Back pain in early pregnancy: what to do?

According to researches of scientists, pains in the spine and back are found in almost half of pregnant women before delivery, and after childbearing this figure increases to 70%.The painful syndrome in the lower back causes discomfort not only before the very birth, but also in the first weeks of pregnancy.Drawing pain in the lower back can be interpreted as the first harbinger of pregnancy or the threat of spontaneous abortion.In fact, there are much more reasons.Is it possible to determine whether the pain in the lower back is physiological in the early stages of pregnancy or is it dangerous?

Contents:

• Why does the loin hurt in the early stages of pregnancy?
• Causes of back pain in the second trimester
• Lumbar pain in the third trimester
• Strengthening the back and getting rid of the lumbar pain

Why does the loin hurt in the early stages of pregnancy?

Immediately after conception, the body begins to seriously prepare for childbirth, all internal organs work intensively, the hormonal background is reconstructed.At this time( the first weeks of pregnancy) there is a gradual softening of the ligaments of the lumbar spine to facilitate the baby's exit through the birth canal.

Light aching pain in the lumbar region, you can really take for one of the first signs of pregnancy.There is an unpleasant sensation in the back before the test is checked and before the delay in menstruation.

Under the influence of the hormone relaxin all the ligaments are relaxed: intervertebral, uterine.Expansion of the pelvic joints provokes a small pain in the lumbar region.The pain that appears as a result of the release of hormones usually goes to the 20th week of pregnancy.No other symptoms in parallel with the pain in the lower back should not be.

In case of other dangerous symptoms, it is better to get pregnant with a specialist:

• the pain is constant and localized in one place;
• pain sensation giving in the foot or in the hand;
• pain does not stop after rest, intensify at night;
• on the background of pain syndrome, body temperature rises;
• if pain accompanies spotting( threat of pregnancy disruption).

Sometimes, at a period of about two months, the pregnant woman develops brownish discharge at the same time as back pain.The reason for this may be an excessive pressure of the sciatic nerve on the uterus.By the end of the third month, the pain will become a bit stronger due to the uneven redistribution of the load on the spine.The abdomen begins to protrude forward, pain from the lower back can give to the hips.

All other causes of pain in the back and lower back are likely symptoms of diseases of the lumbosacral spine, kidneys or gynecological pathologies.

Tumors pain in the lower back during pregnancy?Tips from a doctor on video will help you.

Causes of back pain in the second trimester

The child grows in the womb of the mother every day, the load on the back increases accordingly.From 4 to 6 months of pregnancy existing chronic diseases worsen or new pathologies are added.

Among the possible causes of pain in the lumbar zone are:

• weight gain
• additional muscle load
• displacement of the center of gravity
• pyelonephritis
• exacerbation of osteochondrosis, urolithiasis, radiculitis, hernia
• hypertension of the uterus.

Because of the reduced immunity of a pregnant woman, the risk of getting pyelonephritis increases at times.The future mother should alert the symptoms of inflammation of the kidneys:

• urine bloating
• frequent urination
• rise in body temperature to 39
• appearance of edema
• increase in blood pressure

In most cases, the inflammatory process affects only one kidney,Pulls from the side of the diseased organ.Active work of the body can trigger the release of stones, so passing the ureter stone, renal colic for pregnant women is not so rare.

This pain is difficult to confuse, it is extremely intense, the lumbar pain is spread over the lower part of the body.In the urine of a pregnant woman, blood drops are found, the urine analysis according to Nechiporenko shows an increased number of leukocytes.

An unpleasant sensation causes pain caused by osteochondrosis.

Most women's professions( accountants, salesmen, doctors, educators, hairdressers) are associated with increased stress on the spine.During pregnancy, the pain in the lower back, back, thoracic and cervical areas is much stronger( sometimes the pain radiates to the leg or changes the character after a change in position).

In addition to pathological causes, low back pain often occurs with multiple pregnancies.

Lumbar pain in the third trimester

The last trimester of pregnancy is the most difficult.A woman is hard to walk, uncomfortable to sleep, her back hurts almost daily.Even ideal health indicators do not insure against lumbar pain, which at times gives up to the lower limbs.The culprit is the child whose head begins to descend into the small pelvis and press on the nerve endings.

Another cause of pain, and at any time, may be myositis( inflammation of the lumbar muscles).Inflamed muscle is easily palpable, the condition of the pregnant does not deteriorate.There is a disease as a result of hypothermia.

In the last weeks, a woman may be haunted by cramping pains, which can mean:

• risk of preterm delivery
• renal colic
• beginning of labor
• Braxton-Hicks contract

To distinguish the training bouts from the present is simple: pain tolerant, contractionsDo not repeat at regular intervals, their intensity and duration do not increase with time.Usually the pain is located in the area of ​​the sacrum, it can also hurt in the lower abdomen.

