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Leg and pelvic muscles hurt

05 Jul 18

Muscles between legs hurt during pregnancy

During pregnancy, the expectant mother's body is rebuilt, and new, unpleasant sensations appear. Muscle pain in the perineum and lower back is common. This is a natural physiological process associated with increased stress on the body. Muscle pain in the legs and lower back indicates the development of pathology. The female body is vulnerable while carrying a child.

The cause of muscle pain is the restructuring of the body due to hormones. Other reasons:

  • Vascular diseases in the legs (varicose veins);
  • Lack of calcium and magnesium in the body of the expectant mother leads to impaired muscle patency;
  • Osteochondrosis and osteoporosis;
  • Increased load on the lower limbs and bones due to increased body weight;
  • As the uterus enlarges, the pelvic vessels are compressed;
  • Increased physical activity, flat feet;
  • Wearing the wrong shoes.
  • It happens that there are no concomitant diseases, but the muscles and bones in the legs ache, the pain radiates to the lower back. The expectant mother walks incorrectly and has a crooked posture, causing stress in the lower back.

    After the first trimester, remove shoes with platforms, high heels, or stilettos so as not to strain your lower limbs. During pregnancy, the muscular system works at an increased rate.

    Pain in the perineal muscles during pregnancy

    Often, in later months, pain occurs in the muscles between the legs, in the perineum and lower back. During pregnancy, the load falls on the muscles covering the pelvis. The muscles stretch, providing the baby with a normal exit during childbirth. These pains appear from the 35th week and are signs of imminent labor. The child gradually moves forward, puts pressure on the muscles and ligaments of the perineum, and a load appears in the lower back.

    If such pain appears at a shorter stage of pregnancy, consult a gynecologist - this is a signal of a threat of miscarriage. Often the child puts pressure on the nerves in the muscles, they hurt. In such cases, you need to endure.

    Causes of pain in the perineum

    The causes of pain depend on the circumstances and characteristics of the pregnancy.

    Factors and causes influencing the appearance of pain in the muscles between the legs:

    1. A sedentary lifestyle, increased stress, and excess weight cause injuries and muscle strains. Pain appears in the muscles between the legs. If the expectant mother has been involved in sports, the occurrence of these pains is minimized. Before pregnancy, it is important to lead an active lifestyle to strengthen the perineal muscles.
    2. Hormonal changes in the body of the expectant mother. The ligaments connecting the pelvic bones soften under the influence of hormones. This is necessary for the birth of a child naturally. Due to softening of the ligaments and bones, pain appears between the legs.
    3. During pregnancy, short-term pain in the perineal muscles appears due to the mobility of the child or improper intrauterine position.
    4. Polyhydramnios during pregnancy. Happens at any stage of pregnancy. Due to the increase in amniotic fluid, pain occurs in the perineum and pain in the lower back.
    5. The large weight of the baby causes additional stress on the muscles of the pelvis and perineum.
    6. Increased uterine tone. It is most dangerous in the early stages of pregnancy. It is necessary to consult a doctor to exclude the risk of miscarriage.
    7. In the last weeks of the third trimester, the baby's head drops, putting pressure on the muscles between the legs and blood vessels. This leads to pain in the perineal muscles.

    Pain in the muscles between the legs is natural during pregnancy. If pain occurs, contact your observing gynecologist to determine the real cause. The doctor will select a method to reduce and eliminate pain. If itching, bleeding, or severe muscle pain appear, immediately contact a gynecologist or an ambulance.

    Early treatment of pain

    Gymnastic exercises will help relieve pain in the muscles of the perineum. Physical therapy is carried out in courses for expectant parents and special courses at the maternity hospital. With your doctor's permission, you can perform exercises for pregnant women at home.

    Wearing special bandages during pregnancy reduces the load of the weight of the tummy on the pelvis. When wearing a bandage, the pressure on the muscles and bones between the legs is reduced, and pain is reduced. The bandage is easy to use, it is not visible under clothes, and it is easy to choose the size. The bandage should be discarded in the last weeks of pregnancy, as it compresses the fetus.

    Therapeutic gymnastics in the first months of pregnancy

    Physiotherapy exercises in the 1st trimester are aimed at normalizing metabolism and blood circulation in the pelvis and perineal muscles, and preventing the appearance of venous stagnation. Strengthens the muscles and bones in the lower back and prevents pain in the muscles between the legs. The exercises are done every day; if discomfort occurs, you should stop and consult a gynecologist.

    Remember, if there is a threat of miscarriage and the doctor’s contraindications, if the muscles between the legs hurt, you should refuse to perform physical therapy. In the first trimester, deep squats and heavy lifting are contraindicated. The duration of the exercises is initially up to 15 minutes.

    Exercises recommended in the first trimester:

  • Physical education begins with breathing exercises. Inhale for 2 seconds, exhale for 3-5 seconds. Pause between exhalation and inhalation 1-2 seconds.
  • Strengthening exercises for the muscles of the perineum and lower extremities.
    • Standing position. You need to lean on the chair and back, fingers relaxed. From the initial position, do shallow squats; the muscles in the lower back should not be strained too much;
    • The exercise is performed standing, leaning on the back of a chair. The leg crosses forward, sideways and backwards. Afterwards the exercise is performed with the other leg;
    • The exercise is performed standing, feet shoulder-width apart, fingers relaxed. Legs bend at the knees, hands rest on hips. Make 10 circular movements in both directions. The muscles in the lower back are strengthened.
    • Gymnastics will help a pregnant woman reduce pain in the muscles between her legs.

