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Hips Do Not Lie: Atypical Pain From Peripartum Pubic Symphysis Diastasis

Year: 2024

Type: article

Abstract: Pubic symphysis diastasis (PSD) is the widening of the pubic symphysis which can occur during the peripartum period. PSD commonly presents as pelvic pain with associated neuropathies rarely reported. In this report we describe the unique presentation of PSD with associated motor and sensory deficits in a 19-year-old postpartum patient. Two days following vaginal delivery, the patient complained of diffuse body pain, generalized weakness, and lower extremity paresthesia without any other neurological deficits. PSD was diagnosed by radiograph of the pelvis and her symptoms swiftly improved following conservative management of the diastasis. Further, we discuss the potential etiology of this patient's presentation as well as differential diagnosis with similar presentations.

Source: Cureus

DOI: 10.7759/cureus.71779

Authors: Leonard J Soloniuk, Joshua Lum, Christopher Yeh, Christopher Baker, Ioana F Pasca

Institutions: Loma Linda University Medical Center, Riverside University Health System - Medical Center, Loma Linda University, Philadelphia College of Osteopathic Medicine, University of California, Riverside

Language: English

Topic: Pregnancy-related medical research

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403537458