Patient's question:
I experienced pelvic separation after childbirth. One side separated slightly while the other side separated more, making it impossible for me to get in and out of bed or sleep on my side. However, with help, I can sit at the edge of the bed and stand up by myself. Yesterday, I tried sleeping on my side for over an hour. At first, it was a bit painful, but later it stopped hurting. When I woke up, both sides of my pelvis were aching, and sitting was also very painful. Did it separate again? What should I do to get better, and how long will it take before I can walk?Doctor's answer:
During childbirth, mild separation occurs at the pubic symphysis and both sacroiliac joints, causing the pelvis to temporarily expand and facilitating fetal delivery. In most cases, the secretion of progesterone returns to normal after delivery, and the relaxed ligaments and cartilage also recover. However, in 0.05%–0.1% of women, excessive secretion of endocrine hormones (progesterone) leads to excessive ligament relaxation, making the pubic symphysis and both sacroiliac joints more prone to separation during labor. Prolonged labor, a large fetus, improper exertion or posture during delivery, and cold exposure to the lumbar-sacral region are among the factors that can disrupt pelvic contraction and balance during or after childbirth, potentially causing malalignment of the sacroiliac joint cartilage. Due to the rough surface of the sacroiliac joint and its varied morphological changes, subtle joint malalignment is common. As a result of these factors, postpartum sacroiliac joint malalignment occurs, preventing the pubic symphysis from returning to its normal position. If the condition does not resolve on its own within a certain period and symptoms worsen, it may develop into postpartum pubic symphysis diastasis.Advice: Under normal circumstances, it can naturally recover. You can wait and see for now. If the condition persists after some time, you may consider visiting the orthopedics department of the hospital for a relevant examination. Pay attention to balanced nutrition, especially calcium supplementation. Change positions slowly, avoid exposure to cold or dampness, maintain a positive mood, and you will gradually improve.