      Treatment in late stages of pregnancy

      In the last months of pregnancy, the expectant mother’s body begins to rebuild so that the baby moves normally from the womb. The baby turns head down, presses on the pelvic muscles, preparing the expectant mother for childbirth. This happens painfully, aching and nagging pains appear. Possible swelling of the pelvic organs and hemorrhoids.

      The baby puts pressure on the sciatic nerve, causing shooting pain. A pregnant woman cannot find a comfortable position; any movement is accompanied by pain. Treatment is not prescribed - these pains are natural and disappear after changing the position of the fetus in the womb or after childbirth.

      If discharge or contractions appear with pain, this is a harbinger of early labor, consult a doctor.

      Physical therapy in the 3rd trimester

      Carrying out gymnastic exercises in the 3rd trimester increases the stretchability and elasticity of the muscles in the legs and maintains the tone of the lower back muscles. In the 3rd trimester, physical activity is reduced; this is a difficult stage of pregnancy. Exercises are performed sitting or lying on your side, at a slow pace.

      Performing exercises is aimed at preparing the muscles between the legs for childbirth. Physical therapy in the later months of pregnancy is carried out carefully. Do not perform exercises that increase intra-abdominal pressure.

      Exercises recommended in the 3rd trimester:

    • Lying position on your back. The lower limbs are bent and apart. Place your feet on the floor and relax your toes. Raise the pelvis up (leaning on the shoulder blades), lower it to its original position. When the pelvis rises, contract the muscles of the perineum, then relax. The exercise is performed 5 times.
    • Get on all fours, do not strain your toes. The hips shift to the right and then to the left. Repeated 5 times. If your muscles hurt while doing this exercise, you should stop doing it.
    • Simple walking at a walking pace has a beneficial effect on the muscles of the limb.
    • Before starting therapeutic exercises, consult your doctor.
    • Preventive measures

      During pregnancy, the expectant mother needs to monitor her health and take preventive measures aimed at reducing the risk of pain in the legs.

      • Do therapeutic exercises;
      • Drink plenty of fluids, limit juices;
      • Wear a bandage;
      • Balanced, proper nutrition;
      • Do not overload the body;
      • While sitting, do not cross your lower limbs;
      • Sleep on your left side;
      • Wear comfortable shoes;
      • With your doctor's consent, take foot baths.
      • If there is pain or discomfort in the perineum, consult a doctor to eliminate the risk for the child and the expectant mother.

        What should women do if they have pain in the pelvic bones?

        According to international statistics, almost half of women suffer from pain in the pelvic area. Moreover, sometimes it is very difficult to localize them. Symptoms may be such that you have to consult a specialist - a gynecologist, urologist, neurologist, chiropractor, oncologist, traumatologist, rheumatologist, hematologist, surgeon. Pain in the pelvic bones can be both direct and indirect (consequences of certain diseases). It is not possible to immediately establish an accurate diagnosis.

        So why do the pelvic bones hurt in women? The causes of pathology in this area have different origins:

      • gynecological;
      • diseases of the urinary system;
      • disruption of the gastrointestinal tract;
      • diseases and pathologies of the musculoskeletal system;
      • diseases of the peripheral nervous system;
      • neoplasms;
      • various injuries;
      • infections.
      • Acute and chronic pelvic pain

        Unpleasant sensations in the pelvic region of the musculoskeletal system can be of a different nature:

      • acute (short-term sensory reaction when the body’s activity is disrupted);
      • chronic (permanent, recurrent).
      • The causes of acute pelvic pain in women can be gynecological and non-gynecological in nature (for example, diseases of the urinary system, gastrointestinal tract). It can occur suddenly and lasts about an hour or a whole day. Accompanied by fever, nausea, vomiting, internal and external bleeding. With such pain, emergency help is needed.

        Chronic pelvic pain may have the same cause as acute pelvic pain. They continue beyond the normal healing period (at least 6 months) and are associated with disruption of the activity of the nerve pathways and centers that control the flow of pain impulses. Accompanied by heaviness, burning, whining, tingling, pain. For women with chronic pain in the pelvic bones, the following symptoms are typical:

      • increasing discomfort in the lumbar region, groin, lower abdomen, which intensifies after heavy physical, psycho-emotional stress, and cooling; during the menstrual cycle;
      • dyspareunia (unpleasant sensations during sexual intercourse).
      • Causes and symptoms of pain in the pelvic bones (Table 1)

        Pain in the hip joints

        Often in women, discomfort in the hip joints, radiating to the pelvic bones, is associated with various types of diseases of the musculoskeletal system.

        Causes and symptoms of pain in the hip joints (Table 2)

        Also, the cause of pelvic pain is dysfunction of the sacroiliac joint. It disrupts biomechanics and mobility. Occurs in pregnant women.

        Frequent causes of acute, burning pain, muscle cramps, numbness, tingling in the hip joints and the pelvis itself are damage to the peripheral nerve (neuralgia).

