Managing Pregnancy-Related Pelvic Girdle Pain (Pt. 1)

This article provides an evidence-based approach for Doctors of Chiropractic (DCs) to manage Pregnancy-Related Pelvic Girdle Pain (PPGP), a common condition affecting between 20% and 50% of pregnant women. PPGP is understood as a complex condition driven by hormonal changes (like joint laxity from relaxin), altered biomechanics, and crucial muscle imbalances. The author asserts that chiropractors are ideally positioned to deliver individualized care, combining manual therapy with exercise to restore function. Recent 2025 research reinforces the efficacy of specific functional stability exercises and structured aerobic and resistance training in reducing pain and disability. The article details five key, research-supported exercises. These include activating the deep stabilizers (Transversus Abdominis and Multifidus) to enhance pelvic joint stability, strengthening the Gluteus Medius through side-lying hip abduction, and utilizing low-impact techniques like the Bear Position Hover and Aquatic-Based Stabilization for coordinated muscle activation. DCs are advised to use assessment tools like the Pelvic Girdle Questionnaire (PGQ) to tailor protocols and should always pair exercises with gentle sacroiliac joint (SIJ) adjustments and patient education to improve maternal health outcomes.