I suffered with SPD during my pregnancy (my 1st) - it was never severe compared to some of the horror stories you hear, but I found it very difficult to walk any distance at all (e.g. around the supermarket), and was in a lot of pain at night in bed whenever I rolled over. I saw an NHS physio at 26 weeks who I felt was pretty useless - she didn't even examine me and gave me a photocopied sheet of exercises to do, mostly pelvic floor and lower abdominal, which I did throughout the rest of pregnancy. I was also very careful with posture etc. DS was born by emergency CS, and is now 17 weeks old.
My symptoms have never 100% settled. They're far better than they were during pregnancy, but rolling over in bed, and walking any distance, are still uncomfortable and at times painful. We have a dog who needs a lot of exercise - before pregnancy I would usually walk 4 miles a day with her, now I can hardly manage a mile, although that isn't helped by the fact a) I am about 3 stone overweight - 2 stone of baby weight and a stone I had before! and b) I tend to be carrying a 12lb baby in a sling when I'm out walking.
I'm reluctant to go back to the NHS physio, as I felt they were fairly useless (my general experience of our local NHS physio department has always been that they just want you out the door as soon as they can). Plus I'm still doing the exercises (although not as regularly, I must admit) so is there anything else they can do?Is it worth paying for a private physio? Would some form of manipulation help at all? I'm worried as we had planned on starting to TTC when DS is a year old, which is only 8 months away - if it hasn't settled by then, how much worse will it be in my next pregnancy? I am in a fairly physical job and really struggled with work last time.