        Symptoms of various pelvic pathologies can be similar, and it is difficult to establish an accurate diagnosis. For this purpose, modern diagnostic methods are used:

      • computed tomography;
      • magnetic resonance imaging;
      • X-ray;
      • electrocardiography;
      • ultrasonography;
      • general laboratory tests.
      • Additional research methods are prescribed if they find:

      • diseases of the uterus:
      • laparoscopy (an incision is made below the navel, a camera is moved and an image is displayed on the screen, which allows an overview of the pelvis);
      • hysteroscopy (using a hysteroscope, the uterine cavity is examined, a tissue biopsy is taken, pathology is identified and eliminated);
      • hysterosalpingography (x-ray examination of the uterine tubes, allows to identify endometriosis, fibroids, polyps);
      • disruption of the urinary system:
      • excretory urography (using X-rays and introducing a contrast agent into the blood, the kidneys are diagnosed, which makes it possible to identify the presence of stones and tumors);
      • retrograde cystography (a contrast agent is injected into the bladder through a catheter and a picture is taken, which allows one to study this organ, ureters, kidneys);
      • cystoscopy (diagnosis of the bladder using a cystoscope);
      • radioisotope studies (a radiodiagnostic drug is administered intravenously and its passage through the vessels of the kidneys is studied, which makes it possible to identify neoplasms);
      • gastrointestinal disease:
      • endoscopy (the intestines are examined using an endoscope, which allows one to identify its pathology);
      • sigmoidoscopy (a rectoscope is inserted through the anus, which allows you to study the intestinal mucosa);
      • rectosigmocolonoscopy (using a special device, the intestines are examined more thoroughly and special material is taken for analysis).
      • Thanks to these methods, it is possible to accurately determine the cause of pain and differentiate symptoms. Knowing the exact diagnosis, the doctor prescribes treatment.

        Which doctor should I contact?

        At the first discomfort in the pelvic area, you need to go to a therapist. He will prescribe tests and, if necessary, refer you to a specialist.

        If pain in the pelvis is accompanied by loss of mobility, radiates to the knee, the hips do not bend, and a feeling of stiffness occurs, then you should consult a rheumatologist or orthopedist. If necessary, see a physiotherapist or neurologist. If there are obvious injuries to the hip joint, see a traumatologist.

        If the pain is localized below the navel, bleeding occurs, suspicious discharge, fever, nausea, or abdominal enlargement, you should visit a gynecologist.

        Dull, aching pain in the lower part of the peritoneum can be caused by pancreatitis, malfunction of the spleen (enlargement, rupture). If the localization is on the right, then this is associated with liver diseases. You should seek the help of a gastroenterologist.

        Nagging cutting pain on the left with frequent urination – urolithiasis, pyelonephritis, you need to go to a nephrologist.

        If constant weakness, fatigue appears, or a tumor is detected in any of the pelvic organs, an oncologist is required.

        It is important not to ignore bone pain in the pelvic area, but to detect the cause in time, because it is easier to prevent a serious disease than to treat it.

      • Ershov G.V., Bochkarev D.N., Smolenov I.V. Etiological structure and resistance of pathogens of inflammatory diseases of the pelvic organs in women // Klin. microbiol. and antimicr. chemotherapy. 2004; 6: p. 193–200.
      • Afonin A.V., Drapkina O.M., Kolbin A.S., Pchelintsev M.V., Ivashkin V.T. Clinical and economic analysis of antispasmodics for the relief of abdominal pain caused by intestinal spasm. //Russian Medical Journal - Vol. 18, No. 13, 2010. - With. 845–9.
      • Ivashkin V.T., Shulpekova Yu.O. Nervous mechanisms of pain sensitivity // Russian Journal of Gastroenterology, Hepatology, Coloproctology. – 2002. – No. 4. – P. 16–21.
      • Baranskaya E.K. Abdominal pain: clinical approach to the patient and treatment algorithm. The place of antispasmodic therapy in the treatment of abdominal pain // Farmateka. – 2005. – No. 14.
      • International statistical classification of diseases and related health problems (obstetrics, gynecology and perinatology) - X revision, WHO, 2004.
      • Serov V.N., Tikhomirov A.L. Modern principles of therapy for inflammatory diseases of the female genital organs. Toolkit. M., 2002. pp. 25–43.
      • Rational pharmacotherapy of rheumatic diseases: a guide for practitioners. T. III. Ch. 12. M.: Litterra, 2003.
      • Alekseeva L.I. Modern approaches to the treatment of osteoarthritis // Breast cancer. 2003. T. 11. No. 4. pp. 201–205.
      • Vorobyova O.V. Back pain. Causes, diagnosis, treatment. Rus. honey. magazine 2003; 11 (10): 94–8.
      • Popelyansky Ya.Yu. Orthopedic neurology. M: MEDpress-inform, 2003; 670.
      • Why do women have pain in their pelvic bones during pregnancy?

        You watch your feelings with trepidation as you await the birth of your little chick, everything is going great, nothing foretells trouble. And suddenly “the firmament is darkened” with disturbing, painful, painful sensations. Below, under the “house” where the baby now lives, something happened. The anxiety is growing: when and what went wrong?

        With the onset of pregnancy, a lot of changes occur in the female body. The body of the expectant mother is rapidly restructuring for a safe symbiosis with the developing fetus.

        One of the unpleasant side effects of this process is the feeling that the pelvic bones hurt more and more during pregnancy. The pelvic area, where the growing uterus is located, undergoes the most obvious changes.

        The uterus is attached to its bones with the help of ligaments consisting of connective tissues, which in their normal state have little extensibility. During pregnancy, this property is unacceptable, and nature has developed a mechanism that allows the ligaments to stretch.

        This task in pregnant women is performed by the hormone relaxin. But at the same time, it acts on all ligaments in the body, including the ligaments connecting the pelvic bones. This is precisely what explains why the pelvic bones begin to ache during pregnancy quite early.

        And as the fetus grows, the load increases more and more and the pelvis and leg bones hurt more and more, forced to endure all the “delights” of the increasing weight of the mother and fetus.

        Unfortunately, this state of affairs will persist until childbirth, and sometimes longer.

        When do the bones of the pelvis and legs begin to ache?

