Why does the sacrum hurt after childbirth. How to get rid of pain in the sacrum during pregnancy? Possible causes of pain in the buttocks in a pregnant woman

A pregnant woman constantly feels a significant load, experiences pain here and there. Many changes occur in the body, and a woman in position may develop new diseases or worsen old ones. It is very unpleasant to feel back pain while waiting for your own child. More than half of pregnant women experience this. Consultation with a personal gynecologist for pain in the coccyx is required. If the doctor did not find anything dangerous, then the pain in the coccyx in this case is a variant of the normal state. Medical professionals advise to simply endure this condition or try ways to relieve pain.

A child in the womb is developing rapidly, constantly gaining weight. The woman's belly gradually increases in size and becomes heavier. She may begin to complain of pain in the sacrum. The sacrum is at the beginning of the spine. Not all women in a position can boast of excellent health when carrying a baby.

The coccyx area does not perform serious functions. Despite this, it takes an important part in the functioning of the musculoskeletal system. Provides proper movement of the hip joints and maintains the normal position of the intestines and urinary system. It has an effect on the mobility and divergence of the pelvic floor during childbirth. Helps to properly distribute the load on the spine. It is important not to damage the coccyx once again, because in the future during pregnancy, a woman may have serious problems.

Causes of the disease:

• Displacement of the center of gravity in the body;
• The child is located on the back wall of the uterus;
• Inflammatory processes in the organs of the reproductive system;
• Hormone disorders;
• Lack of vitamins, calcium, magnesium or other elements;
• Salt deposits;
• The presence of diseases such as hemorrhoids or anal fissures;
• Inflammation of the genitourinary system;
• Stress;
• Diarrhea;
• constipation;
• Anal neuralgia;
• Braxton Hicks contractions.

You can cope with discomfort with the help of a relaxing massage. If sacrum hurts during early pregnancy, you need to reduce physical activity, walk more in clean fresh air, rest only on a special orthopedic mattress, eat right, especially foods rich in potassium. It is better to go to a personal gynecologist or therapist. Sometimes you need to visit a neurologist, urologist or gastroenterologist.

Pregnant women should not undergo X-ray examination, MRI, computed tomography. First you need to conduct “safe” examinations, but if there is a great need, you can resort to hardware diagnostics. The tour will take no more than 40 minutes. The doctor can examine the tone of some muscles, reflexes, sensitivity of peripheral nerves. It is difficult to understand the cause of the pain on your own, because you can easily make a mistake.

Treatment will help to optimally distribute the load from the uterus to the ligaments, bones and muscles. You can make a soft correction of the spine and muscle tone. This will be done by the doctor himself. Enough from 4 to 6 sessions. At home, you will be advised to do gymnastics. Exercises are not difficult, especially for women in position and are selected individually. They do not take much time, absolutely safe and effective. Such methods will significantly reduce unpleasant pain.

Acute pain cannot be tolerated so that there are no serious consequences. Especially if the pain is accompanied by strange discharge and fever. This is not the norm for the female body.

Tips to prevent severe pain:

• avoiding heavy loads
• on a chair, lean only on your back
• wear comfortable shoes with low heels in your size
• If you need to pick up a thing from the floor - squat
• Don't sleep on a very soft bed
• good rest
• Do not use analgesics
• Take multivitamin complexes
• Do not use anesthetic ointments unless instructed by your doctor

A constant unpleasant feeling in the sacral spine is a reason to sound the alarm.

Pain in the sacrum during pregnancy in the second trimester

Starting from week 12 is a golden period that does not run without problems. Some difficulties may arise. At this time, toxicosis disappears, and quite frequent pains in the intestines also pass, more on this. Closer to the 15th week, the movements of the baby are already noticeable.

The causes of pain in the sacrum in the second trimester can be accompanied by a host of other troubles:

• Pain when walking. The joints between the bones of the pelvis become softer. The uterus increases, which changes the gait of the pregnant woman. To avoid pain, take your shoulders back. Rest while sitting.
• Abdominal pain. The round ligament is stretched and causes sharp pain, a cramp in the lower abdomen may appear. If you have had abdominal surgery in the past, then pain appears in the area of ​​surgical sutures. A moderately warm bath and relaxation will help.
• Back pain. It is necessary to follow a diet rich in calcium (found in milk, nuts, fish, cape, greens), take carbonate. The sleeping pillow should have an anatomical shape. Some go swimming, aerobics. If high blood pressure, dull color of urine - go to the gynecologist.
• Pain in the side. Women are bursting in the right hypochondrium. Appears nausea, heartburn, bloating, belching, lack of appetite, fatigue, headache. The body produces more progesterone, which relaxes the uterus so that there is no threat of miscarriage.
• Preeclampsia. The blood pressure rises. A woman has swelling and protein in the urine.

