If a sore lower back during pregnancy, its causes are not always associated with pathology. Pregnancy is the natural state of a woman's body. And sore back during this time, because the body is "reconstructed" in preparation for the changes to take place.
The cause of the pain
Began to experience back pain during pregnancy of different gestational ages. It is believed that the first half of pregnancy the body is not subjected to increased loads. This is not true. About 30% of women become the complaints of a sore back, even in the first trimester. However, most women with low back pain during pregnancy disturbed closer to the twentieth week. Often it is not easy to answer, why back pain during pregnancy. Lower back pain during pregnancy is sometimes the result of direct obstetric causes, and it can be an independent disease. Obstetric causes of back pain, which are due to normal or pathological course of pregnancy.
Childbirth
Can hurt the lower back a normal pregnancy? Yes, and this is the most common reason why pull back pregnant. In many cases, the pregnancy leads to the fact that expectant mothers pains in the lower back. The cause of the pain comes from the rapid growth of the uterus, and the tension of its ligaments. These feelings are so common that I'll see another indication that the woman was pregnant.
- Hormones and metabolism
Waiting time child, a woman has to deal with a sudden change in hormonal levels. Is the increased production of estrogen, progesterone and other hormones are responsible for the proper course of pregnancy. The most common cause of a sore lower back, is relaxin. This hormone helps the ligaments and tendons become more flexible, to soften them. Relaxin is necessary, in order to subsequently facilitate the emergence of the baby.
Necessary for the formation of the fruit element is taken from the mother's body. Therefore, when there is not enough replenishment "of stocks," bone women can receive important vitamins and minerals, especially calcium and phosphorus. As a result, there is weakening of the pelvic bones and the spine, which can cause back pain in pregnant women.
- Increased pressure in the pelvis and the spine
The most "safe" reason why pregnant women have back pain is the growth of the fetus. The baby grows, increased pressure on the sacrum mother, which leads to pain in the lumbar region. Also, it is a physiological reason why back pain is increased weight, which increases pressure on the lower back. The focus of the changes is the deflection of the lumbar spine. Muscles get excess load lead to the onset of pain.
The emergence of low back pain during pregnancy often leads to long-term. The uterus puts pressure on the nerves and blood vessels that surround the spine. This happens below the waist, from the third trimester of pregnancy. Let the pain in the legs, worse during exercise.
In the later stages of pregnancy lower back pain can occur as a result of the pressure of the fetal head in the pelvic bone. This is accompanied by the appearance of the high tone of the uterus. Then the pain around 38 weeks. If a sore lower back during pregnancy, for this reason, don't worry. Such feelings – a completely natural phenomenon.
- Fight
A few weeks before childbirth expectant mother may feel contractions of Braxton-Hicks. Braxton Hicks contractions prepare the body for subsequent delivery. In this case, in addition to pain, radiating to the lumbar region, is the feeling of "solid" of the uterus, difficult to breathe, there are nagging pains in the abdomen. Then these symptoms disappear. And after a short time the stomach and back began to ache again. Such feelings are normal, but still require attention. Sometimes they are difficult to distinguish from the real delivery started. If contractions become frequent, repeated at regular intervals, which is associated with bleeding from the genital tract, should not delay a trip to the hospital.
At diseases
If your pregnancy back pain is associated with the discharge and cramping pain in the womb, as doctors see the threat of miscarriage or premature birth.
It is the dire need to see a gynecologist. In some cases, to pull the lower back during pregnancy, because of an aggravation of an existing disease or the appearance of new diseases. Pregnancy is accompanied by the natural immune system suppression. Such a mechanism is necessary to avoid rejection of the fetus in the mother's body to the outer part. The result is the vulnerability of women at the moment. It so happens that the woman does not even know about the current diseases, has not yet become pregnant. During pregnancy lower back pain may indicate a quite serious disease. And if the gynecologist to rule out obstetric causes suffering, you should visit the doctors, namely a neurologist, a urologist or nephrologist and surgeon.
- Kidney disease
Kidney disease is the reason why pregnancy sore lower back. Hormonal changes the tone of the ureters, there is stagnation of urine leads to the development of infectious processes. The most common complication of pregnancy is pyelonephritis. Occur aching pain on one side of the back, frequent urination, convulsions, temperature rises to high values. The urine generally becomes cloudy.
