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Expert Q&A
Question:
I am having cramps around my groin area. I have been wondering what it could be and what I can do about it.
Answer:
Groin pain can be due to a few causes, some of which I'll mention here. Even though you are not far along in your pregnancy, the hormones that are secreted while you are pregnant start to soften all of your ligaments, creating a laxity or looseness of the joints. This can cause malalignments of the sacroiliac and pubic symphysis joints causing a lot of pain. You didn't mention the age of your first child, but if he/she is a baby or toddler, be sure to change hips if you pick up and carry your child. Always having the child on one hip reinforces asymmetrical forces and promotes malalignment and pain. If you use a safety gate, open it and go through rather than lifting your leg up and over it. Also, try to stand and sit with your body weight evenly distributed through both legs or buttocks; avoid shifting over onto one leg or one side of your bottom for prolonged standing or sitting.

An excellent resource during your pregnancy and postpartum is the book How To Raise Children Without Breaking Your Back by Hollis Herman and Alex Pirie, Ibis Publishing. In the book you will find very useful and specific information to help you lift safely, position yourself comfortably and avoid injury. Sometimes groin pain can be due to stretching of the round ligament of the uterus although this is early in your pregnancy for this to occur. You might consider using a local application of heat for 10-15 minutes and try a posterior pelvic tilt (flatten your low back), while lying supine or standing with your back against the wall. If the problem persists or worsens, see a physical therapist that specializes in treating pregnant women. There is no reason to suffer with this throughout your entire pregnancy.

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