What should I do if I have a 1 cm pubic symphysis diastasis after a normal birth?

Patient's question:

Postpartum symphysis pubis diastasis of 1 cm, unbearable pain, unable to lie flat on your back. Cause or etiology? How to treat it?

Doctor's answer:

Pubic symphysis diastasis refers to the occurrence of minor displacement at the fibrocartilaginous joint between the two sides of the pubic symphysis in the front of the pelvis due to external force, resulting in soft tissue damage. This condition is characterized by widened distance between the pubic symphysis or vertical displacement, leading to local pain and difficulty in lifting the lower limbs. Some people also refer to it as pubic symphysis subluxation.
Guidance: The cause of this condition in women during pregnancy, menstruation, or childbirth is hormonal changes that cause the ligaments around the pubic symphysis to relax. If minor external force is applied during this period, it can lead to pubic symphysis separation. Additionally, trauma can also be a cause. The primary treatment is reduction (repositioning). After reduction, pain in the affected area should significantly decrease or disappear, and the range of motion for flexion and extension of the lower limbs should also be restored.

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