About half of women complain of lower back pain during pregnancy. As a rule, discomfort appears around the fifth month and disappears completely after childbirth. With the change in the weight of the female body associated with the growth of the fetus, the center of gravity shifts somewhat. To make it easier to maintain an upright position, pregnant women have to lean back a little at the waist when moving. The spine experiences significant stress and begins to ache. Pain appears in the back, pelvis, and often radiates to the leg. Most often this happens after a long walk or a long stay in a standing position.
If pain begins in the pelvis, lower abdomen and front of the thighs, the cause of the pain is the softening of the ligaments under the influence of the hormone relaxin . It is produced by the ovaries and placenta. Under the influence of relaxin and other female sex hormones, cartilage and ligaments swell, become looser, the bones of the joints move apart, and the distance between them is filled with a special liquid, which increases the mobility of the pelvic bones.
Pain in the pelvic bones should not be severe. In case of severe pain accompanied by gait disturbance, this may be a symptom of symphysiopathy - a disease associated with excessive relaxation of the symphysis pubis .
A common cause of lower back pain during pregnancy may be kidney stones . As a rule, the pain is sharp and urination is impaired. Renal colic is caused by the passage of a stone through the ureter, which injures the mucous membrane.
To stop lower back pain, pregnant women are prescribed painkillers, as well as drugs that eliminate muscle spasms. In case of unclear diagnosis, it is first necessary to determine the type of stones. Treatment of kidney stones is carried out with diet, traditional or traditional medicine.
Another cause of pain that appears in the lower back and is associated with kidney disease is pyelonephritis . Girls and young women suffer from this infectious disease 5-6 times more often than boys and men. The cause of the inflammatory process is Escherichia coli or Pseudomonas aeruginosa , enterococci , staphylococci . Therefore, if during pregnancy the lower back hurts, the temperature rises, swelling occurs, the characteristics of the urine change - it becomes cloudy, its composition deteriorates, which is revealed by analysis - these are characteristic signs of pyelonephritis.
To prevent pain in joints and bones, especially in the case of one or another pathology of the musculoskeletal system - osteochondrosis , curvature of the spine - it is useful to strengthen the back muscles.
To prevent lower back pain before pregnancy, it is useful to go swimming. Exercise relaxes the spine and at the same time makes the back muscles strong.
If your back hurts in the lumbar region and the cause of the discomfort is one or another pathology of the musculoskeletal system, after consulting with your doctor, you can start wearing a prenatal bandage . It is especially necessary if the expectant mother’s work involves prolonged standing or prolonged walking.
If the lower back or lower back hurts quite severely, as prescribed by your doctor, you can do a light massage to relieve the muscle spasm that causes the pain. The movements should be stroking, while it is useful to massage the back and feet. To massage your feet, you can use a special massage mat or ball. Five minutes of relaxing procedure is enough. At the same time, the sensations should be comfortable.
When the pain in the lower back stops, to restore the mobility of the back and spine, it is useful to daily perform a set of therapeutic exercises for pregnant women, recommended by the doctor.
In any case, and not just during pregnancy, when the lower back hurts due to increased load on the musculoskeletal system, it is necessary to spare your back and try to load it less:
If the lower back is tight, the sacrum hurts, there is a certain probability of miscarriage. May hurt in the lower abdomen, often want to urinate. Pain may appear after physical activity, as a result of nervous fatigue.
It's worth lying down. After consulting with your doctor, take a sedative - Corvalol or Extract . No-Shpa is useful to eliminate spasms .
If the lower back hurts often or constantly, it is worth determining the tone of the uterus. Diagnosis is performed using ultrasound.
If increased tone is detected, the doctor will prescribe a drug that eliminates spasm - for example, No-Shpu . It is also helpful to continue taking sedatives.
Sometimes in the early stages the doctor prescribes hormonal medications - Duphaston or Utrozhestan . In later stages, the doctor may prescribe other drugs that reduce the contractile activity of the uterus.
