Patient's question:
I experienced pelvic diastasis after childbirth. One side was slightly separated while the other was more pronounced. I couldn't get in or out of bed and couldn't sleep on my side. However, with help, I could sit on 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 recover, 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, which facilitates fetal delivery. In most cases, the secretion of progesterone returns to normal after childbirth, and the relaxed ligaments and cartilage also recover. However, in 0.05%–0.1% of cases, excessive secretion of endocrine (progesterone) leads to excessive ligament relaxation, making the sacroiliac joints and pubic symphysis more prone to separation during labor. Prolonged labor, a large fetus, improper exertion or posture during delivery, and cold exposure in the lumbar-sacral area 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 joint surface of the sacroiliac joint and its varied morphology, minor 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: In most cases, it can naturally recover on its own. You can wait and see for now. If the condition persists after some time, you may consider visiting the orthopedics department at the hospital for a related examination. Pay attention to a balanced diet, especially calcium supplementation. Change positions slowly, avoid exposure to cold or dampness, maintain a positive mood, and it will improve.