        Expectant mothers get very scared when they do not understand the true causes of pain that does not disappear even when sitting and lying down. Many people think that they lack calcium and strive to intensively replenish its reserves. This is partly true, because a lack of calcium leads to symphysitis - a rupture of the ligaments that connect the pelvic bones in front in the pubic area.

        After taking calcium supplements, the pain really decreases. But do not forget that excess calcium can harm the baby when, during the birth process, his bones are too hard. After all, the calcium that the mother eats is better absorbed by the fetus than by herself. Therefore, your gynecologist should prescribe and dose calcium. And to prevent symphysitis, you also need to wear a support corset.

        Quite rightly, women are wary of whether pulling sensations are a signal for premature labor. Indeed, these sensations are similar, so a trip to the gynecologist cannot be avoided. The only thing that should reassure you before meeting the doctor is a relaxed uterus if the pain that is bothering you is due to a sprain.

        causes of pelvic pain

        As labor approaches, the aching sensations in women only intensify. The pelvic bones in the back begin to hurt more and more when sitting.

        This is explained by the fact that before childbirth, the tailbone, usually tilted into the body cavity, deviates outward. This is necessary to make it easier for the baby to pass through the birth canal without injuring the mother.

        Also, as labor approaches, the lumbosacral joints become more mobile.

        This is necessary so that the pelvic bones form a single plane with the spine, which has become strongly curved during pregnancy, for the baby to pass through the birth canal.

        And since with increased mobility, the lumbosacral region also bears the weight of the fetus, this also becomes a cause of severe discomfort, especially if the mother has diseases of the spine or the back muscles are not strong enough.

        Pain in the pelvic area is caused by adhesions stretching under the baby's weight, varicose veins, and pressure of the baby's head on the perineal muscles.

        The listed reasons, unfortunately, are natural, and the unpleasant sensations will not disappear completely before giving birth. There is an opportunity to calm them down a little.

        How to reduce pelvic bone pain during pregnancy?

        Let us immediately make a reservation that without the consent of the doctor you cannot take any painkillers - neither internally nor externally.

        Here are some safe ways to prevent and reduce suffering from pelvic bone pain:

      • in a sitting position, the legs should not lie on top of each other, and the knees should always be below the pelvis;
      • sit and lie on a hard surface, especially when the pain intensifies, but it’s better to try to buy an orthopedic mattress;
      • give up high-heeled shoes for a while;
      • watch your weight and don’t gain extra pounds;
      • walk less over long distances and on stairs;
      • use a bandage to support your abdomen;
      • always try to position your body symmetrically and steadily;
      • place pillows under your knees and pelvis while resting, reducing the child’s pressure on the pelvis;
      • do back exercises at home and in the pool;
      • try special yoga courses for expectant mothers.
      • At home, simple exercises can help relieve back pain:

      • "Cat" . To perform it, you need to get on all fours and alternately arch your back up and relax it.
      • You can, lying on your back, pull your feet towards your buttocks several times and return them to their original position. At the same time, spread your knees to the sides.
      • Continuing to lie on your back with your heels pulled up to your buttocks, lift and lower your lower back and hips several times.
      • Why do the pelvic bones hurt even after childbirth?

        Sometimes young mothers complain that after the birth of their child they continue to experience painful discomfort. This is not at all excluded, since numerous microtraumas could have occurred during childbirth, which slow down the restoration of ligaments and the convergence of bones after childbirth.

        In addition, breastfeeding mothers usually lack calcium due to breastfeeding, which also aggravates the malaise. The pain should go away completely within a maximum of six months after the birth of the child.

        If this does not happen, you need to seek qualified medical help.

        During the postpartum recovery period, to alleviate the condition, you should avoid heavy physical activity, wear a pelvic brace, and sleep in the frog position with pillows under your knees.

        For women who are just planning to have a child, it is possible to minimize the likelihood of pelvic pain by starting to actively prepare for pregnancy. Temper and strengthen your body, especially your back.

        Eat a balanced diet, monitoring your weight and saturating your body with calcium and vitamins that your unborn baby will need.

        Lead a healthy and active lifestyle, spend more time in the fresh air, and then pregnancy will become a bright and joyful period for you waiting to meet your little miracle. And the baby will be born strong and healthy.

        Pelvis, abdominal and leg muscles, their connection with the spine and posture

        In its natural position, the pelvis is significantly tilted forward and downward, which provides significant support to all internal organs located above. As the pelvic angle increases, the support is removed, some muscle tension occurs, and the pelvic and abdominal organs are pulled down onto the abdominal wall, as well as the ligaments that help hold the organs in place. It is especially harmful to tilt the pelvis in the opposite direction to the norm, since it creates excess pressure in the buttocks and excessive relaxation of the muscles of the anterior surface of the pelvis. This position directly affects the organs of the pelvic region, since they are put under pressure by the abdominal organs. Dr. Goldthwait emphasizes the harm of this situation for both men and women. This body position, known as the “straight back” type of posture disorder described in Chapter 2, leads to the formation of one of the most dangerous defects of posture and incorrect sitting positions caused by the person himself.

        Thus, there is another complex center of cross-talk equal in complexity to the spine itself. In addition, the pelvis is so closely connected to the spine that weak leg or abdominal muscles have a direct impact on the tilt of the pelvis and the shape of the spinal curves, as well as the position of the entire torso. For the pelvic area, overexertion is just as harmful as excessive relaxation. Excessively tight, backward knees cause the hips to tilt backward, increasing the curve of the lumbar curve and moving the pelvis far forward. This deficiency is difficult to correct and is often found in children (Figure 36). The pelvis, knees and buttocks are too far back.

