Many women face the problem of back pain during pregnancy, and it can be, as a periodic, associated with a certain type of activity, and acute, which can develop into a chronic one. Typically, pain occurs in the second trimester, when there is a rapid set of weight caused by the growth of the fetus. A growing belly causes a woman to walk, throwing the body slightly back, as it is so much easier to keep the body in a vertical position. This leads to a change in the center of gravity, asymmetric strain on the spine and back muscles.
Studies show that lower back pain during pregnancy usually occurs between the fifth and seventh months of gestation. In some cases, there may be painful spasms as early as 8-12 weeks after the onset of pregnancy. Women with back problems before the onset of pregnancy are at risk, and may suffer from back pain in the first trimester.
Table of contents:
- Types of pain during pregnancy
- Causes of low back pain during pregnancy
- Back pain as a sign of pregnancy
- How to eliminate back pain during pregnancy
- Nutrition for lower back pain
- Prevention of lumbar pain during pregnancy
Pregnancy pain types
There are two main types of pain in the lumbar region during pregnancy:
- Pain in the lumbar region( lumbar pain) is concentrated from the waist level and higher from the back. Such pain arises periodically, mainly with prolonged body finding in an unnatural inconvenient position, sitting or standing, and can give in the leg.
- Pain in the sacrum( pelvic bones) is a deep, aching pain that occurs in the bones of the pelvis, from the waist line and down through the coccyx. In this case, it can be either one-sided or two-sided. Pain in the sacrum during pregnancy occurs 4 times more often than lower back pain.
Causes of low back pain during pregnancy
The reasons for which the lower back pain during pregnancy can be very high. Wearing high-heeled shoes, prolonged body finding in an uncomfortable position, "sedentary" work and weakened back muscles, which can hardly cope with the increased load, contribute to the appearance of pain in the lumbar region.
Throughout pregnancy, the body of a woman to ensure normal growth and development of the fetus gives away most of the nutrients, including calcium. The lack of this element can provoke the development of various diseases of the musculoskeletal system in the future mother, which will be manifested by severe back pain.
The appearance of lumbar pain can be associated not only with the increase in body weight and the load on the entire musculoskeletal system, but also with the production of the hormone relaxin, which helps soften the osseous joints of the pelvis( ligaments and cartilages) with the ovaries and placenta. Under the action of relaxin, the bones of the joints diverge, filling the cavities with a special fluid, and thereby increasing the mobility of the pelvic bones.
One of the reasons for the appearance of low back pain during pregnancy may be kidney disease. Kidney stones often cause renal colic, which are accompanied by acute pain and urination disorder, which is associated with trauma to the ureter mucosa during the passage of the stone.
Also cause lumbar pain can pyelonephritis - an inflammatory process caused by an intestinal or Pseudomonas aeruginosa, staphylococci or enterococci. Signs of pyelonephritis are increased body temperature and blood pressure, a change in the nature of urine( turbid, with a trace of blood), swelling and low back pain.
Diseases of the internal organs and the musculoskeletal system that existed before pregnancy can also give pain in the back area. For example, the appearance of back pain can be associated with scoliosis, intervertebral hernia, lumbar radiculitis, which is caused by a significant burden on the spine. Back pain as a sign of pregnancy
Having dealt with the causes of pain in the back and pelvis in the second and third trimester of pregnancy, it remains a mystery why the loin hurts during pregnancy immediately after the delay in menstruation?
Very often already in the first days of pregnancy, many women may experience some discomfort, caused by the appearance of aching, pulling pain in the waist. The appearance of this pain is a consequence of the rapid increase in the size of the uterus, as a result of an embryo attached to its walls. This increase in the uterus is accompanied by the transformation and tension of the uterine ligaments, which causes drawing pains in the waist and abdomen. Thus, the appearance of some discomfort in the back and the delay of menstruation can be the first signs of pregnancy.
How to eliminate back pain during pregnancy
With the onset of the fifth month of pregnancy, many women begin to experience discomfort in the lumbar region. This is especially true for women whose professional activity is associated with long walking or body standing in a standing position. In this case, the doctor can recommend wearing a prenatal bandage.
If the cause of low back pain during pregnancy is associated with diseases of the spine, then to ease it, you need to ensure that the spine is at rest and maximally relieve the spine. For this, a woman is assigned a bed rest until the pain subsides. At the same time dry thermal compresses and ointments are appointed, which do not contain irritating and harmful substances. One of the safest future mothers of ointments is Nurofen-gel.
For severe pain, one of the most common recommendations may be a light stroking massage that will help to relieve muscle spasms. When performing such a massage, it is important to keep the movements smooth, so as not to harm the health of the woman and the fetus. In addition, it will be useful daily five-minute walk on a special massage mat. After eliminating severe pain, a woman needs to perform daily simple exercises from the treatment complex, which the doctor will recommend.
For back pain caused by kidney diseases, for example, pyelonephritis, an emergency hospitalization of a pregnant woman will be required. In this case, treatment involves taking antibiotics, because the consequences of this disease are dangerous, both for the health of the mother and the child.
Back pain early in pregnancy
Pain in the lumbar region and the sacrum in the early stages can lead to spontaneous abortion, that is, termination of pregnancy. The pain can be strong enough, have a paroxysmal character, and manifest as urge to urinate, as a result of an emotional outburst or after physical exertion.
