This is a condition that most commonly affects females who have given birth at least twice. Patients suffer a central deep pain in the perineal area, worse on activity.

The pelvic bones are held together by tough fibrous ligaments. If these are weakened, then there may be abnormal movement between the bones. This is termed instability, and leads to pain.

Pain may be at the front of the pelvis, or at the rear in the sacro-iliac joints. Physiotherapy can be very effective in relieving symptoms by improving muscle strength. Sometimes a pelvic brace can be used.

Surgery is sometimes used for cases where pain is persistent. Before surgery is considered, the pelvis must be seen to be unstable. This can be investigated by the use of special x-rays. Stork views of the pelvis are taken with the patient standing on one leg, and then the other. If there is abnormal movement then the images will be very different. CT scanning of the pelvis can be very helpful. This may show hardening (sclerosis) of the bone; this is a natural body reaction to the abnormal movement.






Once instability has been demonstrated, we will usually ask our radiologists to inject the pubic symphysis. If the pain resolves then the instability is likely to be the cause of your pain. If the injection wears off, then we will consider surgery to fuse the symphysis.

Surgery takes about 1 hour, and patients are in hospital for a couple of days. You can walk on the day after your operation. You will need crutches for 2-4 weeks after the procedure.

I want to thank Mr. Datta for taking such good care of me during both hip replacement procedures. It was my first major surgery and he helped calm my nerves. Both surgeries were successful and the after care was excellent. I am now completely pain free and able to do things I was not able to do for a number of years.

S Kirby

I must say my overall experience at Spire under Mr Datta was first class and I am very grateful to all involved

Peter L

My care and treatment has been excellent. From my first consultation through to my surgery, I have been kept well informed and have had all the information I’ve needed to ensure the surgery went well and that I make a speedy recovery. I would highly recommend Mr Datta.

Mr King

I had a total knee replacement done and had the best care. Yes did experience a long wait to go to surgery but that's expected in most hospitals. Was in for 3 days and couldn't fault the care, nurses and cleanliness of the hospital. Lovely food. One nurse in particular always managed to make me smile

P Elliott

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Wessex Nuffield Hospital

Winchester Road

Eastleigh, Hampshire

SO53 2DW