SPD - getting worse again

[ColdFeetWarmHeart]

I had bad SPD from 16 weeks in my last (second) pregnancy. I was in horrendous pain for the last 5 months of my pregnancy until DD2 was about a week old and my milk had come in. SPD not gone completely but it wasn't too bad as long as I didn't overdo walking or driving.
In the last few days it's been getting worse again. I'm in pain just sitting on sofa breastfeeding. My pelvis feels incredibly loose.
Anyone else have this?? I've been told my physio I'm going to have issues until 6 months after I stop breastfeeding (if not longer) but I wasn't expecting it to get worse again!!

[DoItAgainBob]

Do you been checked diastasis recti? My hips were more painful after delivery than in pregnancy but it comes and goes depending on what I've done and how big the gap is.

[ColdFeetWarmHeart]

I haven't really been checked for anything, that I now of. Reported it to all midwives and health visitors I saw postnatally. None said much. Saw GP. He referred me to a physio but didn't examine me or say anything other than I'll get a letter.

Mine isn't as painful as it was in pregnancy or delivery. But now at 10/11 weeks I'm in more pain than I was at 4 weeks, which I find strange.

[MulhuddartDrive]

Dd is 5 and I'm still suffering. Mine is hormonal, so bad at ovulation and period, and when I neglect exercise. Follow up on the physio referral and try to get someone who specialises in women's health rather than a general physio. You will need to work on your core, but with guidance from a professional.

[ColdFeetWarmHeart]

Oh no!! I was hoping it would be better within the next year to 18 months.

I've had an assessment from a physio, and she did some acupuncture. She's referred me to her colleagues pilates class to help strengthen my core.

What exercises do you do mulhuddart? How often?

[DoItAgainBob]

I second seeing a women's health physio and getting someone to check it properly. If it is DR you need specific exercises and while Pilates is good, I would only do a glass that has a Phsyio as it's easy to get it wrong and make it worse.

[MulhuddartDrive]

I tend to do oblique strengthening and deep abdominals, so avoid, eg crunches. I find functional training helps and weight lifting, but you're a while away from trying that yet! I plod jog a couple of times a week and do strength/conditioning training a couple of times too. I'm starting back to Pilates (physio class) tomorrow. As Bob says above, you should definitely stick to a physio led Pilates or yoga class until you know what works for you, as it's easy to do more harm than good if you don't have the right techniques or modifications.

And don't worry, apparently it's quite unusual for SPD to hang around once you've stopped breast feeding and for most women it's long before that when it clears up.

[Bananarama12]

Please go and see an osteopath. I did two sessions while pregnant as I was desperate and in so much pain and she fixed me! Best money I have ever spent.