Oh you poor thing! I'm soooo with you on the SPD, SI joint problems! As with one of the pp's, I've found great relief in physical therapy. I think a good PT who specializes in women's health is going to be better than a chiro most of the time. Added bonus is that most insurance plans will cover that whereas they may not cover chiro. The SI belt or support can help a lot too, but only if your SI joint is lined up. If its not, it can actually make it worse. That's where the PT comes in, he/she can get you all lined up and then you can use the belt, wow, relief!
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I'm at almost 27 weeks with triplets and its funny, but over the last few weeks the SI problems have gotten better. Its almost like the babies are stabilizing my pelvis from the inside. The more pressure they put on the pelvis, the less room there is for the joints to move! The trade off is that the SPD is worse, ugh, you just can't win at this point. :)
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I've been having wrist problems too and hadn't thought much of it, but now that you mention carpal tunnel, I bet that's what it is. I hope someone has some ideas on that.
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As far as feeling overwhelmed and not ready, a multiples group could be a wonderful thing for you, is there one inyour area?
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Morgan