Back Pain And Pregnancy
Back pain during each trimester of your pregnancy can be common, and several causes are to blame. However, you should be sure to talk with your doctor about what youre experiencing, in case the pain may be part of a bigger problem.
Here are a few reasons why you may be experiencing back pain during pregnancy:
Shifting center of gravity
As your baby grows, the center of your bodys gravity moves outward. Your spine and back arch to make up for the change in balance. This put extra stress on the lower lumbar spine.
Weight gain
Weight gain can be a healthy part of pregnancy, but even the little bit youre likely to gain during those 9 months can put more stress on your back and core muscles.
Hormones
As your body prepares to deliver the baby, it releases hormones that loosen the ligaments that stabilize your pelvis and lumbar spine. These same hormones can cause the bones in your spine to shift, which may lead to discomfort and pain.
What Should I Know About Back Pain
Back pain is a very common problem and will affect many of us at some point during our lives.
The good news is that in most cases it isnt a serious problem, and it might just be caused by a simple strain to a muscle or ligament.
As far as possible, its best to continue with your normal everyday activities as soon as you can and to keep moving.
Being active and exercising wont make your back pain worse, even if you have a bit of pain and discomfort at first. Staying active will help you get better. Taking painkillers can help you do this.
Can Further Bouts Of Back Pain Be Prevented
Evidence suggests that the best way to prevent bouts of low back pain is simply to keep active and to exercise regularly. This means general fitness exercise such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful to prevent back pain than simply keeping fit and active. It is also sensible to be back-aware. For example, do not lift objects when you are in an awkward twisting posture.
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Why Back Pain Requires A Team Approach To Care
Whether back pain requires surgery or is manageable with conservative treatment, its important to see a spine specialist for diagnosis and care. The doctors at our Spine Center work as a team with experts in nerve, muscle, and bone conditions, as well as nurses and physical therapists who work closely with patients to manage symptoms and reduce the risk of recurrence.
Each week, our multidisciplinary team meets to discuss challenging cases and educate each other on the latest research and techniques. Together, we see a range of patients with complex medical needs. For example, if a patient with a spinal infection is taking a medication that suppresses the immune system, such as immunotherapy for cancer, we work together to find an effective treatment that is safe for their unique needs.
Some medications or medical conditions put patients at greater risk for low bone density, fractured vertebrae, or back pain. In these cases, we get referrals from and collaborate with oncologists, hematologists, rheumatologists, mineral metabolism doctors, and primary care doctors to reduce patients risks and manage their symptoms.
If you are worried about back pain, come see us for reassurance. The earlier you are diagnosed, the better your outcomes can be.
If you or a loved one might benefit from a back pain consultation, call or request an appointment online.
What Research Is Being Done
The mission of the National Institute of Neurological Disorders and Stroke is to seek fundamental knowledge of the brain and nervous system and to use that knowledge to reduce the burden of neurological disease. NINDS is a component of the National Institutes of Health , the leading supporter of biomedical research in the world.
As a primary supporter of research on pain and pain mechanisms, NINDS is a member of the NIH Pain Consortium, which was established to promote collaboration among the many NIH Institutes and Centers with research programs and activities addressing pain. On an even broader scale, NIH participates in the Interagency Pain Research Coordinating Committee, a federal advisory committee that coordinates research across other U.S. Department of Health and Human Services agencies as well as the Departments of Defense and Veterans Affairs.
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Dont Slump Over Your Desk
When sitting in an office chair, use the same good posture techniques you use when standing. Its critical to keep good posture and support your back when sitting down, especially if you do it for several hours per day. Choose a quality chair that provides firm support for your lower back, and make sure your knees are a little higher than your hips when you sit.
Put Out That Cigarette
We all know smoking is a serious health risk, and smokers are also more likely to experience back pain than nonsmokers. One reason for this is that nicotine restricts blood flow to the disks in the spine. This can cause them to dry out, crack, or rupture. Smoking also reduces the amount of oxygen in the blood, which causes a reduction in nourishment to the muscles and tendons in the back. An unhealthy, weak back is more vulnerable to accidental strains and pulls that cause back pain.
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Symptoms Of Lower Back Pain
Sometimes a pain may develop immediately after you lift something heavy, or after an awkward twisting movement. Sometimes it can develop for no apparent reason. Some people just wake up one day with low back pain.