With a fairly high probability of premature birth in late pregnancy, pain often occurs near the lower back, in the sacral area. As a rule, painful sensations are accompanied by thickening of the abdomen, and the uterus becomes tense.
If the pain appears after certain periods and resembles “real” contractions, you should definitely see a doctor. Based on the results of ultrasound and cardiotocography - assessing the condition of the fetus by recording its heart rate and activity in connection with uterine contractions and external stimuli - treatment is prescribed to suppress uterine contractions. As a rule, you will have to go to the hospital.
The abdomen and sacrum may hurt slightly during the onset of so-called false contractions ( Braxton-Hicks contractions ). False contractions usually occur in the last month. The young mother’s body carries out its final checks before the actual birth occurs. These contractions are irregular, their intensity and duration remain constant.
To reduce lower back pain during pregnancy, a diet rich in calcium is beneficial. First of all, dairy products , fish , greens , nuts .
It is better to go on a calcium diet before pregnancy. It is useful to drink 1-2 glasses of milk every day, eat more cheese and cottage cheese. Fermented milk products are useful. As well as vegetables, especially beets and beans .
To better absorb calcium, you need to be outside more often. Of particular benefit is not just being in the fresh air, although regular walks are also necessary for the health of the lower back, but a sufficient amount of sunlight. Under the influence of sunlight, the body produces vitamin D, without which calcium is absorbed much worse.
Since the bioavailability of calcium gluconate is only 4%, and its use also increases the risk of kidney stones, it is better to use more effective sources of this trace element.
To prevent lower back pain during pregnancy, calcium, which strengthens bones, is obtained from the shell of a hard-boiled chicken egg, after first removing the film from the inside. Heat the shells in a frying pan, then grind them in a coffee grinder. Add the resulting egg powder to food.
A single dose is half a gram, on the tip of a teaspoon. Compared to calcium gluconate, the resulting powder contains ten times more easily digestible calcium.
During pregnancy, the lower back hurts due to a lack of magnesium , which is necessary for optimal calcium metabolism. If the diet does not contain enough of this microelement, calcium intake is ineffective. Additionally, magnesium deficiency is a common cause of miscarriage or premature birth .
Magnesium strengthens the body's resistance to stress, has a calming effect, eliminates spasms of the smooth muscles of the stomach , gall bladder , and intestines , which is especially important during pregnancy. Sufficient intake of magnesium normalizes bile secretion and helps prevent constipation.
Signs of magnesium deficiency are:
Magnesium is found in wholemeal flour , dates , prunes , bananas , nuts , dried , pumpkin , dill , parsley , other greens, legumes - beans and peas , seaweed , lemons .
The microelement is poorly absorbed when taking diuretics or estrogens.
Pregnancy is a special time in the life of every woman, both emotionally and physically. First they plan it, then nine such different long months, when only one desire remains - to give birth quickly. Unfortunately, it often happens that during pregnancy various diseases worsen and lower back pain may appear.
For most expectant mothers, such pain is not a threat to the baby’s health; it appears in the second half and is caused by a shifted center of gravity. The tummy grows and pulls down, so the woman has to strongly arch her back in the lower back to walk straight. In this case, the muscles are overstrained, which is the cause of moderate aching pain. But not all lower back pain in pregnancy is created equal.
Every doctor will tell you that a pregnant woman is a mystery; everything about her is “different from other people’s”—the pain is different and her complaints are special. This phenomenon is due to her condition, because the work of the entire body of the expectant mother during pregnancy is restructured in order to bear the baby. The hormonal influences necessary for the normal development of the baby also represent a significant burden.
In addition, the woman gains weight, which cannot but affect the functioning of the cardiovascular system. The growing uterus shifts all the organs of the abdominal cavity upward, changing the anatomical relationships.
During this period, a woman is subject to frequent mood swings from euphoria to depression and anxiety, and therefore tends to exaggerate her feelings at times. This factor should also be taken into account when examining pregnant women.
But since two lives are at stake at once, if a pregnant woman has lower back pain, she should be examined and examined most carefully so as not to miss the development of such a formidable complication as gestosis.
