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“I had calcaneus spurs from my heavy training.  The pain levels were high enough to put me off training. With the marathon coming up, Back2Sports helped me get back to training again quickly in the shortest possible time. Unfortunately, having stayed off training for some time, my running gait was off. I needed expert independent advice to get me back on track. With the help of the Marathon Bio-Technique Analysis programme, we were able to quickly spot the corrections that I need to make to get back into form.  There were even new ideas on how to improve it by comparing against some of the top African long-distance runners!”

Elangovan, Winner, 2004, 2005 & 2006 Singapore Men’s Category Standard Chartered Marathon

Symphysis Pubis Dysfunction (SPD)

Symphysis Pubis Dysfunction or SPD is one of the complications experienced during pregnancy. It occurs when the symphysis pubis joint becomes sufficiently relaxed to allow significant ‘gapping’ or instability in the pelvic girdle. In severe cases where the symphysis pubis partially or fully rupture, and the gap increases by more than 10mm, it is known as diastasis of the symphysis pubis (DSP). Pain is usually localized over the symphysis pubis with occasional grinding or audible clicking. Pain may also be felt in the groin and inner thighs. Activities such as walking, lifting and carrying items and getting in and out of the car may also be painful.

SPD is a result of a combination of factors:

  • an altered pelvic load,
  • hormonal and biochemical alterations causing ligament laxity and,
  • a weakening of pelvic and core musculature during pregnancy
  • leading to spino-pelvic instability.

This article, “What is Symphysis Pubis Dysfunction?“. expands with more information on SPD. A patient education brochure is available for download here.