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Unread 03-25-2004, 07:04 PM
new problem

Well, I have a bladder, and kidney infection, and my body is for some reason producing a certain hormone that usually only happens when you are pregnant, causing you pubic bone to seperate. Also causing you sij joint to seperate, well, I have been having problems with my sij joint for some time now. So how long has my body been doing this hormone thing. I have to be very careful now not to do anything to seperate my pubic bone any farther. It is very painful.
Has anyone ever heard of this????
I would appreciate any suggestions. I am desperate. Please this pain is unreal.
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Unread 03-25-2004, 07:17 PM
new problem

Dear ((Jeni))

not more things!!.... you poor girl!!

I do believe this could explain some of your pelvic pain though... in the past I have had problems with my SIJ and saw a PT who specialized in those types of problems.... He had me wear a special belt to keep my pelvis "tight" or "braced" (I don't know how else to explain it) and do special stretches and exercises. My problem seemed to be a result of pregnancy and nursing.... and it has since resolved with time and weight lifting to strengthen and balance the muscles...

I am sorry ... I don't know anything about the hormone issue... I think the pregnancy hormone that caused my problem was called "relaxin" but I can't recall for sure.

I hope you are able to find someone to help you out... a PT who specializes in SIJ issues....

Unread 03-25-2004, 08:00 PM
new problem

Hi Jeni,

I can't believe what you have been going through, but maybe this is an answer to some of all the pain problems you have been having. I hope you get some solutions soon, meanwhile, take good care of yourself.

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Unread 03-25-2004, 09:28 PM
new problem

Hi Jeni Yes, it's called relaxin. Here are a couple of links (and exerpts from them) that may be helpful in understanding the problem:
Pelvic joint pain explained

Although it appears to be a firmly fixed circle of bone, the pelvis is actually four separate bones jointed together - the sacrum and coccyx at the back and at the sides the two hip bones which curve around to meet at the front. These are joined at the front by the symphysis pubis.

"In pregnancy the hormone relaxin is released to soften the joints in preparation for the birth of your baby, but in around one in 35 women the hormone causes the ligaments to soften and stretch too much and become painful," says Ann Johnson, superintendent physiotherapist in women's health at Leeds General Infirmary.

It is normal for there to be a gap of 4-5mm between the two pubic points at the symphysis pubis joint and during any pregnancy this widens by another 2-3mm. If this gap widens more than this pain may occur and in some cases a severe form of the condition called diastasis symphysis pubis is diagnosed.

The job of the symphysis pubis joint is to hold the pelvis steady when we're using our legs, and if the ligaments have softened or stretched too much it won't work properly and strain is put on the other pelvic joints, causing pain.

No one knows why SPD occurs for sure, or why it happens in some women and not in others. Some ethnic groups report a high incidence, especially Scandinavian women and perhaps Black women. Other risk factors may include having lots of kids, having had large babies, pre-existing problems with this joint, past pelvic or back pain, or past trauma (car accident, obstetric trauma, etc.) that may have damaged the pelvic girdle area. It also seems logical that women who have broken or injured their pelvis in the past would probably be prone to this problem.

Some sources view SPD simply as a result of pregnancy hormones. As noted, the pregnancy hormones relaxin and progesterone tend to loosen the ligaments of the body in preparation for birth. One theory is that some women have high levels of hormones before pregnancy, and then additional pregnancy hormones cause excessive relaxation of ligaments, especially in the pelvis.

Another theory is that some women manufacture excessive levels of relaxin during pregnancy, causing pelvic laxity. However, although still popular, this theory seems to have been disproven by recent research. Another theory is that women whose joints are especially flexible before pregnancy may be more susceptible to the effect of hormones, or that some women's bodies are just more affected by hormones than others. Traditional medical sources tend to view the problem of pelvic/pubic pain (when they acknowledge it at all) as simply a hormone problem.

A different theory holds that the problem is structural instead, and usually results from a misalignment of the pelvis. In this view, if the pelvis gets out of alignment, the bones don't line up correctly in front, and this puts a lot of extra pressure on that pubic symphysis cartilage. If the two sides are not aligned, it restricts full range of motion, pulling on the connecting pubic symphysis, and making it quite painful. The more out of alignment it is, the more painful this area becomes. It also tends to affect the back, especially in the sacroiliac area, since the pelvis and back are interconnected and work as a unit. And since many areas are affected by back problems, pain can also extend to other areas too.

Kmom's personal opinion is that this condition is probably primarily a problem of misalignment, although hormone levels and sensitivity to hormones may also play a role. In her opinion, the first line of SPD treatment should probably address the possibility of misalignment. Others may not agree. But whatever the cause, SPD is certainly annoying and painful to deal with, and Kmom knows this from personal experience!

I hope this helps shed a little on it for you.

Unread 03-26-2004, 08:05 AM
new problem

((((Jeni)))) I'm sending some your way. One thing though, at least you got an answer as to why you were in pain, you can now give it a name, and that must be a little bit of relief.

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