To better understand why the lower back hurts during pregnancy, let’s divide a woman’s life into two periods: before pregnancy and after. Thus, it turns out that all lower back pain can be divided into two groups.
The first group will include those conditions and diseases that are not associated with pregnancy and could have bothered the woman even before pregnancy, and the second group will include those that only occur during pregnancy.
All the diseases that ordinary people suffer from can also occur in pregnant women. Chronic diseases especially often worsen during this period.
The most common cause of lower back pain is, of course, osteochondrosis or other spinal pathology (lordosis, scoliosis, intervertebral hernia), which occurred before pregnancy. In this case, during pregnancy, the lower back often hurts and this is due to increased load on the spine, compression of the nerve roots due to incorrect body position and, as a result, increased tone of the skeletal muscles.
At the same time, the nature of the pain is no different from that in non-pregnant women: the same stiffness in the lower back and the inability to turn around painlessly, often the pain is so severe that the woman cannot get out of bed.
If you shoot in the lower back during pregnancy, it could be radiculitis or sciatica. Often this pain radiates to the leg. Warming ointments and gels (Fastum - gel, Finalgon, turpentine ointment) help well with various pathologies of the spinal column, especially since many drugs are prohibited for pregnant women due to their teratogenic effect on the fetus.
Often, lower back pain can be caused by pathology of the pancreas (chronic pancreatitis). This disease becomes aggravated very often during pregnancy. After all, it’s no secret that the taste preferences of expectant mothers are sometimes very original: give them salty foods, sausages, sweets, and often more of everything at once. Such errors in diet almost always end in pain.
In severe cases, during an attack during pregnancy, the left lower back hurts severely, there is repeated vomiting, the pain spreads to the abdomen, which can be stretched like a board. In such cases, an examination of the stomach is always indicated to exclude such an unpleasant pathology of the gastrointestinal tract as a perforated ulcer of the stomach or duodenum. During pregnancy, this disease is also often observed and requires urgent surgical intervention - suturing the ulcer, otherwise peritonitis will develop.
More often than not, the abuse of some kind of delicacy during pregnancy causes a slight ache in the lower back, while the stomach is moderately swollen. Discomfort is eliminated after taking enzyme preparations (Mezim, Pancreatin).
Since we are talking about peptic ulcers, it should be noted that currently this disease is very common among young women. Therefore, there is nothing strange in the fact that the expectant mother’s old ulcer has worsened. Lower back pain is a concern with ulcers localized on the posterior wall of the duodenum. In addition, heartburn, belching, heaviness in the stomach and night aching pain may occur.
Dyspeptic complaints are associated with the fact that the growing uterus puts pressure on the internal organs, preventing the normal functioning of the gastrointestinal tract.
If the right lower back hurts during pregnancy, you might think about the atypical location of the appendix (appendix). Appendicitis is not uncommon in pregnant women, and the inflamed appendix is always located abnormally (for example, under the liver).
In addition to pain, nausea, abdominal pain, and fever may occur. The pain may radiate to the groin or right leg. This attack is often confused with sciatica (inflammation of the sciatic nerve). A blood test allows you to suspect the correct diagnosis, the rest is a matter of technology.
The lower back often ache during pregnancy due to kidney pathology. Many women suffer from pyelonephritis; urolithiasis is also quite common at a young age. These diseases can also cause discomfort in the lumbar region. In this case, frequent urination or its complete absence may occur. Urine changes color and smell when an infection occurs. Any nephropathy is a high risk of developing severe complications (eclampsia, gestosis).
Kidney pathology especially often worsens in the second and third trimester. This is due to the fact that the growing uterus puts pressure on the ureters, preventing the normal outflow of urine. In the pyelocaliceal system, against the background of congestion, pressure increases, and hydronephrotic transformation of the kidneys may develop. Often such pregnant women experience increased blood pressure and swelling.
Often the lower back is pulled during pregnancy with an exacerbation of the so-called “female diseases” - salpingoophoritis, salpingitis. Gynecological diseases often worsen after hypothermia. In addition to pain, there will also be vaginal discharge, itching, and burning.