If the lumbar region hurts during early pregnancy, it is necessary to adhere to bed rest( more to lie) and, after consulting with a doctor, take a drug No-shpa and sedatives, for example, Valerian with spasms. Be careful: taking Corvalol is contraindicated in pregnancy.
If back pains occur frequently or are permanent, ultrasound should be done to determine the tone of the uterus. With increased tonus of the uterus, the doctor can recommend inpatient treatment, and also prescribe the use of sedative( sedative) and antispasmodic drugs( Valerian, Papaverin in candles).In some cases, back pain requires hormonal drugs( Utrozhestan or Dufaston), which help reduce the contractile activity of the uterus.
Lumbositis in late pregnancy
When the lower back pains during pregnancy, but with special problems with the health of the spine is not( and was not before pregnancy), you can fight with discomfort with therapeutic gymnastics or aqua aerobics for pregnant women. If, before the onset of pregnancy, there was instability in the lumbar spine, it is important to carry out preventive measures aimed at strengthening the dorsal muscles throughout the nine months of bearing, as well as reducing the burden on the spine by wearing a bandage, controlling diet and lifestyle.
In some cases, the appearance of pain in the back and sacrum can be a symptom of the development of symphysitis - excessive softening of the osseous joints caused by active production of relaxin. Such complications can arise as a result of genetic predisposition or due to a lack of calcium in the body of a woman. Signs of symphysitis is a sharp back pain:
- when trying to change the position of the body;
- with palpation of the bone joints of the pelvis( lone articulation);
- when trying to straighten the knee bent in the knee.
In addition, a woman's gait changes - becomes clunky. When stating the diagnosis of "Symphysitis" pregnant woman, it is recommended to wear a supporting bandage constantly, reduce physical exertion, and take calcium - 1000-1500 milligrams a day.
Pain in the sacrum at 30-36 weeks gestation can signal the onset of premature birth. If such pain appears at short intervals, and resembles real contractions, it is necessary to see the doctor immediately. After the ultrasound examination and cardiotocography( CTG), inpatient treatment is prescribed, which will help reduce the contractile activity of the uterus.
In later terms( 36-40 weeks of gestation), the pain that occurs in the lower back and goes down into the sacrum, carries no danger, because it is caused by the pressure of the baby's head on the nerve endings of the small pelvis. To reduce such pain is almost impossible, because at this time there is a natural preparation of the organism for childbirth. Even after the appearance of the baby, such pain passes without any outside interference.
Sometimes pains in the lower back or other parts of the back in late pregnancy can result from hypothermia, resulting in myositis( inflammation of the muscles).To eliminate them, you can resort to warming ointments, however, when choosing a medicine, you should carefully read the instructions, because the components that make up it can harm a child's health.
The appearance of acute compressive pain( "false labor") in the waist and abdomen at the very end of pregnancy can be a sign of harbingers of labor. Such pains are irregular, have a constant intensity and duration. If the frequency of such feelings gradually increases, it is possible that a woman begins to give birth.
Nutrition for reducing back pain
To reduce back pain during pregnancy, you should carefully monitor the diet. In the diet should necessarily be present calcium, which is found in dairy products, nuts, greens and fish. In the presence of diseases of the musculoskeletal system, you must begin to adhere to the calcium diet even before conception.
A woman is recommended to consume 100 grams every day.cottage cheese, eat cheese and drink up to 500 ml of kefir or milk. A lot of calcium is contained in beets and beans, so these products should also become mandatory in the menu throughout the entire period of bearing.
A large amount of easily digestible calcium is found in the eggshell. To use it for food, it is necessary to pre-weld the egg, remove the film from inside the shell, burn it in a frying pan and grind it in a coffee grinder. For one meal is recommended 0.5 gr.eggshell.
For calcium to be better absorbed, it is important to regularly breathe fresh air. And it is useful not so much to stay on the street, how much absorption by the body of sunlight, which is responsible for the production of vitamin D in the body. This vitamin provides good absorption of calcium.
To prevent pain in the lumbar region, the body of a pregnant woman also needs magnesium, which, like vitamin D, assists in the absorption of calcium. In addition, magnesium deficiency in pregnancy can provoke spontaneous abortion and premature birth. Magnesium provides flexibility and durability of bones, contributes to increasing the body's resistance to stress, relieves irritation, relieves spasms in the abdomen and lower back, normalizes the outflow of bile and peristalsis of the intestine.
The lack of magnesium in the body is manifested:
- with high blood pressure;
- by a disturbed rhythm of the heart;
- by a violation of the outflow of bile( dyskinesia of bile ducts);
- frequent stop information( convulsions).
In a large amount of magnesium is found in dried fruits( dates, prunes, dried apricots), nuts and bananas, as well as in lemons, legumes, fresh herbs, sea kale and coarse flour. When taking estrogens and diuretics, magnesium is practically not digested.
Prevention of lumbar pain during pregnancy
Physical exercises for the back, aimed at strengthening the muscles, during pregnancy are simply necessary. Performing them regularly, you can reduce the risk of pain in the lower back to a minimum. To begin to carry out such exercises is necessary already from the second trimester of pregnancy both during classes on special courses of prenatal preparation, and at home conditions on fitball. To prevent back pain, pregnant women can be recommended aqua aerobics.
The choice of a good prenatal bandage plays a significant role in preventing pain in the back in the second and third trimester of pregnancy. It not only facilitates the increased strain on the spine, but also contributes to the proper placement of the baby in the womb. Thus, due to its daily wearing, it is possible to avoid even the pain in the back caused by fatigue, common to all pregnant women.
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