Female lumbar spine pain on both sides

Some women experience soreness and pain in the pelvis and lumbar spine during menstruation, which is related to factors such as cold uterus and poor excretion. In addition, the soreness on both sides of the lumbar vertebrae is also closely related to whether you have been pregnant, incorrect sitting posture, etc. Due to special reasons, the pelvis of pregnant women may be different from before pregnancy, which may lead to some illnesses. So what should we do when this situation occurs?

Relaxin loosens bones in pregnant women

The human pelvis is composed of the sacrum, coccyx and two hip bones (including ilium, pubis and ischium). At the back of the pelvis, the ear-shaped articular surfaces of the hip bones on both sides are connected to the articular surfaces of the sacrum on both sides, forming the sacroiliac joints. In the front, the left and right pubic bones embrace each other to form the front half of the pelvis. The two pubic bones are connected by a fibrous cartilage plate to form the pubic symphysis, which is surrounded by tough ligaments for protection, making the two pubic bones tightly combined together with a very small cavity that is not easy to move. It is estimated that the pubic symphysis is not likely to separate or dislocate even if it is subjected to a traction force of 328 kg.

However, when a woman becomes pregnant, things change. When the pregnancy is 7-10 weeks, the pregnant woman's ovaries secrete a substance called "relaxin", which gradually increases with the increase of pregnancy period.

Relaxin can relax the fibrous cartilage and ligaments of the sacroiliac joints and pubic symphysis, and widen the pubic space to accommodate the growing fetus in the uterus. In the late pregnancy, the gap in the middle of the pubic symphysis may even widen to 0.3-0.4 cm to prepare for the smooth delivery of the fetal head during delivery.

The key to pubic separation in pregnant women is prevention

Most pregnant women will be safe and sound with the above-mentioned changes in the pubic symphysis. Only a few will experience local pain, which generally does not affect normal work and life. As long as they pay attention to avoid heavy physical labor and long-term walking, no treatment is required.

Pulling pain will only occur when the pubic bones are separated too much, especially when walking or walking upstairs. Because the body's center of gravity is biased to one side, the pubic bones are dislocated, pulling the fibrous cartilage and ligaments between the pubic bones, which is more likely to cause pain. Those with severe symptoms may even suffer from ligament rupture and edema, making them unable to move.

The key to preventing pubic separation in pregnant women is prevention, which should be done as follows: actively participate in physical exercise to enhance muscle and ligament tension; pregnant women should not stay absolutely still during pregnancy, and may do some thigh flexion and extension exercises, but avoid large-scale waist and hip movements and other strenuous exercises; if a pelvic joint suffers from tuberculosis, rheumatism or softening, pregnancy should be resumed after recovery; nutrition during pregnancy should be moderate to prevent the fetus, especially the fetal head, from being too large and aggravating pubic separation during delivery, and chronic cough, constipation and other conditions should be avoided to avoid further increasing abdominal pressure; heavy physical labor should be avoided in the middle and late stages of pregnancy, especially weight-bearing walking; the fetal head mostly enters the pelvis 2 weeks before the expected date of delivery, and the pubic bone may be further separated after entering the pelvis, so pregnant women who have the conditions can take a vacation at home two weeks before delivery.

Once a pregnant woman develops pubic separation, no treatment is required if the condition is mild. When the pain is obvious, you should rest in bed, preferably in the left side lying position. For a small number of people with severe pain, in addition to rest, they also need to use a cloth pelvic strap to tighten the pelvis to relieve pain. If the fetus is not too large and the symptoms are mild, the pregnant woman can give birth smoothly and the impact will not be significant. If the fetus is too large and the symptoms are severe, a caesarean section should be performed to ensure the safety of mother and child. After the baby is delivered, as the level of relaxin decreases, the pubic symphysis closes and returns to its original state, and the pain naturally disappears.