So, we found out that, despite their interesting situation, expectant mothers still remain normal people with common diseases. Only these diseases most often manifest themselves atypically, especially emergency pathology. Therefore, any discomfort should be a reason to consult a doctor; self-medication in this case can lead to disastrous results.
All these diseases can manifest themselves at any stage, and even during childbirth. Therefore, you should take pregnancy planning especially seriously: you need to undergo a full examination and carry out preventive treatment of all chronic pathologies. Foci of chronic infection should be taken especially seriously. It is also necessary to visit the dentist and have the oral cavity sanitized. It is important that your partner also takes care of his health.
The correct lifestyle of a husband and wife is the key to a normal pregnancy and the birth of a strong, healthy baby.
Now let's talk about lower back pain associated with pregnancy. In 80% of cases, such pain is safe and is caused by hormonal changes and stretching of the pelvic tissues in connection with the preparation of the birth canal for the birth of the baby. But one cannot ignore the warning signs that every woman preparing to become a mother needs to know.
What is considered physiological?
We have already found out that pregnancy itself is a physiological condition, but it entails a number of changes in a woman’s body, including a shift of the body axis slightly forward from the vertical, due to a growing belly.
To hold the body, a woman is forced to lean back, which leads to muscle strain and the development of pain. Almost all women experience similar discomfort in later stages. This is considered physiological.
Threat of miscarriage.
Especially if the lower abdomen is tight and bloody discharge begins. This indicates a threat of termination of pregnancy. If you have such complaints, you should immediately consult a doctor. If there is heavy bleeding, you must call an ambulance.
Modern medicine has many means to preserve a desired pregnancy when there is a threat of miscarriage. Expectant mothers are provided with peace and proper nutrition. Hemostatic drugs (Dicynon, Etamzilat, Tranescam and others) and hormonal drugs that help prolong pregnancy (Duphaston) are used. To normalize uterine tone, antispasmodics (No-shpa, Papaverine) and sedatives such as valerian tablets are prescribed.
But do not forget that this is the second critical period, at which there is a high risk of miscarriage. Therefore, you should immediately consult a doctor, do an ultrasound and make sure that everything is in order. Otherwise, there is no need to panic - the pregnancy will definitely be preserved if you follow all the doctor’s prescriptions carefully.
The expectant mother is closely monitored. At this time, many are already hospitalized in the maternity hospital and preparing to meet the desired baby. During this period, false contractions may occur.
For such women, fetal CTG is performed, the functional maturity of the cardiovascular system is assessed, and the position of the child in the uterine cavity is monitored. After all, if something goes wrong, the delivery will be carried out by Caesarean section.
At any stage of pregnancy, lower back pain is a reason to consult a doctor. Self-medication and staying at home can lead to the development of severe complications for the woman herself and to termination of pregnancy at any stage.
For any woman, pregnancy is one of the happiest and most exciting periods of life. However, the anticipation of meeting the baby is often overshadowed by discomfort and lower back pain during pregnancy.
As a rule, more than 75% of expectant mothers complain of lower back pain, sometimes they accompany women throughout pregnancy. Typically, such pain is considered normal, since a woman’s body undergoes many physiological changes. However, you should not take them lightly, because this symptom may be a sign of a serious pathology.
Let's take a closer look: what is the cause of such pain, how exactly does the lower back hurt during pregnancy, and how should you react to it.
Let's take a closer look at why the lower back hurts at different weeks during pregnancy.
The period of gestation is characterized by the production of the hormone relaxin, which relaxes the femoral-sacral joints and ligaments. This is due to the need to facilitate the birth of the baby during childbirth.
Weight gain and abdominal growth provoke imbalance, due to which a woman has to constantly pull her shoulders back and bend slightly. As a result, the spine takes on a curved appearance, the muscles are constantly under tension, which provokes pain and discomfort in the lumbar region.
Also, pathologies of the musculoskeletal system previously diagnosed in a woman lead to severe pain in the lower back.
