Pelvic girdle pain

Question 1

Definition of PGP

Answer 1

Pain between the posterior iliac crest and the gluteal fold, particularly in the vicinity of SIJ, which may radiate to the thigh and the hips

Question 2

Investigations in PGP

Answer 2

Rarely needed, can do plain pelvic x-ray, MRI

Question 3

Management of PGP

Answer 3

Multidisciplinary team, physiotherapy, activity modification, pelvic support garments, simple analgesia and low potency opioids can be considered

Question 4

Red flags of PGP

Answer 4

Weight loss, neurological symptoms, bladder or bowel incontinence/dysfunction, trauma, vaginal bleeding/fluid loss, PUO

Question 5

3 serious conditions associated with pelvic pain in pregnancy

Answer 5

Transient osteoporosis of pregnancy, osteonecrosis of the hip and pubic symphysis diastasis