Although nonspecific back pain is sometimes called simple back pain, simple does not mean that the pain is mild. The severity of the pain can range from mild to severe. Typically, the pain is in one area of the lower back but sometimes it spreads to one or both buttocks or thighs. The pain is usually eased by lying down flat. It is often made worse if you move your back, cough, or sneeze. So, nonspecific low back pain is mechanical in the sense that it varies with posture or activity.
Most people with a bout of nonspecific low back pain improve quickly, usually within a week or so, sometimes a bit longer. However, once the pain has eased or gone it is common to have further bouts of pain from time to time in the future. Also, it is common to have minor pains on and off for quite some time after an initial bad bout of pain. In a small number of cases the pain persists for several months or longer. This is called chronic back pain .
How To Make Hemorrhoids Go Away Fast And Completely: 9 Quick Tips
1) Diet – It always sounds so simple doesnt it, just diet when in reality it is very difficult for us as human beings to change our food consumptions habits.
The fact remains that diets high in fiber can help your hemorrhoids condition.
2) Stay Hydrated – Staying hydrated is extremely important for regular bowel movements. If you dont stay hydrated you can become constipated which is terrible for your hemorrhoids .
Staying well hydrated is also import for general health.
3) Dont Strain Too MuchDuring Bowel Movements – Following #1 and #2 will help prevent you from straining too much. Be aware of your toilet time.
Straining on the toilet seat can cause you to increase the pressure and worsen your hemorrhoid pain .
You dont want to stay on the toilet all day, yet you most certainly dont want to overstrain and rush.
4) Use a Hemorrhoid Cream or Suppository – There are creams and suppositories that are clinically proven to improve your hemorrhoid condition, reduce swelling and shrink your hemorrhoids.
Incorporating a cream or suppository can also greatly reduce or eliminate your symptoms.
5) Use a Hemorrhoid Wipe – Why clean yourself after a bowel movement with toilet paper when you can use a wipe soaked with medicine proven to help your symptoms and give you relief? Its a no brainer.
The medicine can actually shrink your hemorrhoid, cause a cooling effect and relieve itching. A common medicine found in hemorrhoid wipes is witch hazel.
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Ways To Treat Chronic Back Pain Without Surgery
Back pain is considered chronic if it lasts three months or longer. It cancome and go, often bringing temporary relief, followed by frustration.Dealing with chronic back pain can be especially trying if you dont knowthe cause.
Back pain rehabilitationspecialistAndrew Nava, M.D., offers insights into common chronic back pain causes and nonsurgicaltreatment optionsand advises not to give up hope.
Treat The Pain With Temperature
Studies show that both heat and cold can provide temporary relief for back pain. If you need help and arent able to get treated by a doctor when the pain first comes on, try a cold pack or heating pad, depending on the type of back pain youre dealing with.
Ice packs are typically most effective to use immediately after an injury like a sprain, strain, or disc herniation, or for sudden pain. Of course, if the pain is extreme, excruciating, or disabling, seek emergency treatment. Cold therapy can help with pain by numbing the effective area, and it also reduces inflammation, especially in combination with an anti-inflammatory like Advil or Motrin. If you dont have an ice pack, ice cubes wrapped in a towel or even a bag of frozen vegetables can fill in.
If your back pain can be attributed more to achiness or stiff muscles, heat can help, so break out the heating pad. If youre in the market for a new heating pad, consider one that has moist heat. This type of heat has been shown to be more effective at penetrating down to the muscle and providing more effective and more expedient relief. In a pinch, you can also microwave a clean sock filled with uncooked rice or get in the car and turn your seat heater all the way up.
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How Do I Know If Pelvic Floor Dysfunction Is Causing My Low Back Pain
First of all, it’s extremely likely that pelvic floor dysfunction is at least contributing to back pain symptoms that won’t go away. In one study of chronic low back pain, 95% of people also had pelvic floor dysfunction! They had been getting treatment for years – orthopedic physical therapy, chiropracters, acupuncture, and even surgery – without results!
Because they weren’t getting to the underlying “why” of what was going on for lasting relief!
Other research has tied low back pain to urinary incontinence, with nearly 80% of women with chronic back pain reporting at least occasional incontinence.
