Talk:Symphysis pubis dysfunction

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Giving birth with SPD[edit]

I would like to hear from anyone who has given birth naturaly after having surgery for Symphis pubis dysfunction. My daughter is 33 weeks pregnant, her consultant has suggested a normal delivery even though she has had her pelvis plated and pined 2 years ago after having SPD extremely bad. She was told by her surgeon, that she would have to have a c section with any further pregnancies. — Preceding unsigned comment added by 80.42.206.120 (talk • contribs) 12:40, 1 December 2008‎ (UTC)[reply]

This is not the normal medical advice. Usually women are encouraged to give birth naturally, but it is very important to avoid using stirrups as the act of putting the legs into them can exacerbate the condition and/or make it permanent. The reason for encouraging a natural birth is that most consultants say recovering from SPD as well as major abdominal surgery is very difficult. On the other hand, many women with SPD find a natural birth goes well, which may be because of the ligaments being fairly lax. — Preceding unsigned comment added by Shlg2 (talk • contribs) 08:12, 9 February 2014 (UTC)[reply]

Apparent contradiction[edit]

The article says "early diagnosis is crucial in order to minimize the medium to long term severity of the condition", yet "there is no evidence in the medical literature to support any particular treatment". How can doctors minimize the severity without an effective treatment? --Wavehunter (talk) 17:56, 6 November 2012 (UTC) (With thanks to Muelaner for spotting this.)[reply]

Early diagnosis means that the condition can be managed conservatively, i.e. patients told to rest. This is not the same as actively giving treatment, for example drugs or manipulation. As the sources cited for this entry state, there is no consensus regarding treatment, but there is a consensus on the need for rest.

Hope that clarifies the issue - I think the confusion arises from a misunderstanding of the terms 'treatment' and 'management', which in medical terms can be separate things (although sometimes they overlap, of course). — Preceding unsigned comment added by Shlg2 (talk • contribs) 19:18, 23 September 2013 (UTC)[reply]

Where's the Article from Citation #8?[edit]

I am very interested in this article as it describes my symptoms. The problem is that citation #8, the one that goes with the symptoms, is a dead link. I tried to follow it and the article is no longer there. I googled the url and other people have referenced it, and its gone whenever I follow the link. Could you give me any leads to find that article? How/where did you find it? Its vital that I find it asap. I need it as evidence to present to my Dr. and PT. Thanks.

JustKelvinaround (talk) 18:33, 5 February 2014 (UTC)JustKelvinaround[reply]

I have updated the link as it appears the Pelvic Partnership has incorporated the material into its website. — Preceding unsigned comment added by Shlg2 (talk • contribs) 08:19, 9 February 2014 (UTC)[reply]