Lower back pain during pregnancy may have the following causes::
Women often complain that they are only 5, 6, 7, 8, 9, 10, 11 or 12 weeks pregnant, but their lower back hurts.
The reason is the restructuring of a woman’s body and changes in hormonal levels. Ligaments stretch and joints shift to prepare for the stress they will soon have to bear. Therefore, at the beginning of pregnancy, almost all women experience lower back pain.
The second trimester of pregnancy is also often accompanied by lower back pain in the 13th and following weeks. This is primarily due to the growth of the fetus and the increase in the weight of the mother’s tummy.
The center of gravity shifts, and the expectant mother is forced to arch her back more, with the greatest weight falling on the lumbar region. The production of relaxin, which we mentioned above, also increases.
Another cause of lower back pain can be improperly selected shoes. During pregnancy, you need to be as careful as possible when choosing your wardrobe.
Uncomfortable, tight shoes can create pressure on the heel, which often provokes lumbar pain. The same applies to a sedentary lifestyle. Even during such a delicate period, a woman is required to have at least minimal physical activity.
Lower back pain in the first and second trimesters of pregnancy in most cases is not pronounced, while late pregnancy can be accompanied by severe pain.
The greatest peak of complaints about lower back pain occurs at 21, 30, 36 and 40 weeks of pregnancy. The production of relaxin increases significantly, provoking the development of symphysiopathy - an inflammatory process of the symphysis pubis. Read more about symphysitis during pregnancy >
In addition to pathology, persistent calcium deficiency develops, since the largest part of it is spent on fetal development. With a combination of such problems, the expectant mother begins to be bothered by lower back pain, often debilitating.
Often, expectant mothers note increased pain when trying to change position.
Experts identify other reasons why pregnancy and lower back pain complement each other:
Starting from 38-39 weeks, pregnancy is manifested by increased pain: lower back pain. The expectant mother may notice increased sacral pain associated with the baby's head moving down, which leads to compression of the nerve endings. In the absence of any pathologies, discomfort and pain disappear immediately after childbirth.
Pain in the lumbar region can be a consequence of myositis - hypothermia, during which the muscles become inflamed.
In the last weeks of pregnancy, the lower back and lower abdomen hurt. Typically, such signs indicate training contractions, a kind of preparation of the body for labor.
In some cases, lower back pain during pregnancy is a sign of neuralgia. The pain syndrome is aching in nature and is accompanied by an unpleasant tingling sensation in the lumbar area.
Exacerbation of pancreatitis often causes pain in the sacral region. This is due to the type of pain syndrome manifested in pathology. The pain is girdling in nature, so it is often localized in the lower back.
If a pregnant woman has lower back pain in the first trimester, she should consult her doctor as soon as possible to rule out complications. Severe pain accompanies various pathological processes that pose a danger to the mother and the unborn child.
Aching pain in the lower back and back, which is accompanied by fever or vaginal discharge, also needs to be diagnosed.
The norm is mild pain that does not require relief with painkillers. All other cases require consultation with a doctor.
Therapy is prescribed only after determining the cause that led to the appearance of pain in the lumbar region. Aching or dull pain in the lower back during pregnancy is not a reason to prescribe self-medication, which often worsens the course of symptoms.
If we take standard cases, the treatment looks like this:
Of course, no pregnant woman is immune from the appearance of an unpleasant symptom. Nevertheless, there are certain preventive measures that can significantly reduce their occurrence and make pregnancy easier.
Experts recommend the following:
The period of bearing a child is a very delicate time, so even with minor discomfort you should consult your doctor. Don't forget that lower back pain is not always a harmless sign of pregnancy.
Hello, dear readers!
Even the happiest pregnancy can be marred by back pain. For some, the lower back begins to ache in the early stages, for others - later. The pain is especially severe for pregnant women who are forced to take the same position at the workplace.
Let's look at why this happens, what processes cause discomfort and, most importantly, what to do if your lower back hurts during pregnancy. After all, sometimes the simplest measures can significantly relieve pain.
