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welcome to the new SPD sofa, have a [biscuit] and a [brew]!

(318 Posts)
sillywmama Sat 19-Nov-11 18:26:27

Hello all... just thought I'd start a new SPD support thread for anyone dealing with the whole achy fanjo/painful back/ridiculous inner thigh pain. I'm 9weeks pregnant and am settling in for the long haul. <fluffs up pillows and pops a paracetamol>

I have to confess I'm feeling a tad emotional that the pain is ALREADY here again but at least I'm better prepared this time! Last preg was spent flipping between teeth-gritted stoicism and hysterical wailing tears. No fun for anyone!

Taking enormous doses of codeine and hobbling around on crutches is something I'd like to avoid this time round so I'm going in all guns blazing for a consultant led care plan, pain clinic appointments and physio ASAP.

Anyone is welcome to join me! <puts the kettle on and hands around the jammy dodgers>

notcitrus Mon 21-Nov-11 15:40:00

I give up - I'm calling in sick again. I'm either sick from the codiene or in pain if I don't take it. Maybe I should take more and then not care if I throw up?!
It's the baby kicking me in the fanjo though, not the pelvic problems.

MrNC is being a total star - keeps reminding me it doesn't matter if I'm not doing anything other than gestating because he can do everything else but can't do that.

sillywmama Mon 21-Nov-11 21:03:42

hi everyone! Welcome newbies, don't worry Kiki I promise your fanjo won't pop apart entirely... but ooooh I feel your pain sad poor you. I recommend an ice pack alternated with a hot water bottle. Scrambled I put the best ball exercise I know up at the top of the thread... others may have favourites to add?

poor you notcitrus, are you ok? I hope this passes soon. Lucky you with such a supportive DP though, result! My DH has been putting in stirling effort this week as my nausea/exhaustion is still rampant.

Had to tell my boss I'm pg today already sad I've just been offered the increase in hours I've been asking for since May, exactly when I am unlikely to be able to do them. YAY. That's not frustrating at all. I had to tell the boss so that a) if I accept and announce I'm pg two weeks later I don't seem manipulative and b) he understands if I don't accept after all my harping on about it. I'm still in two minds. Even a couple of months with an extra 2 days work, plus the added mat leave pay would be a huge boon. Especially if I have to leave work early... but is it wrong to take it on knowing I can't see it through? I hate how helpless this makes me feel sometimes sad

ecstatica Mon 21-Nov-11 21:39:04

Hi Sillywmama and everyone else smile
I'm glad you started this thread. Your posts have been very informative.

I had SPD with DS2 and then DS3. Horrible moment was when PG with DS3 and pushing DS1 and DS2 in double pram to cross the road and freezing, complete standstill in street at traffic lights because I could not move an inch blush and having to call someone to pick us up. Standing at those lights with all the traffic coming and going and me stood like a statue in pain was awful! I then had to go out in crutches which didn't happen often thanks to 2 small DC. NHS physio wasn't much help, sent me home with belt and exercise booklet, saw her twice if i was lucky. Did get admitted to hospital with the SPD though a few times before birth.

Now at 10 weeks i feel the pain again, less severe, but rearing ugly head.
I'm glad to have found a place for support. Do you suggest I take this up wit m/w or GP?

heliumballoon Mon 21-Nov-11 22:18:24

slightlyscrambled
First check your birthing ball is the right size ie when you sit on it your knees are 90 degrees and your thighs are level with the floor.
Use it on a non slip surface or take your socks off because you really really don't want it slipping underneath you.
First few times just approach it gingerly and use it for very very small movements, check you're ok with it after.
Once you've got the measure of it:
small pelvic tilts forward and back, keep your head and shoulders level, don't sink into it if you can help it
small moving your bum in circles

heliumballoon Mon 21-Nov-11 22:26:16

Lift one foot at a time gently off the floor (not high), try to feel it in your pelvic floor rather than the movement coming from your foot
IYSWIM
and a fourth exercise, again sitting on the ball:
Put a cushion between your knees/ thighs and press your legs gently together- very gently, this can really hurt
also do stuff with your shoulders while you sit on the ball- gentle stuff like stretches and arm circles.
Nothing fancy, mostly small controlled movements, try to feel your core all the time and sit up lovely and straight, think about breathing deeply and evenly. Don't go mad at first or you risk buggering things up more. And yes, no need to spread your thighs for any of these exercises.
HTH- ask if I haven't explained very well.

heliumballoon Mon 21-Nov-11 22:30:03

Those are 4 different exercises BTW- don't combine them! I do 10 reps of each every day (that I can be arsed). Am 29 weeks, keeping SPD broadly at bay- some pain and little walking but not ghastly ghastly like in my last pg.
Sorry for multiple posts- on phone.

