A conservative approach to treatment is initially the management option offered to patients. Conservative treatment includes bed rest, analgesic medications that include anti-inflammatory agents, physiotherapy, and a pelvic brace to provide support and stability.. Patients undergoing bedrest typically do so with a pelvic brace in place and are placed in the lateral decubitus position with the application of external heat or ice packs. Attempts at pain control should also be part of the management plan. Acetaminophen is the drug of choice during pregnancy and NSAIDs are typically administered post-partum. In addition, intrasympheseal steroid injections have been shown to provide adequate pain control. Physiotherapy has also been seen to help improve symptoms of<unk> . Physiotherapy modalities focused on strengthening deep pelvic and core muscles include mobilization, stabilization, strengthening and pelvic floor exercises. Early implementation of physiotherapy into the treatment plan shortly after the onset of symptoms has been shown to have the best outcomes. Operative management classically has been reserved for special cases of<unk>  that are shown to have a separation greater than 4 cm, have failed to improve despite conservative management, recurrence of separation after the removal of the pelvic brace, or complications including nerve compression, urogenital tract trauma, or massive bleeding. The peripartum patient is seen to be high surgical risk as patients in the state are hypercoagulable and if left with a prolonged debilitating state, will have trouble caring for their newborn. Thus surgical treatment of<unk>  is largely treated initially with conservative management. Prognosis and Subsequent Pregnancies Improvement of pain and symptoms from<unk>  is often seen gradually over the span of 6 weeks with the risk of pain persisting up to 6 months in patients undergoing conservative treatment. The closure of the symphyseal gap can be seen to be completely resolved on imaging within 3 months. Pregnant patients that undergo<unk>  have a 33% risk of it recurring with subsequent pregnancies if they undergo vaginal delivery. Cesarean section is often offered to patients by their healthcare providers if the separation measures greater than 15 mm in order to avoid further pelvic and sacroiliac injuries.
Pubic Symphysis Diastasis
Vertebral hemangioma
Spinal epidural hematoma
Epidural abscess
Cervical spinal stenosis
Vertebral osteomyelitis
Diastematomyelia
Spinal fracture