Why do I have back pain during pregnancy?

In the second month of pregnancy, the uterus has begun to bulge slowly. The body can no longer adapt to this sudden symptom and begins to slowly change. For example, there will be slight edema in the lower limbs or back pain. At this time, expectant mothers must pay attention to get more rest. They can choose to lie on their side or lie flat, but not on their stomach. In addition, it cannot be ruled out that it may be related to lumbar muscle strain or lumbar disc herniation.

Causes

Three major causes

1. Lumbar muscle strain: Lumbar muscle strain is a chronic disease and a common orthopedic disease. Lumbar muscle strain is a disease characterized by repeated attacks of dull pain in the lower back, which worsens after fatigue and is relieved after rest. The pain may vary with climate changes or the degree of fatigue, sometimes light and sometimes severe, and may linger and not heal. Therefore, experts remind us that it is necessary to effectively protect the waist in daily life.

2. Lumbar disc herniation: Lumbar disc herniation often occurs due to long-term strain, trauma, degenerative diseases, etc. The nucleus pulposus herniation is caused by the rupture of the annulus fibrosus of the intervertebral disc, which compresses the nerves and causes symptoms of low back pain in patients. In particular, the symptoms of low back pain worsen after patients do heavy work or walk for a long time.

3. Lumbar bone spurs: Long-term strain, trauma, and poor sitting posture can easily lead to the occurrence of lumbar bone spurs. Patients begin to experience back pain and stiffness, which obviously improves after rest and a little movement, but worsens with excessive activity.

Common causes in women

1. Lumbar muscle strain caused by long-term standing operations. People who work in textile, printing and dyeing, chefs, restaurant employees, barbers, salesmen, etc., due to continuous standing, the stretching ability of the lumbar tendons and ligaments is weakened, and excessive lactic acid can accumulate locally, inhibiting the normal metabolism of the lumbar muscles and also causing low back pain caused by lumbar muscle strain.

2. Urinary tract infection. Because the female urethra is short and straight, and the external opening of the urethra is close to the anus, E. coli often parasitizes. In addition, due to the physiological characteristics of women, the urethral opening has a greater chance of being contaminated. If hygiene is neglected, urinary tract infection is likely to occur. Low back pain is mostly caused by acute or chronic pyelonephritis, which manifests as distension and pain in the lower back and radiates along the ureter to the perineum in severe cases. In addition to urinary tract infections, urinary tract stones, tuberculosis and other diseases can also cause low back pain.

3. Reproductive organ diseases. A woman's reproductive organs go through menstruation about four hundred times in her lifetime, and also bear the responsibilities of pregnancy and childbirth; some women also experience abortions, sterilization surgeries, etc. Therefore, the incidence of reproductive organ inflammation is high, such as salpingitis, pelvic inflammatory disease, etc. These inflammations are prone to complications such as low back pain. Retroversion and retroflexion of the uterus are also one of the causes of low back pain in women. Serious reproductive organ diseases such as uterine fibroids, cervical cancer, and ovarian cysts can cause compressive involvement of low back pain.

4. Women who suffer from rheumatism and rheumatoid arthritis are often attacked by wind, dampness and cold during menstruation, delivery and postpartum period, which causes bone spurs in the spine and induces low back pain. If the waist has been sprained, it may develop into a herniated disc, causing severe back pain and even affecting the flexion, extension and rotation of the spine.

5. Fatigue during pregnancy and postpartum period. During pregnancy, as the fetus grows, the ligaments of the pregnant woman's lumbar and pelvic joints relax. At the same time, the weight of the uterus also increases with the growth of fetal age, causing the body's center of gravity to move forward. In order to maintain body balance, the waist is often straightened forward. If you do not pay attention to rest, it is easy to cause back pain. During pregnancy, the fetus needs sufficient nutrients such as calcium and phosphorus for development. If the dietary intake is insufficient, it can cause osteoporosis and decalcification in pregnant women, and can also cause low back pain. Excessive postpartum bleeding, premature labor, excessive fatigue, and cold can also cause low back pain.

6. Lumbar spine diseases are more common in elderly women. With the increase of age, the symptoms of lumbar nerve compression will also increase. Pseudospondylolisthesis caused by degenerative diseases is a common disease, which can easily cause lumbar spinal stenosis, compress the spinal cord and nerve roots, lead to low back pain and radiating pain in the lower limbs, and is often caused by vertebral collapse fractures due to osteoporosis. Osteophyte formation in the elderly can cause spinal stiffness and can also lead to persistent low back pain.