If lower back pain during pregnancy is clearly stated that it is difficult to find a position where the pain is decreased, thereby preventing the flow of urine, mixed with blood, perhaps that of renal colic. These symptoms are an indication for immediate hospitalization.
Diagnosed by a doctor, based on ultrasound and laboratory tests of blood and urine tests. Treatment is with antibiotics, antispasmodic and analgesic drugs and is mandatory. The disease can cause serious consequences, such as renal failure.
- Pancreatitis
In rare cases, a pregnant woman might face inflammation of the pancreas. This can happen if the wrong pregnancy diet, the consumption of food with lots of fat, alcohol is a hereditary factor or a consequence of stress. If lower back pain during pregnancy is the surrounding characters, happens after or during a meal, accompanied by fever, nausea or vomiting, impaired chair, the doctor makes a diagnosis of "pancreatitis".
The disease is diagnosed by ultrasound, MRI, deals with stationary conditions. Medical treatment of low back pain during pregnancy is carried out using several anti-inflammatory and pain-relieving drugs. Sometimes, if the failure of conservative treatment, it is necessary to surgical intervention.
- Neuroscience
Often back pain during pregnancy because of exacerbation of the existing problems of the musculoskeletal system. If a woman before pregnancy was tormented by osteochondrosis or sciatica, changing load leads to aggravation. Source of problems is not enough developed, muscular system back, or curvature of the spine. Such a diagnosis indicates the occurrence of severe back pain during pregnancy second trimester or later.
Neurological problems pain shooting character, reduces the supine position and increase of load, it can be a numbness.
It is extremely dangerous to self-medicate. Because most of the drugs used in such cases is contraindicated during pregnancy. In exceptional cases, the doctor may prescribe pain medication. If a sore lower back during pregnancy, because of associated neurological problems, the easiest solution is wearing braces. The corset supports the musculoskeletal system, without negative impact on the child's development.
- Myositis
Find sketches or hypothermia can lead to an inflammatory process in the muscles of the lower back. Then the pain is characterized by sharp character and limited movements. In addition, the back can hurt neck and shoulder. Treatment should be a doctor who can prescribe drugs, as safe for the baby.
- Semisupine
The low location of the pain the back and abdomen, may be suspected symphysis. The disease seems to have changed from walking, which acquired the brand "duck". Because of the differences in the pubic bone, is hereditary. If the reason for back pain during pregnancy, Semisupine, the doctor recommends bed rest and will be monitored throughout the pregnancy.
- Spondylolisthesis
If the history of spinal injuries or congenital abnormalities in the development of the vertebral arch, the increased load can cause pain in the lower back during pregnancy. The vertebrae can move relative to each other, and that is the impetus for the intense pain in the lower back.
Such pain can be separated rose to a sitting posture, when the process of lifting heavy objects, when you change body position. The pain can radiate to the legs. Spine deformity can be detected visually. The muscles surrounding the spine laterally, are in a stressed state. To develop a particular walk a "tightrope". If the cause of the spondylolisthesis low back hurts during pregnancy, this disease is treated using medications, physiotherapy, therapeutic gymnastics.
Prevention
If a sore lower back during pregnancy, it is important to remember one thing: never get involved in self-diagnosis and self-treatment. The first thing is to make pregnant, who was shot in the lower back during pregnancy is to contact an expert. The doctor also helps to prevent back pain during pregnancy, I recommend:
- Stop wearing shoes with heels;
- Monitor gradual weight gain;
- Lead a moderately active lifestyle;
- Do not overexert, in order to avoid excessive load on the spine;
- Do special gymnastics;
- Control posture;
- Uni select anatomic mattress and a small pillow;
- Learn the correct lifting objects (you should bend the knees and produce a forward bend);
- To ensure proper nutrition, which has a high content of calcium and phosphorus.
If pregnant sore back, that is no reason to panic. However, it is necessary to exclude the possible pathological processes, as well as get recommendations on how to remove the discomfort. If back pain during pregnancy, what to do, advise the doctor.