It is necessary to consult a gynecologist if back pain is accompanied by pain in the ovaries.This symptom is typical for:

• large cysts
• infringement of the integral structure of the cyst
• inflammation of the appendages
• twisting of the leg of the ovarian cyst

Neurological diseases of the pregnant woman are reflected not only by pain in the lumbar region, but also by the appearance of seizures in this zone.

Pain syndrome increases with walking and descends to the feet.It is difficult to find a pose in which a pregnant woman will feel better: it hurts and will sit and lie down.

In order for the pregnancy to proceed smoothly, the expectant mother should regularly visit the gynecologist and report any abnormal changes in her body.

Strengthening the back and getting rid of lumbar pain

Lifestyle change

If the back pain is not associated with neurologic, genito-urinary diseases, the woman does not face spontaneous termination of pregnancy, then simple tips will help first:

• posture - due to gradualDisplacement of the center of gravity, which is the result of the growth of the child, the tension in the waist is greatly increased;The pregnant woman must watch her posture, often spread her shoulders, stretch out to the full height, simple movements will ease the tension a little;
• shoes - great importance has the right shoes, no high heels, only quality, sustainable products made of soft and breathable materials, the heel should not exceed 5 cm( uncomfortable shoes and high heel strengthen the load on the joints and spine;
• sleep is the bestSleep position: on the side, you can put one pillow under the belly, and the second one with the knees, this position will relieve tension and help relax the back muscles;
• correct lifting of objects - when lifting any objects a woman needsO bend your knees and never lean with a straight back, and to raise the object from the floor it is advisable to squat or ask for help from loved ones

The older child needs to explain clearly that the mother can not take him in her arms, as she bore a brother or sister

Diet and medicines

Doctors advise to keep their weight under control, by the end of pregnancy it is desirable to collect no more than 15 kg.To bones and joints were strong, the diet should be enriched with products with a high concentration of calcium:

• dairy products( kefir, cottage cheese, yogurt, milk, yogurt);
• fish, seafood, meat dishes;
• greens( parsley, dill, salad);
• all kinds of nuts( walnuts, cashews, almonds).

If the trailing pain continues to bother, it may be necessary to undergo ultrasound diagnosis.After excessive psychological stress, you can take a light sedative on a natural basis( tincture of valerian).As a result of physical overstrain, the doctor will recommend Papaverin suppositories( normalizes the tone of the uterus).

Lip liner is prescribed by a gynecologist.Most ointments contain irritants, poisons, which are contraindicated for pregnant women.From anti-inflammatory drugs apply Nurofen-gel, Menovazine.

With frequent low back pain, it is appropriate to administer calcium carbonate or its analogues.If the pain is caused by increased activity of the uterus, then gynecologists often prescribe the suppositories of Utrozhestan or Dufaston.

All medicines are used only after medical examination and coordination with a gynecologist.

Physiotherapy

Some women are assisted by physiological procedures to eliminate lumbar pain.They can be used from the first weeks of pregnancy, but only after consulting a doctor.

These include:

• massage - here you should trust a professional, but you can also lightly massage your back with your hands;
• acupuncture - acupuncture perfectly eliminates pain in the lower back, is allowed until the last week of pregnancy, does not adversely affect the child;
• fitness - this includes yoga, swimming, pilates, special exercises for pregnant women, calm, measured movements relax the muscles, stretch the ligaments;
• a warm shower or a bath - in this case the main task: do not overdo it with water temperature, so as not to raise the tone of the uterus.

In the second and third trimester, wear of a supporting bandage becomes urgent.Especially it will help women who have several babies or weak abdominal muscles.

If a woman feels tired, then the execution of exercises or other procedures should be postponed to another time.

Treatment of the underlying disease

To get rid of the pain caused by internal disease, an individual approach is required.Pyelonephritis is treated only with antibiotics, selected for a specific case.The renal colic is removed with anesthetics and antispasmodics.

Shingles in the lower back may appear due to pancreatitis.Therapy is carried out by taking anti-inflammatory drugs, medication to normalize the pancreas.Be sure to follow a strict diet with a restriction on fatty and fried.

Often pregnant women suffer from such a disease as symphysitis.Pathology occurs as a result of overly active production of the hormone relaxin.Under its action, the cartilage that connects the pubic bones is too softened.

To reduce pressure, doctors prescribe wearing a bandage, taking calcium( a disease associated with a lack of calcium in the body) and a restriction on physical activity.With severe pain, it is possible to use painkillers.Decide whether to cancel the medicine or adjust the dosage, should the doctor in charge.

Pregnancy is a difficult time for a woman, although joyful.In addition to nausea from toxicosis, changes in appetite and taste preferences, in the early term may also worry the pain in the lower back.A lot of pregnant women complain about such feelings.

But the pain in the first month should not be intense, as it signals a threat of miscarriage.And the discomfort of changing the shape of the spine appears already at the beginning of the sixth month and disappears after the birth.