Overview
Symptoms
In pregnancy, posterior pelvic pain (pain in the back of the pelvis) is four times more common than lumbar discomfort. A deep discomfort might be felt below the waistline, on one or both sides, or across the tailbone.
Causes and Risk Factors
- Increase of hormones: Hormones generated during pregnancy relax ligaments in the pelvic area and loosen joints in preparation for the delivery process. This alteration may have an impact on the amount of support your back receives regularly.
- Additional weight: Your back must handle extra weight as your pregnancy progresses and your baby grows.
- Center of gravity: As your uterus and baby expand, your centre of gravity will shift forward, causing your posture to shift.
- Position or posture: Back discomfort can be triggered or exacerbated by poor posture, prolonged standing, and bending over.
- Stress: Stress tends to build up in the body's vulnerable spots. During stressful phases of your pregnancy, you may experience an increase in back discomfort due to changes in your pelvic area.
Diagnosis
A review of the patient's medical history, a physical examination, and maybe an MRI to rule out a herniated disc are used to diagnose back pain during pregnancy. Because these treatments employ radiation, no X-rays or CT scans will be conducted.
Treatment
When you're sitting, keep an eye on your posture. More than anything else, sitting in a chair all day puts pressure on your spine. Make sure the chairs you use the most at home and at work give appropriate support, especially with a straight back, armrests, and a firm cushion. Don't cross your legs and use a footrest to elevate your feet slightly. Your pelvis may tilt forward as a result, worsening the strained back muscles.
Take some time to relax. At least once each hour, take a walk or stand and stretch. Sitting for an extended period of time can aggravate your back pain. Also, don't stand for too long. If you have to stand for long periods of time, try putting one foot on a low stool to relieve strain on your lower back.
Lifting big loads should be avoided. If you have to, go slowly. Assume a wide stance, bend at the knees rather than the waist, and lift with your arms and legs rather than your back.
Keep an eye on your weight.
Put on the appropriate footwear. Extremely high heels, as well as those that are completely flat, are not permitted. To keep your body in optimum alignment, experts recommend a 2-inch heel.
There will be no reaching. To access objects from high spots, use a low, solid step stool to avoid added strain.
Think positive ideas. A relaxed mind leads to a more relaxed back. You can also attempt some prenatal yoga, which can help you calm your mind as well as your back.
Physiotherapy, yoga, and exercise (walking, biking, and swimming) are all safe for most pregnant women and can be done three to five times per week for 20 to 45 minutes. Pregnant women should exercise at a low-to-moderate intensity, but not to the point of fatigue.
Boost your stomach's strength. Strengthen your abs, which will help to stabilise your back, by doing pelvic tilts. Alternatively, you might sit on an exercise ball and rock back and forth.
Alternate between hot and cold. Apply cold compresses first, then warm compresses in 15-minute intervals to relieve painful muscles.
Take a long, hot bath. Alternatively, you can use the pulsating showerhead to massage your back.
Get yourself a massage. Do not obtain one until after the first trimester. Go to a masseuse that is aware of your pregnancy and has had prenatal massage training.
Always Talk to Your OB
Back discomfort might be a warning sign that something terrible is going on. Preterm labour is one of the most concerning causes of pregnancy back discomfort. Women should be on the lookout for new and cyclical discomfort, which could signal uterine contractions, as well as vaginal bleeding or any change in vaginal discharge, which could suggest a placental problem or an early rupture of their waters.
If you get numbness, tingling, or a sharp, shooting pain in your buttocks, legs, or feet, see your doctor rule out anything dangerous. Numbness can be caused by compression of the sciatic nerve or other nerves that connect your spine to your lower body and pelvic area, even if it isn't a more serious issue like preterm labour.
Before using any prescription or over-the-counter medication, pregnant women should always contact their healthcare provider. Women who are using pain relievers who are thinking about getting pregnant should talk to their doctors about the risks and advantages of taking pain relievers. When giving pain medications to pregnant women, healthcare providers should continue to follow the directions on the drug labels.
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