So why does your back start to hurt? The first explanation that can be found on the Internet is the changed posture of the pregnant woman. However, often the lower back becomes sensitive already in the early stages, when the tummy is not yet large and the posture has not undergone any changes.
The fact is that from the first hours of pregnancy the uterus fills with blood, swells, and begins to increase in size and weight. These processes cause stress in the ligaments that attach the uterus to the abdominal cavity. One of these ligaments attaches the uterus to the sacrum and is called the uterosacral ligament - this is a paired ligament running from the right and left (indicated in green in the picture).
The ligament pulls the sacrum towards itself, which causes pain.
Weak muscles of the back and buttocks can aggravate the pain - they are responsible for stabilizing the lower back and pelvis. They, together with the uterosacral ligament, like a swan, cancer and pike, pull the sacrum and, when the forces are equal, the sacrum stabilizes, displacement does not occur and pain does not occur.
Weak muscles cannot effectively withstand the pressure of the developing uterus - lower back pain occurs. Unfortunately, a sedentary lifestyle actively contributes to muscle weakness and even the development of postural disorders. What can we say about that period of pregnancy when posture changes naturally, but the muscles are still weak...
But this knowledge does not make it any easier for the pregnant woman.
Here are a few fairly simple steps that will bring relief.
Watch your posture while you are sitting. The sitting position puts maximum stress on our spine. Make sure your chair (at home and at work) is comfortable, at the optimal height and supports your back. Use a low footrest to slightly elevate your feet and avoid crossing your legs.
You can alternate between sitting on a chair and a fitball. Unstable support loads different muscles than a stable seat. This variety allows the back muscles to rest and work in turn.
Take walking or stretching breaks at least once an hour. Maintaining one position for too long can aggravate back pain.
If you work on your feet, try placing one leg on a low stool - this will take some of the pressure off your lower back.
Avoid heavy lifting. If you need to lift something heavy, don’t rush. Do this carefully, keeping the load as close to your body as possible. Kneel down towards a heavy object (one leg in front), keep your back straight, do not bend your lower back or slouch. Lift weights using your legs, not your back.
Watch your weight, eat well, but don't overeat. Provide yourself with high-quality and sufficient nutrition. Pregnant women rarely need complex vitamins, but absolutely everyone needs a regular diet rich in natural foods.
Perhaps you have heard that a lack of minerals and calcium can manifest itself in the form of pain, including in the lower back? A balanced diet will supply you with all the necessary nutrients, protect bones from loss of minerals, and joint surfaces from injuries associated with weight gain.
Try to walk a lot, do pregnancy fitness, and, if possible, go to the pool.
Wear comfortable shoes . Save the stilettos for the stars and models. Our choice is low-heeled shoes (3-5 cm). It is advisable to consult an orthopedist about the use of orthopedic insoles. Properly selected shoes have a beneficial effect on posture, which means they can relieve lower back pain.
A good orthopedic mattress will help your back recover better overnight. A special pillow for pregnant women or several small pillows will help you find the most comfortable position in bed and give rest to your strained lower back.
Discuss with your doctor whether you need to wear a maternity brace. it will support a heavy tummy, relieve the load on the lower back and relieve pain. The main thing is that you feel comfortable in the bandage.
If you need to get something from the top shelf, do not stand on your tiptoes or reach. Take a stool and use it to get what you need. I hope these are not sweets :)
Develop positive thinking. It will be very useful for a young mother :) Try yoga or swimming - this activity is good for relaxing the mind and muscles.
Exercise will strengthen your muscles and help stabilize your pelvis. All this will lead to the fact that lower back pain will decrease and pregnancy will become even more enjoyable. And, as practice shows, childbirth is much easier for trained mothers.
Do the “kitty cat” exercise more often - specific movements of the pelvis help relieve tension and prepare for the birth of the child.
Try a contrast shower on the lumbar area. Take a warm bath (not hot!). Let someone help you get into the water and get out of it.
Find a professional massage therapist. Who knows the techniques of perinatal massage.
Remember that massage is contraindicated in the first trimester.
