Diastasis of the Pubic Symphysis as a Cause of Postpartum Pelvic Pain: A Reminder of Important Clinical Lesson

• Main Authors: Keerti Kyalakond, Samantha Dawson, Sunanda Bharathnur, Shripad Hebbar, Lakshmikanth Halegubbi Karegowda
• Format: Article
• Language: English
• Published: Krishna Institute of Medical Sciences University 2018-04-01
• Series: Journal of Krishna Institute of Medical Sciences University
• Subjects: Pubic Diastasis; Pelvic Binders; Pelvic Pain; Vaginal delivery
• Online Access: http://www.jkimsu.com/jkimsu-vol7no2/JKIMSU,%20Vol.%207,%20No.%202,%20April-June%202018%20Page%2086-90.pdf

Postpartum Pubic Symphysis Diastasis (PPSD) refers to an abnormally wide gap between the two pubic bones following delivery. Being an uncommon condition, it presents with pain in pubic area and groin causing inability to stand, sit and walk. We report a case of pelvic diastasis in a 30-year-old G2P1L1 following normal vaginal delivery whose definitive diagnosis was made through frontal radiograph of the pelvis. We aim to stress upon timely suspicion of this under-diagnosed condition as it helps immensely in successful recovery of these patients failing which they end in chronic pain with gait abnormality which significantly hampers the quality of life and may require corrective surgery.