        Notice the sharp angle in the lower back. The hamstrings, as well as the muscles in the front of the pelvis that draw the front edge down towards the hips (the psoas and iliacus muscle group), must be relaxed to correct the malposition. This body position is always characterized by clearly protruding buttocks from behind and hyperbending of the lower back with the formation of an acute angle. Lateral pelvic tilt, caused by the habit of leaning on one leg for a long time, is also extremely harmful to the spine and posture in general.

        The abdominal muscles, with the correct position of the chest, spine and pelvis, take an important part in the formation of good posture. The abdominal area formed by the anterior and lateral (oblique) abdominal muscles supports the abdominal cavity, assisting the ribs that cover the rib cage. The walls of the abdomen consist of several layers of muscles located vertically on the torso. The muscles of the abdominal wall are so elastic and strong in structure that no tissue in the world can be more elastic and have a similar supporting effect. If these muscles are in a developed state and have sufficient elasticity due to regular physical activity, they create a solid and durable “wall” that holds all the major organs of the body in place.

        If the muscles become flabby and relaxed, due to the lack of a bone base to support them, they lose the ability to support the organs and prevent them from moving into the wrong position. The correct contours of the abdomen and front of the body will be discussed in more detail in the following chapters. For now, it is enough to state that there are no more important muscles for correct posture and normal blood circulation in the internal organs than strong muscles of the abdominal wall. There is no more vulnerable part of the body that suffers from lethargy and lack of exercise as much as the abdominal muscles. And no part of the body needs regular exercise more than the muscles of the anterior abdominal wall.

        Finally, we can consider the legs - the supporting structure of the entire body.

        The legs have their own balance, in addition to the line that is the center of gravity of the whole body and supports its weight. A generation ago, children were taught to point their toes outward when walking, and for most people, a straight foot was the equivalent of supporting the body. Differences in understanding the correct and habitual position of the foot have led to the prevalence of flat feet. In 57-61% of cases, flat feet develop between the ages of 10 and 20, but there are also cases of flat feet between the ages of 16 and 25. This suggests that young people should take special care of foot hygiene at a time when the muscular system is still is not mature enough and the person's weight increases rapidly.

        When the toes are turned outward, the ligaments that form the notch are weakened. In most cases, this causes the inside of the foot to flatten out so that it can touch the ground. This can be easily detected by examining the ankle joint, in particular its inner side. If it protrudes excessively, it acts as a bearing instead of a heel. Often this symptom is quite painful, its effects are not limited to just the foot area and can put undue stress on the ligaments of the entire leg. This symptom of flat feet is pathological, like lateral curvature of the spine, and therefore obliges the patient to undergo a medical examination and receive treatment as soon as possible.

        This position, in which the foot develops two natural arches - from the front to the back of the inner side and the lateral arch from the heel to the outer edge, must be developed through proper support from the foot and heel, foot ligaments and surface. When placed correctly, the foot performs its functions as efficiently as possible without undue strain. This situation explains why, for example, the Indians could walk and run for a very long time, showing miracles of endurance. These same qualities are characteristic of the best sports runners of our time. In a straight position, the foot develops the greatest elasticity and can withstand non-stop running, carrying a load or long walking.

        Dr. Oschner notes: “I have closely observed patients with flat feet, and have yet to encounter a case in which the patient stood up and walked with his feet parallel to each other. Flat feet are accompanied by a position of the legs in which the knees and hips are too relaxed, which ultimately leads to an incorrect angle of the pelvis. Thus, the spine may also be affected by the position of the legs.”

        In gymnastics, there is an exercise designed to develop in a person the habit of supporting his body weight while standing on his toes. Maintaining this body position will be useful for most people, since it prevents excessive tilting of the body back, which causes excessive relaxation of the legs when walking. The point of the line of gravity is different for each person, and depends on the body type. However, by eye it is easy to distinguish between a person with correct posture and a person “falling” forward. In the correct body position, your heels should always be on the ground and bear part of the body weight, but you should feel that the arch of your foot is also pressing firmly into the ground. Many people carry their weight by going too far ahead. In such cases, the person always requires postural correction.

        Translation of Jessie Bancroft's book "Posture of Schoolchildren",

        translator Elena Semenchuk

      • Healthy legs? This is not difficult - flat feet, club feet, what you need to pay attention to in a child depending on age
      • Our posture. Prevention and correction of incorrect posture - what is meant by posture in various disciplines, what is posture from a scientific point of view, posture and character, the main tasks of posture
      • Choosing children's shoes - do all children need orthopedic shoes, the main misconceptions when choosing shoes for a child, the standard of children's shoes, how to choose shoes, advice from an orthopedic doctor
      • Flat feet - structure of the foot, types of flat feet, how flat feet manifest themselves, treatment and prevention, something interesting about the foot
      • All articles in the rheumatology for doctors
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      Legs hurt during pregnancy

      What could be more wonderful for a woman than expecting the birth of her baby? During this period, every expectant mother feels inspired and full of strength. Indeed, all pregnant women look happy and feminine. But behind all this beauty there are often hidden many unpleasant and even painful sensations that accompany late pregnancy. Most girls in this position experience severe pain in their legs. How dangerous is this condition?

      Why do my legs hurt during pregnancy?

