Patient description: 19 yo Hispanic female G1P1 at 32+ 6 weeks of gestational age presented to the OB clinic for routine follow up complaining of mild headache and leg swelling. Primary evaluation revealed BP of 146/99 and urine dipstick with 3+ proteins. Her BP and U/A were normal in previous visit. Repeat BP a few hours later is 150/100 mmHg. Laboratory studies showed a normal hematocrit, platelet count, and liver transaminase levels. She is complaining of fatigue but no fever or chills. She is also suffering of headaches with no vision changes. No shortness of breath, cough, chest pain, orthopnea and palpitations or skin rash were observed. Her physical exam was negative for abdominal pain, change in bowel habits, nausea, vomiting, dysuria, frequency, hematuria or frothy urine. Leg swelling was observed with no arthralgia or back pain. She has no specific past medical issues and only uses prenatal vitamins. Her family history is positive for DM type 2 and HTN. She is a social alcohol consumer with the negative history of smoking or drug use. She is only have one partner in past 2 years and didn't have any contraceptive methods since 2 years ago. Her BMI was 24 at the first

Clinical trial eligibility criteria: eligible ages (years): 16.0-999.0,  Pelvic Girdle Pain Symphysio Pubic Dysfunction Pregnant women (primigravida and multigravida) from 20-35 weeks of gestation attending Cork University Maternity Hospital (CUMH) low risk antenatal clinics who are referred to the physiotherapy department by their health care provider or following self referral with back pain or pelvic pain will be assessed for in the trial Women referred to the physiotherapy department with symptoms of PGP will be assessed on presentation by a one of six departmental physiotherapists specializing in women's health To make the diagnosis of PGP the following tests will be performed as per the European Guidelines on the diagnosis and treatment of Pelvic Girdle Pain and a pain history taken as detailed Sacroiliac joint assessment 1. Posterior pelvic pain provocation test (P4) 2. Gaenslen´s test. 3. Compression of ASIS 4. Distraction SIJ pain provocation test 5. Assessment of Sulci depth in lumbar spine in neutral and extension Functional pelvic test 6.Active straight leg raise test (ASLR) Pain history (according to the of Ostgaard) 7.It is recommended that a pain history be taken with specific attention paid to pain patterns and irritability of PGP. 8.There must be no nerve root syndrome. 9.The severity of pain must be related to motion The diagnosis of PGP will be made if the patient has 2 or more of 1-4 (Laslett's criteria) in combination with a negative McKenzie and negative neurological examination. 5-9 will be performed and assessed to try and improve diagnostic sensitivity and specificity as well as help other pathologies that may cause pelvic and back pain  Women with other pain conditions, history of orthopaedic disease or surgery in the spine or pelvic girdle systemic disorders or if attending the high risk antenatal clinic in CUMH will be excluded from the study. 2. If women volunteered a history of sexual abuse at any point of the study they would be excluded from the trial. 3. Women who do not speak English fluently. 4. Women with non viable pregnancies. 5. Women who have already received treatment for PGP outside of this trial. 6. Pregnant women who present who will not be booking at CUMH for their pregnancy or are not resident in the South West of Ireland 7. Women with a history of severe PGP in previous pregnancies. Severe PGP will be defined as occurring less than 20 weeks gestation in a previous pregnancy or requiring crutches in a previous pregnancy or women with a history of PGP in 2 or more previous pregnancies