Always remember that pain can be a signal of distress! Ask your doctor to teach you the difference between “good” pain and “bad” pain.
Tell your doctor about the presence of pain, its intensity and dynamics at each visit. This way he can help you in the best possible way.
In any case, if the pain suddenly intensified, began to resemble contractions, or other alarming symptoms appeared:
You should consult a doctor immediately.
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From 50 to 70% of pregnant women experience back pain. In most cases, this symptom is not dangerous to health, but is the result of changes in the body of the expectant mother.
Sometimes back pain in pregnant women can occur due to some disease, then you have to go to the doctor. In all other cases, a pregnant woman can help herself and relieve back pain.
The most important questions that need answers are why your back hurts and what to do if your back hurts during pregnancy.
One of the causes of pain is hormonal changes in the body of the expectant mother. Under the influence of hormones, the pelvic joints and intervertebral ligaments begin to expand. This is a kind of preparation for the upcoming birth. Due to the growth of the uterus, the abdominal muscles weaken, and additional stress falls on the back muscles. All this leads to discomfort and aching pain in the back and pelvis.
With increasing weight, the center of gravity shifts and the spine deviates forward, which leads to additional stress and causes pain.
To compensate for the shift in the center of gravity, the expectant mother begins to protrude her growing belly forward, resulting in poor posture. This also causes pain and discomfort in the back area.
The growing uterus pinches the nerve endings and blood vessels that surround the spine, and the back begins to ache, especially when lying down.
During pregnancy, a woman gains from 8 to 15 kg of weight, which puts pressure on her legs and lower back. A woman may feel that her lower back hurts and her legs become tired.
If a woman had back problems before pregnancy (osteochondrosis, hernia, radiculitis), then during pregnancy aggravation may occur and back pain may appear. In this case, you need to consult a doctor.
Most often, back pain occurs in the second trimester of pregnancy (20-25 weeks of pregnancy), but sometimes the back can begin to hurt earlier.
Nagging back pain during early pregnancy may indicate a possible threat of miscarriage . If the pain is very pronounced, it intensifies, and the lower abdomen begins to hurt, it is necessary to seek medical help as soon as possible.
What to do if your back hurts before childbirth (37 weeks of pregnancy - 38 weeks of pregnancy)? The baby's head is inserted into the pelvis, which causes pressure on the lower spine. This can lead to aching, pulling pain in the back.
In addition, before giving birth, a pregnant woman may experience so-called false contractions. In this case, the expectant mother feels mild pain in the back and abdomen, and tension occurs in the anterior abdominal wall. The uterus is “training” for the upcoming birth. If these sensations pass and the stomach becomes soft again, then there is no cause for concern.
At 39 weeks of pregnancy (or at 40 weeks of pregnancy), labor , so if the pain in the back and lower abdomen intensifies, the pain comes in waves and becomes stronger each time, the time between contractions decreases, you need to go to the maternity hospital.
What should a pregnant woman do to improve her well-being and get rid of back pain while carrying a child? Here are some useful tips:
In most cases, back pain in expectant mothers does not pose any threat; treatment will only be required if the discomfort is caused by a disease or pathological condition. What to do if your back hurts during pregnancy? When should you see a doctor?
In any case (even if the pain is not severe and not dangerous), during your next visit to the obstetrician-gynecologist, you must tell the doctor about the back pain that has appeared. Happy pregnancy!
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During pregnancy, a woman’s body must “adapt” to the upcoming loads and compensate for all the changes occurring with the expectant mother.
This means that the gradual growth of the fetus should not cause pathological changes in the balance of the female general condition. And pain in the lower back or tailbone, which often accompanies pregnancy, may reflect adaptive processes.
Lower back pain during pregnancy can occur at different stages. It is a mistake to think that in the early stages of gestation a woman’s back is not subject to certain loads. So why do women often complain that their lower back “aches” or their tailbone hurts during pregnancy?
The thing is that the pelvic cavity, where the uterus is located, has a small volume and is limited on all sides by bone and soft tissue walls. Therefore, if any large-scale process occurs in the uterine cavity, including pregnancy, this cannot but affect the internal organs, joints, and ligaments that are closely adjacent to the growing formation.
