movements, and exercises to support the pelvis and prevent aggravating the pain.
Will the pain affect my ability to give birth?
Vanessa: For most women, SPD doesn’t prevent vaginal delivery. However, the pain can make certain positions uncomfortable. An osteopath can suggest labour positions that minimise pelvic strain, like side-lying or hands-and-knees. In severe cases, collaborating with the birth team ensures a tailored birth plan to protect the pelvis.
Does it go away after pregnancy?
Vanessa: SPD often improves after birth as hormone levels stabilise and the pelvic joints regain strength. However, some women may experience lingering discomfort, especially if pelvic alignment wasn’t fully restored during pregnancy. Postpartum osteopathic care can help rebalance the pelvis, release muscle tension, and guide safe core strengthening to support lasting recovery.
More about Vanessa's Experience:
Vanessa Fisher is the founder and clinical director of The Willow Clinic, located within The Lotus Centre in Brookvale, Northern Beaches, Sydney.
She has 17 years of experience as an Osteopath in both the UK and Australia and treats patients of all ages using cranial, functional, and structural techniques, along with myofascial needling.
Vanessa has a strong passion for treating babies, children, and pregnant women, offering them tailored osteopathic care to support their unique needs.
It’s clear from our conversation with Vanessa that SPD doesn’t have to be something women simply endure. With osteopathic treatment, targeted exercises, and lifestyle adjustments, pregnant women can find relief and regain confidence in their mobility. If you’re struggling with pubic symphysis pain, consider seeking osteopathic support to help realign, strengthen, and stabilise your pelvis during pregnancy. Thank you, Vanessa, for sharing your insights and offering practical solutions for expectant mothers!
Further reading about Pregnancy and Third Trimester:
