Pain in the middle of the buttocks of pregnant women

During pregnancy, due to endocrine changes, pregnant mothers will experience various pain and discomfort symptoms. I thought the discomfort would disappear after delivery, but some women still experience bone pain in the middle of the buttock groove. If it is not caused by external factors, then you need to consider whether the sacrococcygeal ligament is damaged after delivery, causing the pain.

Sacrococcygeal pain is a symptom that often manifests as persistent dull pain, dull pain or burning pain at the tip of the coccyx, sometimes spreading to the buttocks and lumbosacral region, but the pain is mostly in the coccyx, the muscles beside the coccyx and the anus. The pain is obvious when sitting down or getting up from a sitting position. It is more common in women and is often caused by sacrococcygeal injury or infection. This disease is often difficult to cure and affects the patient's spirit, mood and work.

Causes

1. The sacrum and coccyx can often be injured due to various reasons, such as falling on the buttocks, being directly punched or kicked, etc. About 6% of pelvic fractures often also occur with coccyx or sacrum and coccyx fractures.

2. Coccyx pain may be caused by sacrococcygeal deformity and pressure from sitting for a long time.

3. The disease can be caused by pelvic inflammatory disease, anal infection, or osteomyelitis of the coccyx itself.

4. Sacrococcygeal tumors.

Clinical manifestations

Sacrococcygeal pain can be divided into severe pain, dull pain or continuous pain depending on the severity of the disease. It can also radiate to the perineum, buttocks, sacrum and even along the back of the thigh. Some patients experience a strange feeling in the sacrum. Especially when standing up slowly from a sitting position or sitting down slowly from a standing position, there may be severe pain. In this disease, the pain disappears or is relieved when lying down.

treat

1. General treatment

(1) People with acute strain should rest in bed. Fresh fractures with forward displacement can be reduced through digital rectal examination. Generally, patients rarely undergo manual reduction. Reduce walking and take a warm water bath 1 to 2 times a day.

(2) Change your sitting posture and develop the habit of sitting on your thighs for a long time to reduce the weight on your buttocks. You can also use air cushions or air rings to prevent compression and relieve symptoms.

2. Symptomatic treatment

Oral nonsteroidal anti-inflammatory analgesics, local physical therapy, massage and other methods can achieve better clinical results.

3. Sacral nerve block

Patients with chronic, intractable sacrococcygeal pain who do not see significant improvement after the above conservative treatments can be referred to a pain specialist and have an anesthesiologist perform sacral nerve block, which has a better effect.

4. Treatment of the cause

Such as tumor resection.