Back pain during pregnancy in early and late terms: causes, diagnosis, treatment.

Pregnancy is one of the happiest, unique and joyful periods in a woman's life, when every moment is filled with an amazing and exciting waiting for a meeting with a small ball of happiness. But sometimes this time is clouded by painful sensations and related experiences.

And although they are often physiological in character and quite understandable from the point of view of the processes and changes taking place in the organism of the future mother, it is still necessary to treat the unpleasant sensations with all seriousness.

Than the pains in a loin on different terms of pregnancy can be caused, and in what case they are pathological - here we now also will find out.

Back pain as one of the signs of the onset of pregnancy

Unusually prolonged expectation of another menstruation, drowsiness, mood swings, increased appetite or lack of it - all this is one of the first signs of a long-awaited( well, or unexpected) pregnancy.

Not always, but often they are joined and pain in the lower back. Typically, this lumbar pain is pulling, unpleasantly aching in nature, and it is related, unlike similar ailments in later terms, so that the uterus begins to increase rapidly in size tothe embryo growing in it was comfortable and lacked space.

There is tension and transformation of the uterine ligaments, which give specific pulling pains - they, by the way, cover not only the lower back, but also the lower abdomen.

By the way, such ailments at the very beginning of a joyful expectation are usually experienced only by the first-borns, since in women giving birth the uterus is already slightly stretched compared to the nulliparous.

Back pain in early pregnancy

In addition to the initial weeks after menstruation, similar back pain during pregnancy can be observed throughout the first trimester, delivering additional discomfort to the expectant mother( who often suffers from toxemia).

But this is still flowers - after birth lumbar pain is already recorded in 65-70% of young mothers.

Causes of low back pain in early pregnancy can be very different( and unexpected):

1. First of all, immediately affect those problems with the musculoskeletal system, which were available before. This can be a banal curvature of the spine, a weak development of pelvic muscles, osteochondrosis and other "joys" of hypodynamia.
2. Increasing the production of a "pregnant" hormone of progesterone leads to softening of the discs and supporting ligaments - as a result, the gait of the future mother begins to resemble a duck. But do not worry - after childbirth after a short time everything will be restored, and the tread again will become easy and smooth.
3. At the beginning of an interesting situation, almost always a decrease in immunity is observed - this is due to the fact that the fetus is initially perceived by the maternal organism as a foreign microorganism. And lowered immunity starts to pass various sores, and often the most vulnerable place becomes the genitourinary system. That's why one of the reasons for back pain is bladder disease, as well as kidneys .
4. A similar cause of pain - kidney stones, or in other words, urolithiasis, which is a frequent companion of pleasant expectation. Usually, urination is disturbed, sharp pain is observed.
5. Also in half of future mothers there is a known to specialists pyelonephritis of pregnant women, which can remind of themselves with minor back pain, but it is asymptomatic. If the disease worsens, the temperature may rise, swelling will appear, and the urine becomes turbid, not to mention bad tests.

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Back pain in late pregnancy

If the second trimester usually runs the most smoothly, by the end of pregnancy the back pain can again remind of itself, and it is quite menacing.

The fact is that one of the infrequent but very serious problems of the future mother is symphysitis - a pathological softening of the pelvic bone articulations, the cause of which is the active production of the hormone relaxin.

The main signs of symphysitis - a sharp back pain that appears:

• When trying to change the position of the body,
• When palpation of the pubic joint,
• When the leg is straightened, bent at the knee.

Also, with a discrepancy, the gait changes - it becomes a shaky, clumsy, duck-like shift.

Other common causes of discomfort in the lumbar spine are the following:

1. The main cause is an increase in the load on the spine and back muscles associated with a significant increase in weight of the fetus in the last trimester. Usually, painful sensations increase after physical exertion, long walks, sitting or standing in one posture.
2. Just like in the first trimester, kidney or bladder disease may become worse. They are described as cramping, strong enough, sometimes giving in the groin, and in another way are called renal colic.
3. Too strong uterine contractions that can lead to the onset of labor.
4. At 36-40 weeks, pain may appear, beginning in the lower back and giving into the sacrum - this indicates that the child's head goes down and squeezes the nerve endings. Usually unpleasant sensations pass without leaving a trace after childbirth.
5. It happens that a pregnant woman has chilled her back( i.e., hypothermia has occurred).As a result, myositis develops( he also mites) - inflammation of skeletal muscles.
6. If compressive acute back pain occurs simultaneously with the same sensations in the abdomen, these may be signs of Brexton-Hicks contractions, also called training.
7. Another reason is neurological. In this case, the painful sensations are aching, accompanied by tingling, numbness, and back or buttocks.
8. Pancreatitis is also accompanied by pain, especially in epigastrium, which are usually shrouded in nature and given to the shoulder and lower back. However, in this case, diarrhea, indomitable vomiting, and bloating are observed simultaneously.

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Diagnosis

Depending on the symptoms and accompanying diseases, the doctor will prescribe the necessary tests and examinations, such as:

• urine analysis( general, according to Nechiporenko, etc.),
• CT( computed tomography) - helps to assess the condition and problems with bone tissuespine,
• MRI( magnetic resonance imaging) - helps to detect problems in soft tissues,
  ultrasound of internal organs,
• In the absence of pregnancy, radiography is often prescribed.

Treatment of

Treatment of low back pain during pregnancy should be strictly differentiated depending on the established cause.

For example:

• In case of pyelonephritis and other diseases of the kidney or bladder, treatment of the underlying disease is first of all prescribed,
• . If the cause is in the spine, with severe pain, bed rest is prescribed simultaneously with warming ointments and thermal dry compresses.
• Muscle cramps perfectly removes light massage( especially stroking), but it is important that methods that are used to massage pregnant women are applied.
• In many cases, such a malaise will make it much easier to wear a properly selected bandage.
• Because in an interesting situation the body of a woman loses a large amount of calcium, it is almost always recommended to use in high doses of foods rich in calcium, or special calcium-containing vitamin complexes.
• For the absorption of calcium, magnesium and vitamin D are needed, which is why a future mother needs to walk outdoors on sunny days and eat foods rich in magnesium( dried fruits, bananas, nuts, fresh herbs, lemons, wholemeal and sea kale)

Prevention

Prevention of lumbar pain consists primarily in the following recommendations:

• Strengthening the back muscles and regular physical activity during the planning of pregnancy.
• During pregnancy, exercise and regular physical exercises, yoga, exercises on fitball, aqua aerobics are also very important.
• A balanced diet rich in calcium and magnesium.
• Wearing comfortable shoes, preferably on a small and stable heel.
• Frequent change of poses, with sedentary work, you often need to get up and walk.
• Do not sit with your legs crossed.
• It is advisable, at least during pregnancy, to use an anatomical pillow and an orthopedic mattress.
• You do not need to carry weights or wear heavy bags on one shoulder.

In any case, even with minor and infrequent lumbar pain, be sure to show your doctor.

Video, which highlights the main causes of low back pain during pregnancy :

http: //youtu.be/ u4-9-CHP408