SlightlyScrambled Tue 22-Nov-11 13:17:54

Thanks Sillywmama and heliumballoon for your exercises on the ball. I have been giving them a try but also trying not to lose the run of myself and end up limping away from it. At least DD1 is loving the 'big ball' and playing with it more than me at the moment.

ecstatica, I think your experience sums SPD up very well. I've had those moments of just standing up and being terrified to move.

sillywmama Tue 22-Nov-11 14:47:26

Hi ecstatica woooo welcome, I'm not the only one at this stage then!! lol - I'm about 9/10 weeks and waiting on my scan now. I am seeing my GP tomorrow and will most definitely be asking for a consultant led care plan, a pain management program with REG reviews (by a specialist, not my GP) and for early and regular physio appointments. I also have my notes with me from my last pregnancy (you can request these for a small fee to be copied and sent to you if you don't have them) which will clearly show the progression of my SPD and subsequent problems, which should help chivvy people into earlier action. I'm obviously not glad you have the pain this early as well, but on the other hand - I'll be keeping you company on the sofa all the way through <rummages down the back of the cushions for the telly remote, anyone for daytime tv?>

helium well done, I'd forgotten some of those! I'll be getting my ball out again asap. The tiny circles with the bum is a really good one smile good for you being diligent and doing them daily... I shall take a leaf out of your book and try to establish a better routine this time. Less moping around and more being proactive.

How's everyone doing today? Apart from nearly losing my lunch thanks to someone drinking black coffee next to me, I'm not doing too badly. Concentrating on my posture seems to be keeping the back ache at bay more or less, but I remember it well last time when I couldn't stand up from my desk without seizing up. I may reintroduce the timer system very soon (currently my frequent need to pee is doing the job for me!!)

PamBeesly Tue 22-Nov-11 17:00:07

I'm back at work today and the pain in my pelvis is just awful. Its searing, I'm off to yoga in 15 minutes, I hope it helps. I'm also getting a gym ball in Argos on the way home and see how I get on with that.
I hope everyone has been ok today smile

sillywmama Wed 23-Nov-11 18:28:31

How are you doing today PamBeesly? I hope that things have eased off a little?

I had my booking in with my GP today and I feel much happier tonight. The back pain has been awful for the past 48 hours, but my GP was just so nice about it. He has started me on daily paracetamol with a sliding scale plan to go up as and when I need it, agreed to support a blue badge application, offered to recommend an elcs date for 38weeks and generally just was so supportive and nice. After the last time being so rubbish, (I wasn't really diagnosed/treated until 28 weeks but was unable to walk properly from 20 weeks, and in major pain from 16) I feel really happy and am starting to relax that at least the people around me are informed, care and seem willing to look after me. I can take the pain as long as I know when it will end, and that everything possible is being done to help me in the meantime.

PamBeesly Wed 23-Nov-11 18:42:04

Glad your GP was supportive and understanding silly that support really helps. Can I ask is a CS inevitable with SPD? I'm a first timer and my GP doesn't seem to know about SPD, the midwives do though and my yoga teacher gave me lots of practical information (not keeping your knees wider than your hips was v.important)
Today the searing isn't as bad, some days or worse than others, I had a good night sleep last night and I think that helps.
YY to accepting the pain once you now an end is in sight

sillywmama Wed 23-Nov-11 18:57:34

no, a c-sec is not inevitable at all. My first delivery would have been absolutely a breeze if I'd been more confident in myself, and had DS not gone suddenly into distress and needed an emergency forceps intervention right at the end.

