# Pubic Bone Pain in Pregnancy

Source: https://www.pregnancypowerhour.com/pregnancy/symptoms/pubic-bone-pain
Last updated: 2026-07-01

> Pubic bone pain, or pelvic girdle pain (SPD), affects many pregnant individuals due to ligament loosening, but evidence-based strategies can offer comfort.

Pubic bone pain, formally known as pelvic girdle pain (PGP) at the pubic symphysis (SPD), is a distinct discomfort felt in the front of the pelvis, precisely where the two sides of the pubic bone meet. This experience is quite common, affecting between one in four and one in three pregnancies, according to sources like the NHS and Cochrane. It's not just a minor ache; it can significantly impact daily movement and comfort, often leaving individuals feeling less grounded and clear about how to navigate their changing body. Understanding this experience is the first step toward finding gentle, practical ways to support yourself.

### What Causes Pubic Bone Pain?
The primary cause of pubic bone pain during pregnancy is the hormone relaxin, which plays a crucial role in preparing your body for birth. Relaxin works to loosen the ligaments throughout your pelvis, making them more flexible. While this flexibility is essential, when the loosening occurs asymmetrically, it can lead to instability and discomfort in the pubic symphysis joint. This natural physiological process, while purposeful, can sometimes create a feeling of misalignment, leading to the characteristic pain. It's your body making space, and sometimes that process comes with its own sensations.

### When Does Pubic Bone Pain Typically Start and Evolve?
While pubic bone pain can emerge at various points, it often becomes more noticeable as pregnancy progresses and the body carries more weight, increasing pressure on the pelvis. For some, it might begin in the second trimester, while for others, it could intensify in the third. It tends to peak as the body prepares for labor, with the ligaments becoming even more supple. After birth, as hormone levels shift and the body begins to recover, this discomfort typically starts to ease. Throughout this arc, there are many gentle approaches you can explore to find more comfort and maintain your sense of agency.

### How Can You Find Relief and Support?
There are several evidence-based strategies that can offer significant relief from pubic bone pain. Pelvic floor physiotherapy is widely recognized as a first-line treatment, with organizations like the NHS, NICE, and RANZCOG all recommending it. A specialized physiotherapist can assess your specific needs and provide targeted exercises to strengthen and stabilize your pelvis. Additionally, many people find significant symptomatic relief from using pelvic support belts, which can provide external stability to the joint. Exploring options like water therapy, such as pool walking or hydrotherapy, can also be beneficial, as the buoyancy of water reduces the load on your joints, offering a welcome sense of ease. For more insights on navigating discomfort, you might find our discussions on [Heartburn at 19 Weeks Pregnant](/pregnancy/symptoms/heartburn-week-19) or [Heartburn at 22 Weeks Pregnant](/pregnancy/symptoms/heartburn-week-22) helpful, as understanding your body's signals is key.

### Practical Adjustments for Daily Movement
Making small, conscious adjustments to your daily movements can also make a big difference in managing pubic bone pain. It's often helpful to avoid asymmetric movements that can strain the pubic symphysis. For instance, try to keep your legs together when getting in and out of a car, rather than swinging one leg out first. When climbing stairs, taking them slowly, one step at a time, can help maintain pelvic alignment and reduce discomfort. Even simple shifts like rolling over in bed with your knees together can prevent unnecessary strain. These practical strategies empower you to move with more intention and less pain, supporting your body through this season. For other ways to support your changing body, consider reading about [Heartburn at 23 Weeks Pregnant](/pregnancy/symptoms/heartburn-week-23). Remember, your provider is your best resource for your specific situation and any medical concerns.