Why this happens, doctors can not answer unequivocally. Most doctors agree that symphysitis is caused by a deficiency of calcium. However, hormonal changes play a role in this during pregnancy: under the influence of the hormone relaxin all the bone tissues soften somewhat, including the extension of the pubic joint. This is a natural process conceived by nature, which prepares the child for easier passage through the birth canal. But if the lonnoe articulation swells and becomes mobile, and the frontal bones are excessively divergent - they diagnose symphysitis.
There is also the view that the development of pathology affects the hereditary factor, as well as problems with the locomotor apparatus in the pre-pregnancy period.
Symphysitis Symptoms in Pregnancy
Usually Symphysitis is manifested in late gestation - it is already at the end of the second, but still more often in the third trimester of pregnancy - symptomatic: p >
- pronounced puffiness in the symphysis region;
- sensation of pain and characteristic clicks when pressing on the pubic bone;
- pain in the pelvis, pubic bone, groin, coccyx, thigh;
- sharp painful sensations when you change the position of the trunk (lifting, turning the body, lifting and when lying down);
- the inability to lift straight legs in a prone position;
- a characteristic "duck" gait;
- Walking in fractional, small steps;
- severity and pain when climbing the stairs.
As the pathology develops, the pain intensifies, becomes more pronounced and can manifest itself not only when walking, but also in a passive state - in a sitting or lying position. Since the X-ray during pregnancy is contraindicated, the physician diagnoses symphysiopathy on the basis of the described manifestations of her - on her own observations and conclusions after examining her pregnant ward according to her complaints. Self-diagnosis of the development of symphysitis should not be done, because such pain during pregnancy can cause other disorders, for example, changes in the thigh joints.
If Symphysitis has been diagnosed during pregnancy, then delivery by caesarean section is possible - there is a high risk of rupture during labor in a natural way. When examining the patient, the doctor will certainly establish the degree of symphysitis and give predictions for the future, and also send a woman to an additional ultrasound.
Symphysitis treatment in pregnant women
The good news is, that symphysiopathy has no influence on the development and health of the unborn child. Soon after childbirth, the problem disappears by itself. But before that you still need to live. In the meantime, Symphysitis is dangerous in that if its signs are strongly pronounced at the time of birth - the question arises about delivery by Caesarean section, because there is a high risk of discrepancies in the genital joint during labor, which requires a long-term rehabilitation in the future. Natural childbirth is possible in the event that the genital cleft has widened by no more than 10 mm, the fetus is not large, but the pelvis is of normal size.
Fighting symphysiopathy is not easy. Will get rid of it in the period of gestation, most likely, will not work. But it can significantly reduce its manifestations and discomfort.
First of all, the doctor will prescribe you a vitamin complex with a mandatory high calcium content or even some of his drugs. But here it is necessary to consider something. It is forbidden to take calcium preparations on a later date, as this can lead to a number of complications. Some doctors even recommend the exclusion of calcium-containing foods from the diet. Replenishment of calcium deficiency can bring you visible relief, but the strengthening of bone tissues, which now diverge and try to be elastic, will complicate the generic process very much. And the skull of the child becomes stronger and firmer, which is undesirable before childbirth.
You may need to take special anti-inflammatory drugs and even go to the hospital. Pregnant with symphysitis must necessarily wear a bandage, and physical activity should be carefully limited, but combine it with special physical exercises that strengthen the muscles of the pelvis, waist and hips: Position: lying on the back, knees bent, feet close to the buttocks. Slowly, as though overcoming the resistance, but very symmetrically, we bend our knees to the sides and again connect them. Repeat 6 times.
Exercises should be performed several times a day, especially with pain. Also, a number of simple recommendations should be followed to alleviate the pain and not to provoke complications:
- Avoid asymmetric positions of the trunk: do not toss your foot on the leg while sitting, do not lean on one leg, do not lean, spread the weight evenly on both feet.
- Sitting and lying on a hard one is prohibited.
- Do not sit for longer than an hour and do not raise your knees above your pelvis.
- Use a chair with adjustable backrest and armrests.
- Avoid prolonged footing: do not go around much, do not stand for long.
- Do not go up the stairs.
- Avoid deviations and steps to the side: try to move only back and forth.
- If the turns from side to side cause a pain in the pubic, lying in bed, turn first the shoulders and upper body, and then the pelvis.
- Try to reduce the pressure of the fetus on the waist and pubic area: put additional pillows under the buttocks, raise the pelvis, put your feet on the hill.
- During the bouts of pain, sit down in a soft chair or lie on your back on the bed.
- Control weight gain: extra pounds will exacerbate the condition.
If you follow all the recommendations, and the exercises described do not bring relief - tell your doctor about it. Perhaps in this situation it will be appropriate to inpatient treatment and professional manual therapy.