Physical therapy plan of care for pregnancy-related pelvic girdle pain: A Case report

Abstract

Pregnancy-related pelvic girdle pain (PPGP) is a common musculoskeletal condition affecting about one in five pregnant women, often impairing daily function and quality of life. This case report describes a 32-year-old pregnant woman presenting with sacroiliac joint dysfunction, pubic symphysis pain, and radiating discomfort to the thigh. Clinical examination confirmed right sacroiliac malalignment and myofascial trigger points. A multimodal physical therapy program consisting of manual therapy, mobility and stability exercises, kinesio taping, and a tailored home exercise plan was delivered over six sessions. The patient reported substantial improvements, with her Numeric Pain Rating Scale decreasing from 9 to 2, and enhanced functional performance, as reflected by an improvement in the Oswestry Disability Index by 56%. She also noted reduced anxiety, better sleep, and improved participation in daily and social activities. Minor skin irritation was the only adverse effect. This case highlights the positive role of individualized physiotherapy in alleviating pain and functional limitations associated with PPGP, and supports conservative, non-pharmacological management during pregnancy.

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