The bones that form the pelvis are closely adjacent to each other, forming practically motionless joints, which are strengthened by strong short ligaments. An enlarged uterus displaces organs and tissues, and the pelvic joints are also affected, resulting in pain in the lower back and tailbone pain during pregnancy.
When the uterus reaches a significant size, the center of gravity shifts. As a result of this compensatory process, the lower back muscles and lumbar spine experience more stress than before pregnancy. Therefore, overstrain of the muscles that are in hypertonicity occurs, causing blockade of the intervertebral discs, resulting in the development of pain.
This phenomenon occurs shortly before childbirth, when the body is training to expel the baby from the uterine cavity. Pain in the lower back accompanies these contractions, but in addition to this unpleasant sensation, the woman notes that the uterus “turns to stone,” there is a feeling of lack of air, and the stomach is pulled down. This lasts several minutes. After the uterus returns to normal tone, all these symptoms, including pain, disappear.
In pregnant women, lower back pain can often indicate renal pathology.
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During pregnancy, the risk of developing inflammatory kidney diseases or exacerbation of existing ones is increased. This occurs due to disruption of the normal tone of the ureters under the influence of hormonal levels. Stagnation of urine, in turn, leads to infectious complications.
In addition to lower back pain, a woman may experience:
Pancreatitis in pregnant women can also manifest as lower back pain. With this pathology, the pain is girdling in nature, associated with food intake, and accompanied by nausea and vomiting. A temperature reaction also often develops.
Pancreatitis is a severe pathology that requires treatment in a hospital setting. During pregnancy, pancreatitis may appear for the first time, but most often it is an exacerbation of an existing chronic damage to the pancreas.
If a woman had problems with the spine even before pregnancy, then under the influence of constantly growing loads on the spinal column, these problems will make themselves felt. This is especially true for osteochondrosis. As a result of this pathological process, radiculitis and herniated intervertebral discs may occur. Lower back pain with radiculitis will have certain characteristics:
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This disease is characterized by the slippage of one vertebra relative to another. This happens as a result of injury, under the influence of excessive loads, in the presence of congenital defects of the vertebral arches. During pregnancy, the risk of vertebral displacement increases, which leads to severe lower back pain. Most often, such displacement occurs at the border of the lumbar and sacral spine. The main signs of spondylolisthesis:
If you have pain in the lumbar region, as well as if you feel pain in the tailbone during pregnancy, it is necessary to take certain therapeutic measures. It is clear that the use of drugs should be as limited as possible and subject to specific, strict indications. Therefore, if pain is localized in the lower back or pain is felt in the tailbone during pregnancy, the complex of therapeutic measures should include:
If back pain during pregnancy is caused by displacement of the vertebrae (spondylolistosis), then treatment by an orthopedic traumatologist is necessary, who will prescribe a certain type of support structure in the form of a bandage or corset.
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If the disease progresses, then bed rest is prescribed, and the woman should be on an orthopedic mattress. For patients with this pathology, it is recommended to spend more time in a position with a raised torso and bent legs. Only after delivery can they resort to surgical treatment.
When lower back pain occurs during pregnancy, some try to apply cold or heat to the area. But this is a big mistake that can lead to serious consequences. Any impact of physical factors (cold, heat, ultrasound, ultraviolet radiation) on a pregnant woman’s body can provoke pregnancy pathology. Therefore, you should not do any of the “put a heating pad on your stomach or lower back” series if your back hurts during pregnancy!
Ingestion of various medications without a doctor's recommendation is strictly prohibited. After all, even analgin that was harmless before pregnancy can be harmful to the baby. Only after consultation with the attending physician and related specialists is it possible to take medications.
If you cannot avoid back pain during pregnancy, then you should make sure that they are minor and do not cause excessive inconvenience. To do this you need:
A pregnant woman should be especially attentive to her health and promptly consult a doctor if her back hurts during pregnancy.
Self-medication in this situation is unacceptable!
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