Symphysis pubis dysfunction (SPD) - Kate


Relief of symphysis pubis dysfunction (SPD) symptoms during pregnancy


Kate came to us when she was 28 weeks pregnant, after being diagnosed with SPD. It started as an ache but gradually got worse until eventually she had difficulty walking and needed to use a crutch at times.

Kate works as a teacher and was keen to keep going until her maternity leave in seven weeks time.


  • Duration: 20 minutes
  • Water Temperature: 31˚C
  • Speed: 0.5kph, gradually increased to 3.0kph
  • Depth: 1145mm
  • Resistance Jets: Not activated
  • Direction: Forwards, backwards and sideways
  • Number of Sessions: 3


SPD is a collection of uncomfortable symptoms caused by a misalignment or stiffness of the pelvic joints at either the back or front of your pelvis. SPD is not harmful to the baby, but it can cause severe pain around the pelvic area, which can be disabling in its extreme form.

Walking on dry land was painful for Kate and, in particular, going up step and getting in and out of the car.

Sessions in the underwater treadmill allowed her to keep moving, which is essential as even short periods of inactivity can result in muscles wasting, and tissue structures becoming more rigid and less flexibile.