When To Get Help For Low Back Pain
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Image: Thinkstock |
Pain from ruptured discs and arthritis doesn’t have to flatten you. There are a variety of ways to ease lower back pain discomfort and reduce disability, often without drugs.
Spinal problems are the price we pay for walking upright. Wear and tear on our backbones and the constant pull of gravity on our vertebrae take their toll over time. Nearly every adult has had a stiff or sore back at some time.
Sciatica is a term you’ve probably heard people use for pain in the lower back, radiating to the buttocks and down one or both legs. “When patients tell me they have sciatica, they could have one of two conditionsa leaking disc or spinal stenosis ,” says Dr. Steven Atlas, associate professor of medicine at Harvard Medical School. These conditions in turn can put pressure on the sciatic nerve, which emerges from the lumbar spine, separates just above the buttocks, and runs down each leg.
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Less Common Causes Of Low Back Pain
Inflammation of the joints of the spine sometimes causes back pain. Osteoarthritis is the common form of arthritis and usually occurs in older people. Ankylosing spondylitis is another form of arthritis that can occur in young adults and which causes pain and stiffness in the lower back. Rheumatoid arthritis may affect the spine but you are likely to have other joints affected too.
Various uncommon bone disorders, tumours, infection and pressure from structures near to the spine occasionally cause low back pain .
The rest of this leaflet is mainly about nonspecific low back pain – the common type of low back pain.
Ways To Manage Low Back Pain At Home
Back pain is one of the most common physical ailments. Studies show that eight in 10 Americans have back pain at some point in their lives, usually in the lower back.
Your might have sprained it while working in the yard or cleaning house. Or your back might hurt from an old sports injury or a chronic condition such as arthritis or ankylosing spondylitis.
Sudden or severe back pain should be checked by a doctor or a physical therapist. That also goes for pain that wonât go away.
But sometimes you can treat nagging pain and discomfort on your own.
Wilson Ray, MD, chief of spine surgery for the Department of Neurological Surgery at Washington University School of Medicine in St. Louis, says home remedies â tend to be better when they’re combined than alone.â
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Low Back Pain Fact Sheet
If you have had lower back pain, you are not alone. Back pain is one of most common reasons people see a doctor or miss days at work. Even school-age children can have back pain.
Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.
There are two types of back pain:
- Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
- Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.
Preventing Pain And Injury
Posture. Using correct posture and keeping your spine in alignment are the most important things you can do for your neck and back . The lower back bears most of your weight, so proper alignment of this section can prevent injury to your vertebrae, discs, and other portions of the spine. If you have back or neck pain, you may need to make adjustments to your daily standing, sitting, and sleeping habits and learn proper ways to lift and bend. Your workspace may need to be rearranged to keep your spine from slouching. Because extra pounds can make back pain worse, you should maintain a weight that is appropriate for your height and body frame.
Exercise. Regular exercise is important to prevent back pain and injury. A program of strengthening, stretching and aerobic exercises will improve your overall fitness level. Research has shown that people who are physically fit are more resistant to back injuries and pain, and recover quicker when they do have injuries, than those who are less physically fit .
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Even The Nonprescription Pain Relievers Are Not Risk Free
Medicines like ibuprofen and naproxen can be helpful, but they can cause stomach inflammation and ulcers, as well as possible bleeding, and even kidney damage, especially in the elderly. Muscle relaxants can be sedating, and can interact with other common medications. Benzodiazepines and opiates not only can cause sedation, making it hard to think clearly and function normally, they are also addictive. Basically, for acute and subacute low back pain, the risks of these medications outweigh the benefits. Other medications, like acetaminophen, steroids, antidepressants, and anti-seizure medications, were not significantly helpful for acute and subacute low back pain at all.
What Are The Signs And Symptoms Of Back Pain
Back pain may be experienced anywhere along the spine from the neck to the buttocks. In some cases, pain may also be felt in one or both legs. Its common to be a bit restricted in daily activities such as bending, lifting, sitting and walking while youre experiencing back pain.
Movement of your torso may be limited by back pain. There may also be tenderness when pressure is applied to the joints of the spine. Reduction of reflexes, strength and sensation in the legs can be a sign of nerve compression.
Its common for people with back pain to feel distressed about their recovery. People with persistent back pain can develop fear of movement and activity , worrying that it will make things worse or increase their pain. Living with persistent back pain may also lead to mood issues, such as anxiety, irritability, frustration and depression.
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