If possible, I would suggest a waterbirth. I had a waterbirth in my plan and the period that I was in the water was absolutely the most comfortable and free I had felt in my whole pregnancy to that point - contractions notwithstanding! Gas and air was more than enough when I was in the water.

I was utterly distraught when I had to get out of the pool at 9.5cm and head to the operating theatre. But please don't panic, it was purely bad luck for us. Any birth can have a problem but in reality most don't. The forceps delivery was a shame though, as for SPD sufferers they are probably the worst form of delivery. My birth plan indicated informed refusal of consent for forceps, unfortunately in the end there wasn't time. Sometimes life just happens. If you have any choice though, give birth on all fours, in water, or on a stool. Getting on your back with your legs apart in stirrups is worth avoiding at all costs.

www.pelvicpartnership.org.uk has some example birth plans, try downloading them and talking it through with your midwife? If your GP/midwife seem unsure about your options, call their helpline and discuss it with them instead. I found I felt much better once I really understood what would exacerbate SPD and what wouldn't. In the end you can't plan for a perfect birth, because it doesn't exist, but you can at least feel prepared! My elcs choice this time is for several reasons, not just SPD, if it were just the SPD I'd prob go for a natural labour again believe it or not!

shonnomanom Wed 23-Nov-11 20:57:59

Hi Ladies,
Il join you all on my crutches and pull up a birthing ball.

Im 34w with my DC2 and my pelvis and muscles are not coping well. Iv had to start my Mat Leave 3 weeks earlier than plan.
Currently sporting a tubagrip and belt as well as my sexy 'metal legs'. To complicate matters I found out today that baby is bigger than it should be and breech. Going for a growth scan on Friday and have been sent back to the Physio for an assesment and then will see the consultant to discuss the best options for the birth.

Has anyone got any PGP-friendly methods of turning the baby??

PamBeesly Wed 23-Nov-11 22:31:25

silly thanks for the advice and link. Unfortunately I live in rural Ireland and I'm giving birth in a small country hopsital so there is no birthing pool, but I plan to labour at home as long as possible before I go in. I have also read stirrups are no good for SPD sufferers (and disempowering on the whole)
My dream birth would be 1) natural 2) with midwive and husband 3) on all fours 4) without interventon. I am hopeful but have an open mind and will trust the people around me.

shonnomanom I have heard of an alternative therapy called
moxibustion, its like a 'candle' of herbs that a herbalist burns in between your toes, I'm not sure how effective it is but it might be worth looking into

notcitrus Thu 24-Nov-11 06:22:05

pam - cs certainly not inevitable, as said upthread even with a really long labour I only needed a ventouse. All fours, or rather being propped in that position on beanbags or shedloads of pillows, is a really good position.

MWs told us that MrNC's job was to get some string and measure how far I could comfortably move my knees apart when I went to hospital, make a loop of string that size, and ensure no-one tried to move my legs any further apart. As it happened the staff were all great at doing exams with me sitting on a chair or on all fours, and the string got lost somewhere, but it gave him something to do - besides massaging my neck for 10 hours straight. smile

Flubba Thu 24-Nov-11 06:49:27

Hello ladies, just spied your thread and wished I'd had the support you're giving each other when I had my 3. #3 is now 10m old but SPD is still here (pushing a heavy buggy on school run every day not helping). Have managed to convince DD2 to walk rather than ride the buggy board ~ hard on her sometimes but absolutely necessary for me. Also sitting on the floor (often crosslegged) to feed fat baby or do jigsaws etc is painful too sad

ZuleikaJambiere Fri 25-Nov-11 20:08:26

Hello ladies, is the sofa long enough for another one? I'm 28 weeks with DC2 and I've just been told I've got SPD following a physio appointment. Fortunately I don't seem to be in as much pain as many of you other lovely ladies, more of a constant ache with the odd twinge, but I'm walking like I'm 80.

The physio recommended a maternity belt, but my midwife told me they don't make much difference. And of my 2 friends who have had it in the past, one told it does work, one said it doesn't. What do you guys recommend?

