Some women develop pelvic pain in pregnancy. This is sometimes called pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD). PGP is a collection of uncomfortable symptoms caused by a stiffness of your pelvic joints or the joints moving unevenly at either the back or front of your pelvis.Women with PGP may feel pain: over the pubic bone at the front in the centre, roughly level with your hips across 1 or both sides of your lower back in the area between your vagina and anus (perineum) spreading to your thighs Some women feel or hear a clicking or grinding in the pelvic area. The pain can be worse when you're: walking going up or down stairs standing on 1 leg (for example, when you're getting dressed) turning over in bed moving your legs apart (for example, when you get out of a car)This may include: manual therapy to make sure the joints of your pelvis, hip and spine move normally exercises to strengthen your pelvic floor, stomach, back and hip muscles exercises in water advice and suggestions, including positions for labour and birth, looking after your baby and positions for sex pain relief, such as TENS equipment, if necessary, such as crutches or pelvic support belts These problems tend not to get completely better until the baby is born, but treatment from an experienced practitioner can improve the symptoms during pregnancy.