What is pelvic girdle pain?
Your pelvis is like a girdle, which surrounds your uterus, bladder and some part of the intestine. When there is pain in this area, it is called pelvic girdle pain. Before we look into pelvic girdle pain relief during pregnancy, we need to look at areas that may cause pain. These include:
- There may be pain in the joints connecting your spine to the pelvis at the back. The spinal cord is the sacrum (sacrum) between the bones of the hip. There are sacroiliac joints on either side of it.
- The joints connecting the two halves of your pelvis to the front. This is called symphysis pubis joint. The pain caused by this joint problem is called symphysis pubis dysfunction (SPD) .
What causes pelvic girdle pain (PGP)?
Pelvic girdle pain occurs because your body produces a hormone called relaxin. Relaxin relaxes the strong tissue connecting your ligaments. These also include the joints in your pelvic area.
This means that your pelvis starts to spread during pregnancy. It is good to be like this. Having more loose ligaments helps the baby to come out of the pelvis at birth .
However, it is not necessary that you have pelvic girdle pain due to loose ligaments. Your nerves and muscles adapt to the greater flexibility of the joints, allowing the body to cope with changes in your posture as your baby grows in the womb.
So although this pain is quite common, it is not common. This is not something you should bear quietly.
Generally, when you lie down, stand or walk, your pelvic area is fixed or stationary.
If you have a pelvic pen, your joints may be shaking in an unstable manner. One pelvic joint may not be functioning properly and other joints may be suffering from it. Or your muscles are not working so well that they can support the pelvis.
You may be more likely to have pelvic girdle pain in the following situations:
- You often sharp pain in the lower back is
- Has your pelvic area hurt before?
- You had a pelvic girdle pen in your last pregnancy
- Your job consists of physical hard work.
- The risk is also increased due to strong movements such as lifting heavy goods, twisting and bending.
If you feel pain, seek medical help immediately. About one in 12 pregnant women has severe pelvic girdle pain during pregnancy and seek relief. About one in 20 women with severe PGP may have severe pain and disability.
What effect will pelvic girdle pain have on me and the fetus?
PGP does not cause any harm to your baby, but it can cause a lot of pain. It can also be difficult for you to move.
The acuity of pain and the location of pain may vary from woman to woman. It is possible that the pain may be on one side or it may also occur on both sides. The pain may be like a common pain or it may reach your buttocks or down the back or side of your legs.
Many women consider pelvic girdle pain as sciatica, because there is also acute pain in the back side of the leg through the buttocks.
You may feel pain in the following places:
- Lower back
- In the pelvis (symphysis pubis joint)
- Backside in the pelvis (in sacroiliac joints)
- In the middle part of the abdomen and thigh (groin, groin)
- Front and back of thighs
- Lower leg pain
- Around the hips
- In the pelvic region and around the mouth and anus (perineum) of the vagina
You may feel a sound or feeling from the pelvic area when you move.
Pelvic girdle pain may also begin in the first trimester but is more common in the later stages of pregnancy.
If you feel pain during the last days of pregnancy, it may be due to the baby’s head coming down or coming down to your pelvic area. You may also feel pain in the pelvic area for the first time after delivery.
Symptoms of pelvic girdle pain can range from discomfort to extreme pain and discomfort. It can also be difficult to do everyday tasks such as wearing clothes, walking, climbing stairs and turning in bed.
You may also have a pain in making a love affair, although it will depend on what stage you have intercourse.
If you already have a small child, PGP can be increased by lifting and keeping it in your lap.
Some women feel more pain at night, especially if they have been very active throughout the day.
How do pelvic girdle pains get detected?
If you have pain, your doctor will examine your pelvic area. They will ask you when and where you have pain.
Try to remember the activities that cause pain, so that you can give as much information as possible to the doctor.
Many times, PGP is considered as Sciatica. If you are skeptical about this too, you can confirm it by showing a physiotherapist. However, make sure that your physiotherapist experiences treatment for pregnant women.
How is pelvic girdle pain treated?
Following your doctor’s advice, doing some exercise and making some changes in your lifestyle are the main methods for pelvic girdle pain relief during pregnancy:
- The doctor will recommend you see a physiotherapist. Physiotherapists will tell you how to prevent back and pelvic pain during activities such as walking or standing.
- The physiotherapist may give you a bandage (pelvic support belt) for the base of the pelvic area. The belt can give you relief from pain, especially when you are active and active.
- Exercises , especially those of the muscles of the abdomen, pelvic girdle, hip and pelvic area, to improve the stability of your pelvic area and back.
- Exercising like gym in water can also provide some relief from pain. However, the same thing applies here that you should attend classes organised especially for pregnant women. However, such classes may not be readily available in your area.
- Physiotherapists may press your hip, back, or pelvic area with light hands to allow a little relaxation in hard places.
- Acupuncture can also help reduce pain and is safe in pregnancy. But you should choose a professional who has training and experience in treating pregnant women.
- The TENS machine is also safe to use and can also help. However, it is not readily available in many places. Ask your doctor about this, maybe you can buy it online.
If pain continues after all these measures, your doctor may recommend the use of regular painkiller Paracetamol.