      There are many reasons why a feeling of discomfort in the legs may develop. One of them lies in the hormonal changes in the body that accompany the entire period of gestation. Towards the end of the term, the hormone relaxin predominates, which is responsible for the elasticity of ligaments and connective tissue. It is under its influence that changes occur in tissues that precede the onset of labor. The muscles weaken, and the load placed on them only increases as labor approaches. So, the closer the expected date, the stronger the pain. At this time, women begin to complain that their legs hurt during pregnancy. In this case, there is no need to panic; the condition will return to normal some time after birth.

      Another common cause of leg pain during pregnancy is varicose veins. Varicose veins occur in the vast majority of women. During gestation, the condition worsens and is often accompanied by severe manifestations of swelling. Both varicose veins and swelling are a consequence of impaired blood flow in the lower part of the body. This is due to the fact that the uterus increases in size and puts pressure on the pelvic organs; veins and aorta are no exception in this process. In addition to the strong pressure on the blood vessels, the nerve endings are also affected. You need to understand that you should visit a doctor with this problem. Pain in the legs with pronounced swelling and swollen veins can indicate serious disorders in the body.

      The most harmless cause of foot pain is considered to be improperly selected shoes. Such a trifle can provoke severe pain, which may be accompanied by convulsions. During pregnancy, you should take a responsible approach to choosing shoes. It should be comfortable, low-speed and made from natural materials. If the choice of shoes is made incorrectly, they are narrow or hinder the normal movements of the foot when walking - unpleasant sensations are guaranteed. To solve this problem, it is enough to change your everyday shoes to a more practical option.

      Pain in the muscles between the legs during pregnancy

      Muscle pain in the legs when carrying a child is not a manifestation of pathological processes in the body. And they appear due to increasing stress on muscle mass. There is also the formation of lactic acid in tissues, which can be triggered by the slightest physical exertion or long walking. To prevent the appearance of pain in the second half of pregnancy, it is worth performing light exercises from the first stages. Physical exercise will help keep your muscles toned and they will be easier to bear increasing loads.

      Leg bones hurt during pregnancy

      In the third trimester, women often complain of pain in the hip bones. Pain can be localized not only in this area, but also spread to the bones of the hips and ankles. Closer to childbirth, the pain intensifies and is permanent. Among the reasons are the following:

    • arthritis. Typically, manifestations of arthritis do not appear only during pregnancy, so if a woman suffered from this disease before conception, then the condition may worsen during pregnancy. With arthritis, there is characteristic redness and swelling in the painful area, the skin is very stretched, and touching causes severe discomfort. The main problem with arthritis during pregnancy is the impossibility of comprehensive treatment. Therapy for this condition should be carried out with the use of medications that can harm the child’s health. Therefore, conditions of exacerbation of arthritis are extremely unpleasant for a pregnant woman, because it is not possible to completely relieve the pain syndrome; only a temporary and slight improvement in the condition is possible;
    • the occurrence of adhesions. One of the causes of pain is the formation of adhesions. Although the adhesive process is typical for soft tissues, quite often the pain spreads to the pelvic bones. The appearance or exacerbation of old adhesions indicates the presence of an inflammatory process in the abdominal cavity. Pregnancy is especially difficult if there are adhesions (scars) on the uterus. As the size of the uterus increases, the adhesions may become deformed, which is accompanied by severe pain. In this case, the inflammatory process, which was in a dormant state, may worsen;
    • large body weight. When you gain weight, the load on the joints of your legs increases, which can also cause pain;
    • deficiency of calcium and vitamins. The lack of essential microelements that support the skeletal system often manifests itself in the form of bone pain. The bone tissue becomes loose and thinned, a feeling of “humming” legs and periodic pain attacks appear;
    • hormonal changes in the body.
    • Many women report severe pain between their legs during pregnancy. This is a very unpleasant and uncomfortable sensation. At the same time, it is difficult to understand what exactly hurts; the pain spreads to the soft tissues and radiates to the pelvic bones. The reasons for this condition are as follows:

    • sciatic nerve entrapment. This condition is accompanied by pain in the lumbar region. The growing uterus puts pressure on the pelvis and nerve endings. With constant pressure or compression of the nerve, pain appears, which is aching in nature and intensifies with sudden movements. In this situation, self-medication is dangerous. Traditional methods are all based on warming the affected area, which is prohibited during pregnancy. And most pharmaceutical drugs contain aggressive components that are perfectly absorbed into the blood and can harm the fetus. To relieve tension and relieve pain, you need to contact a surgeon or orthopedist; specialists will select a safe treatment that will not affect the course of pregnancy;
    • loosening of ligaments. As noted earlier, the hormone relaxin gradually prepares the connective tissues for the birth process, while the ligaments become more loose and weakened. The slightest load leads to unpleasant sensations between the legs. This condition appears around 32 weeks and will last until birth. Unfortunately, there is no therapy that can alleviate this physiological condition;
    • the approaching date of birth and prolapse of the abdomen. Just before birth, the baby's head slowly moves closer to the birth canal and is fixed in the pelvis. This process is painful for the woman. This is explained by the fact that when the child’s head is lowered, strong pressure is exerted on the bones and ligaments, which, on the one hand, should firmly fix the fetus, and on the other, allow it to move further;
    • divergence of the pelvic bones. The female body begins preparing for childbirth from the very beginning of pregnancy. So, in the second half of pregnancy, the pelvic bones begin to diverge, which by the end of the term should allow the fetus to freely pass through the birth canal. The preparatory process of the pelvic bones occurs with aching and nagging pains that are localized in the perineal area;
    • false contractions. In preparation for childbirth, the body carries out a series of preparatory or false contractions, which do not last long and go away on their own. In this case, the woman may feel spasms in the lower abdomen and perineum. As a rule, the appearance of such sensations indicates the imminent onset of labor. If pain and spasms do not go away for two or more hours, and their intensity increases, then you should immediately consult a doctor. This may indicate either premature onset of labor or a miscarriage.
    • How to avoid discomfort in the legs and pelvis

      If you have constant pain in your legs, it is recommended to limit walking. A couple of hours a day will be enough to saturate the body with fresh air. Pain in the legs also intensifies when you stay in one position for a long time, no matter whether you are standing or sitting. You should try to constantly change your position, this will ensure better blood circulation and reduce pain. If a woman’s work requires sitting for a long time, it is worth taking five-minute breaks every hour. At this time, it is good to walk or do light exercise.