Great tips on the exercises, will be doing all those (some are the same as what my physio gave me). In addition he also told me to engage my pelvic floor before any bending, stretching, lifting or generally moving, to make sure I'm supporting my pelvis as best I can. And to aim to be able to do pelvic floor lifts, each lasting 10 seconds, several times a day. Again to strengthen my core

Looking forward to more words if advice from you and wishing you all a pain free weekend

nannyn Sat 26-Nov-11 19:02:00

Hello I'd ask you to all budge up but I know you can't wink I'm 14wks with my 2nd & I'm already getting the tell tale aches.
I can't tell you how helpful it is to talk to other people who understand the pain of SPD, 1st time round I had a nightmare with very little help.

It took 2 years but I finally found a private practisioner who has helped me sooooo much, I'm going to see her through out this pregnancy.

Top tips, don't be fobbed off by uninformed NHS staff
You can have physio whilst pregnant
Get your pain free gap measured (mentioned earlier, with the string)
Make sure both your legs are moved slowly & at the same time when being examined.
Not got one yet but a monkey bar to help you roll over in bed (with your long pillow)
Take the crutches, I waited far too long last time.

Chin up & remember it's all worth it when you look at your lovely little baby for the first time. Plus it can't be that bad some of us nutters have come back for more.
xx

sillywmama Sat 26-Nov-11 23:59:45

hello! Sorry I've had a busy weekend and not been on... welcome to the new ladies, of course we'll budge up smile I'm feeling decidedly emotional this evening. Lots of dull achy back pain and general exhaustion. I'd forgotten how wearing pain is. Doesn't help that I'm going through some stuff with DH at the moment and he's being less than supportive. It never rains but it pours! I'm glad to be able to natter about it to others who understand too nannyn people in RL get far too bored far too fast lol. Anyway I hope you're all tucked up in bed and snoozing pain free by now... I should be too really! night night

Hi ladies, SPd survivor here. Ds2 will be one a week on Monday, got me a referral to orthapedic clinic tomorrow! Had to fight like mad for it mind. I have hypermobility so I'm unusual in still struggling. Take crutches and anything else offered, I wad signed off at 32 weeks, treat yourself to sky movies because really their is only so much daytime telly you can take! grin

If any of you is hypermobile then I do big suggest sitting on your ball as of can make if worse. Get all the help and physio you can.

It's all worth it though when you get your baby!

nannyn Sun 27-Nov-11 15:56:38

sillywmama hope you managed to get some sleep last night, managing the pain is so much harder when you're shattered.
hermionestranger Good luck with your Orthapedic app, hopefully you'll see someone who knows what you're going through. If they don't come up wiith any useful suggestions ask for 'stork' xrays on your pelvis as well as static ones. Most importaintly an MRI scan which will show the ligament damage too. I had all this done but as the bones didn't need plating there was nothing orthapedics could do. It's interesting about the hypermobility, I have 3 out of the 5 'markers which mean I'm not classed as hyper but do have some hypermobility. How about the rest of you?
I have found PINS really helpful www.pelvicinstability.org.uk/

Got me an MRI and a referral to the pain management clinic! grin grin

nannyn Mon 28-Nov-11 13:11:20

hermionestranger fab news! Good for you.

sillywmama Tue 29-Nov-11 19:20:56

yay hermione!! Well done!!

I'm feeling a bit emotional and tired today. Had my scan which has adjusted my dates backwards - I'm only 9 weeks - and I feel a strange mix of happy that I've seen my little bean, and his/her heartbeat, but I'm kinda disappointed and afraid that it's not as far along. This pain is scary and I don't like the thought of where I might end up.

Sorry wow, that's negative!! I need to have a word with myself and be more positive.

Sending happy thoughts to everyone - I hope you have a lovely pain free (or minimal pain) evening!

madmomma Tue 29-Nov-11 21:11:35

Oh you poor girls.xx Mine's only mild, and I'm 36 weeks so hopefully it won't get much worse, but that's bad enough. Doesn't help that I'm heaving a toddler up the stairs and pushing his pushchair several times a day. The pain I'm getting is just in my pubic bone. Symphasis pubis I think. This is my 3rd baby and I had the pain with my first but not my second, for some reason. After my first child was born I had back pain so I saw an osteopath, who said I had a locked and tilted pelvis. The course of treatment I had was effective eventually, and also massively improved my PMT. I'd recommend a check up with a good osteopath to all of you, when you've given birth.

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