Keep in mind that paracetamol itself is an effective pain reliever for conditions such as lower back pain, there is not much evidence available. Ask your doctor how much paracetamol to take and for how long. The doctor may give you a mixture of analgesics or sometimes more potent drugs. Do not take
medicines without prescription or herbal remedies without doctor’s advice. These may contain some ingredients that are not safe for the fetus .
When you have a pelvic girdle pen, it is very important to take care of yourself. If you have to take medicines to get relief from pain, do not consider yourself guilty for this. Should you continue to have pain, you may feel that you will not be able to go out now or work as before.
If PGP causes you to feel like loneliness or depression, tell your doctor. Along with helping you physically, they will also support you emotionally.
What can I do to get relief from pain?
For pelvic girdle pain relief during pregnancy, focus on things that stress your pelvic area:
- Be as active as you can, but don’t put too much emphasis on yourself that you start getting pain. If you have pain in some work, then leave it. If the pain is allowed to increase, then it may take longer to heal.
- Do several pelvic floor and abdominal exercises as advised by a doctor or physiotherapist .
- Seek help from others for work. Pain may be aggravated by lifting heavy shopping bags or water buckets.
- Plan in advance so that you do the least activities that can cause pain. You can use a backpack to carry things around the house and outside. Due to this, your body structure stays in a straight line when moving.
- Spread your legs as much as there is no pain. Especially while sitting and getting up in a car, bed or bathtub.
- If possible, you should use hand and knees to move in bed. Or try to move sideways by joining your knees together and shrinking the buttocks.
- If you lie down, bend over, bring your knees together, put your legs in the air below the bed and try to sit.
- While sitting and getting in the car, keep your knees together. Keeping a cushion or plastic bag moving around you will help you lift your legs together. After sitting in the car, remove the plastic bags from the bottom, so that you do not slip in the event of braking.
- Avoid activities that increase the pain or cause your pelvic area to be uneven, such as sitting on a pedestal or lifting your slightly older baby at the hip. Do not do exercises that involve squatting or spreading legs, as they can increase hip pain.
- Try sleeping by turning your legs and placing a pillow between your knees. This condition is also suitable for your unborn baby – sleeping on the side in third trimester reduces the risk of birth of a dead body compared to sleeping on the back.
- Take regular rest or usually do the tasks of standing and sitting now like pressing clothes or cooking. Whenever possible, come on your hands and knees, so that the weight of the fetus is removed from the pelvic area.
- If you have SPD, you can sit on the birth ball by leaning forward slightly to reduce the pressure on the symphysis pubis joint.
- Try not to lift or move heavy goods . Pulling the trolley in the supermarket can often increase the pain, so shop online, get home delivery of goods or ask for shopping from someone else.
- It is better that you climb the stairs repeatedly and do not descend. When you have to climb the stairs, take one step at a time. Move the leg in which the pain is less, and then bring the other leg to him. Climb every ladder like this.
- Do not stand on one leg. Wear your clothes slowly and carefully. Wear underwear, salwar, churidar or paint while sitting.
- The use of a birth pool for delivery can be beneficial, because the water does not carry loads on your joints and you can easily move. However, this option is available only at select hospitals and maternity centers.
- If you are a working woman, you can talk to the employer about changes in your work or work hours.
Friends and family can also advise you to get a special massage for the pain relief. However, you should talk to your doctor before getting any kind of massage .
Some massage therapists or local massage therapists may not have the knowledge and skills to cope with delicate situations. If the massage is not done with the right technique, it can cause harm rather than benefit.
Does PGP affect delivery?
On receiving the right advice, it is rare that PGP will cause any problems during delivery . Avoid giving birth on your back if possible. Sitting upright on the bed or kneeling positions protect the joints of the pelvic region and are generally more comfortable. To make your delivery easier and less painful, the doctor will tell you about the delivery postures .
If symptoms make it difficult for you to stretch your legs, and you need delivery with the help of equipment, you can talk to your doctor about better posture for such deliveries . Peradventure you still have pain after trying multiple postures, your doctor may recommend you to have an epidural to make delivery easier .
If you have a lot of pain and you are unable to move at all, you may be asked to have a caesarean section . However, this will be the last option, because having a caesarean operation will not help PGP. Because of this, it may take you longer to recover from PGP after the birth of your baby.
How soon will pelvic girdle pain heal?
PGP usually resolves a few weeks or months after the birth of the baby. In about one in 10 women, this pain lasts longer. If you had severe pelvic girdle pain during pregnancy, it is more likely to persist.
However, you will hardly have the pain that remains. You may have mild pain immediately before menstruation . The hormones released at this time may have the same effect as the hormones of pregnancy.
If your pain persists, you can help yourself recover from it by doing exercises prescribed by physiotherapists during pregnancy. Pilates or yoga also provide strength to relieve pelvic pain.
You might also consider making a small difference from one pregnancy to another. Apart from It is better to wait until the baby starts moving before losing weight , getting fit and getting pregnant again. This may help pelvic girdle pain relief during pregnancy and also reduce the symptoms of pelvic girdle pain the next time.
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