      Often, pain in the legs can occur due to poor nutrition, which does not provide the body with all the necessary vitamins and components. From the very beginning of pregnancy, you should adhere to a special diet, which your gynecologist or therapist can tell you about.

      Basic nutritional recommendations:

    • foods consumed by a pregnant woman should contain a maximum of calcium, potassium and magnesium;
    • It is ideal to focus on fresh vegetables and fruits. At the same time, meat must be present in a woman’s diet;
    • It is better to take food in small portions, but more often. This will help you get rid of overeating and reduce the load on the abdominal organs;
    • You shouldn’t overeat before bed; ideally, your last meal should be a couple of hours before rest. If at night a woman experiences a strong feeling of hunger, then it can be quenched with a glass of kefir or low-fat cottage cheese.
    • An important point is the administration of vitamin complexes to the pregnant woman. It is worth considering that at different stages of pregnancy, the body needs different groups of vitamins. Therefore, you should not independently replace the drug prescribed by your doctor with another. Taking vitamin supplements is not a reason to reduce the amount of fresh fruits and vegetables on the menu.

      Sports classes for pregnant women will help prevent and relieve pain in the muscles of the legs and perineum. So, swimming, aqua aerobics, fitness, yoga will be useful. A trained and prepared body can more easily cope with stress and endure physiological changes. In addition, regular physical activity during pregnancy will help get your body back into shape faster after the baby is born. Naturally, before attending classes, you need to consult a doctor.

      Special supportive underwear helps improve blood circulation. Shaping tights will reduce the appearance of varicose veins and reduce pain. Various ointments based on chestnut also effectively relieve discomfort in the legs. Thanks to their composition, which is based on natural ingredients, they are safe and can be used during pregnancy without fear for the condition of the fetus. If the abdomen grows noticeably, it is recommended that a pregnant woman wear a special support bandage. This simple device will provide good support to the abdomen and thereby reduce the load on the muscles and spine. Due to the correct position of the lumbar spine, the load on the hip joints and leg muscles is reduced. Before using bandages or shapewear, you should consult a doctor.

      Adequate rest and sleep are important in relieving pain. It is recommended to sleep in a room with fresh and humidified air. The mattress should be of medium hardness, preferably orthopedic. During advanced stages of pregnancy, it is forbidden to sleep or lie on your back for a long time. In this position of the body, increased stress is placed on the spine, and this is fraught with pain in the pelvis and legs. Sometimes there is even a circulatory disorder in the lower extremities, which is explained by the compression of some blood vessels by the large weight of the uterus and fetus. This condition is not dangerous, it is characterized by tingling or numbness in the legs; light massage strokes will help restore blood flow faster.

      In most cases, pain in the legs when carrying a child is not dangerous and occurs due to hormonal changes and the body’s preparation for childbirth. But it’s not worth enduring pain and minimizing its significance. You should report any changes in your condition to your supervising doctor.

      Main causes of muscle pain

      After strength training, beginners often experience pain in the muscles of the whole body (soreness), but it goes away after 3-4 days, and if it is not related to sports, then the causes may be serious illnesses. These include many diseases, such as malignant tumors and autoimmune pathologies, as well as simple contagion.

      If discomfort persists for a long time, then it is necessary to find out the reason why the muscles hurt, especially when it happens throughout the body and you cannot do without the help of a therapist, and he will send you to all the necessary doctors for examination. After which, the specialist will make a diagnosis and prescribe a course of treatment based on the tests obtained.

      Factors causing pain

      The main causes of such a symptom as aching muscles can be diseases caused by infection and manifested both with fever (with pneumonia) and without it (with immunodeficiency), as well as injuries and severe fatigue due to training.

      As for the presence of an infectious process in the body, it is accompanied by pain in the bones and muscles throughout the body, as well as fever, insomnia, weakness and other symptoms.

      Other equally important factors that cause this problem are:

    • Blood diseases;
    • Malignant formations;
    • Autoimmune pathologies;
    • Damage to connective tissues;
    • Poisoning;
    • Insect (tick) bites.
    • The first 2 points are especially dangerous and require immediate treatment. Because of them, the muscles constantly ache and all this goes away without the symptoms typical of a cold. In addition, an accurate diagnosis can only be made after testing.

      Autoimmune pathologies, as well as connective tissue lesions, cause a pathogenic process in the joints themselves, and this transmits unpleasant sensations to the adjacent muscles, which creates discomfort.

      Food poisoning is one of the most common reasons why muscles ache and at the same time there is weakness, fever and pain in the lower abdomen. Sometimes this process is accompanied by chills and cold sweats, but in any case it is necessary to call an ambulance.

      There are many types of ticks, whose bites can cause aching pain throughout the body due to infection introduced into the body. You can recognize the culprit of this phenomenon by its pronounced symptoms, because a rash and redness appear near the site of the bite, which over time spread to other areas of the skin.

      Any of these reasons will be enough to visit the hospital in the near future or even call an ambulance, and if you sit idly by, problems may arise such as:

    • Chronic pain that replaced moderate discomfort;
    • Constant feeling of fatigue;
    • Sleep problems;
    • Weakened immunity;
    • Inadequate activity due to rapid fatigue;
    • Mood swings;
    • Nervousness, depression, anxiety and increased internal fears.
    • Pain felt throughout the body may be due to fibromyalgia. This chronic pathology is known to many because of its prevalence, because more than 10% of the entire world population suffers from it. Despite this, scientists still have not been able to fully understand its etiology, so the percentage of people affected may be much higher, and doctors simply cannot accurately diagnose the disease. This is explained by the fact that it is impossible to recognize the disease with the help of tests and all that remains is to believe the patient’s words and a general examination. In addition, difficulties in diagnosis may arise due to the fact that patients do not have a single symptomatology and each one manifests fibromyalgia in its own way, but there are still some common signs characteristic of the disease that occur most often, such as:

    • Constant fatigue;
    • Insomnia;
    • Pain in ligaments, tendons, and muscles.
    • The most common complaint from patients that misleads doctors is different localization of pain. In some patients it is the whole body, while in others it is only the muscles of the arms or legs.

      Judging by statistical data, this disease occurs predominantly in females and it is diagnosed in them in 80% of cases. Experts attribute this to the fact that the pathology can be triggered by an increase in central sensitivity and the main cause of discomfort due to fibromyalgia is in the brain, which reduces the pain threshold. For this reason, the course of therapy includes not only drugs to combat symptoms, but also antidepressants.

      To get rid of or reduce the effects of fibromyalgia, you should try to avoid stressful situations and relax more often. In addition, it is recommended to use the following treatment methods:

    • Relaxants to relax muscles;
    • Anticonvulsant medications;
    • Non-steroidal drugs with anti-inflammatory effect;
    • Hypnotic;
    • Manual medicine.
    • In addition, it won’t hurt to strengthen your immune system with the help of immunostimulants and vitamin complexes, as well as create the right diet, which should contain more fruits and vegetables. Doctors also recommend frequent walks in the fresh air and it is necessary to combine all these methods for the best effect.

      Pain after heavy exercise

      The muscles of the legs and arms often hurt after training, and this mainly applies to beginner athletes, because experienced bodybuilders have long known how to exercise correctly to avoid such a problem and their bodies are much better prepared for stress. In addition, experts note the fact that muscle growth requires intense work on yourself, and this creates discomfort the day after training. At the same time, few people know that without a professional trainer, you can simply tear your muscles without seeing the result.

      Despite this, mild soreness after training is considered normal even for experienced athletes and often appears after intense exercise, for example, before a competition. Such pain is a consequence of microtraumas of muscle tissue and fascia and usually ceases to be felt after 1-3 days.

      After training, pain in the muscles of the legs and arms will not appear without reason, and among them are the following:

    • Damage to muscle tissue, as a result of which the level of cellular elements in the athlete’s blood increases. Such microtraumas disappear within 2-3 days;
    • Accumulation of lactic acid in the muscles. Previously, most athletes adhered to this version, but recently scientists have proven that such a metabolic disorder lasts no more than 30 minutes. It is for this reason that the accumulation of lactic acid cannot be the culprit of discomfort 1-2 days after training;
    • The version about the appearance of inflammation in muscle tissue after microdamage is quite common and is often used by specialists as a cause of pain, because the injury provokes the appearance of exudate and inflammation of the nerves and, as a result, discomfort appears;
    • Impaired blood supply to muscle tissue. There is a version that after long and hard training, ischemia appears, but the chances of this are very small;
    • The most common and true causes of muscle pain are all possible sprains, tears of ligaments and tendons, etc. When the discomfort does not go away over time and a hematoma appears on the damaged area, it is necessary to temporarily stop the training process and go for an examination to a traumatologist.
    • Discomfort after the training process is very common among beginners and at the same time aches muscles throughout the body, especially in the legs and arms. In such a situation, it is better to consult a specialist to rule out injuries and other pathological abnormalities.

      Why do the muscles of my arms and legs hurt?

      The muscles of the legs and arms cannot hurt without a reason, and you can find out why this happened by focusing on the following factors:

    • A constant feeling of weakness in the arms, as well as rapid fatigue with simple movements, may indicate polymyositis;
    • The appearance of weakness and aching pain in the muscles of the neck, pelvis, and legs may indicate the presence of polymyalgia. It is most pronounced in the morning, but during the day it is almost not felt;
    • If a muscle on the arm is very swollen, this may be the result of an infectious disease, for example, influenza, myositis or trichinosis;
    • During intoxication, which can be caused by chemical elements or drinking too much alcohol, pain appears in muscle tissue, especially in the arms and legs.
    • Thus, if the muscles in your arms and legs are sore and swollen not after training, then there are other reasons for this. In addition to the mentioned factors that can cause discomfort, prolonged immobilization of the limbs should also be highlighted. This term refers to sitting in one place for a long time, for example, on an airplane or during sedentary work, and because of this, venous blood stagnates, because the muscle pump of the legs does not perform its function. After this, endotoxins begin to accumulate in the tissues and, as a result, microcirculation is disrupted and pain receptors localized on the venous walls become active. Getting rid of this discomfort is quite simple and to do this you need to walk or put your legs higher so that the blood flows out.

      Muscle pain has a different nature of occurrence, and if the feeling of discomfort does not go away for a long time, then you need to go to a therapist and have an examination.

      Categories : Prevention

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