If the pain is related to pregnancy, you will be prescribed vitamins or certain medications. You need to wear a bandage and do special simple exercises that only help relieve tension in the lumbosacral muscles. It is desirable for a pregnant woman to constantly maintain her health.

If there is pain in the sacrum in the last stages, then this may mean the approach of childbirth. Untimely delivery is accompanied by intermittent recurrent pain. The tone of the uterus increases. Training contractions are a normal workflow. If you are worried about the baby, go to the gynecologist. He will do certain tests (for example, a smear or a blood test, urine test), ask about feelings and conduct an examination. You may have strain on your lumbar spine. For example, this occurs due to long walks or heavy lifting.

Very painful sacrum during pregnancy

Causes of acute pain:

• Ectopic pregnancy;
• Urolithiasis disease;
• The danger of losing a child;
• Frozen pregnancy.

Any of the above symptoms require immediate medical attention.

If the sacrum hurts at 7 weeks of pregnancy

A 7-week-old baby is an almost fully formed baby. This week is the busiest. A pregnant woman may experience discomfort. During this period, you need to protect yourself from emotional stress and drink plenty of fluids. Hot baths are not allowed. It is necessary to be observed constantly by a gynecologist so that there is no miscarriage or other serious problems. You may be referred to another doctor for a consultation. Perhaps the sacrum was struck by an infection.

Video on the topic ""

Pain in the sacrum during pregnancy can disturb even young healthy women who have not previously complained of pain in the back. Despite the fact that the coccyx and sacrum do not perform serious life-supporting functions, alarming symptoms cannot be ignored. A timely visit to a doctor to find out the cause of the pain will help eliminate the likelihood of developing dangerous pathologies and get rid of pain if it is provoked by physiological changes in the body.

Causes of pain in the sacrum during pregnancy

In the vast majority of cases, discomfort in the lower back is associated with physiological changes in the body of the expectant mother and does not pose a particular danger to her health and the life of the fetus. However, it is still worth informing the doctor about the pain that has arisen. At risk are women who, even before pregnancy, faced problems with discomfort in the lower back.

Early dates

At the beginning of pregnancy, pain in the sacrum can be triggered by:

• sprain caused by exposure to the ligamentous apparatus of relaxin, a hormone that causes pain in the sacrum in pregnant women;
• increased tone of the uterus;
• infringement of the nerve root;
• urolithiasis;
• ectopic pregnancy;
• hormonal imbalance;
• change in the position of the vertebrae;
• lack of calcium, magnesium and other trace elements;
• stress caused by the realization of the fact of pregnancy, toxicosis, etc.

If the sacrum hurts during pregnancy in the early stages, this may be one of the signs of a threat to interrupt the gestation of the fetus. Discomfort in the lower back in this case will be accompanied by pain in the lower abdomen, abdominal cramps, dark discharge. With a missed pregnancy, women are often worried about pain that radiates to the rectal area.

Late dates

Active growth of the fetus in the second and third trimesters can provoke other factors of pain. The reasons why the sacrum hurts during late pregnancy include:

• fetal pressure on the pelvic bones, and in the case of occipital presentation, the pressure of the baby's head on the sacrum becomes permanent;
• increased pressure on the sacrum and ligaments due to a change in the posture of a woman: in late pregnancy, women walk, bending in the lower back and throwing their shoulders back;
• divergence of the pelvic bones to facilitate the process of labor;
• increased fetal activity and rapid changes in the shape and size of the uterus do not allow the bones and ligaments to adapt in time;
• problems with bowel movements and diseases of the rectum;
• salt deposition and inflammatory processes in the coccyx and sacrum;
• the development of bacterial and fungal infections of the genital organs, arising from a decrease in immunity.

One of the causes of pain in the sacrum in the later stages may be "training contractions" that occur as a result of the preparation of the muscular apparatus for the process of childbirth. Do not neglect the alarming symptom when the sacrum hurts a lot in the third trimester. Sharp pain can be a harbinger of premature birth.

After childbirth

Often, lower back pain is provoked precisely by the development and course of pregnancy, so alarming symptoms normally disappear a couple of weeks after the baby is born. If the sacrum hurts for a long time after childbirth, the discomfort does not go away or even begins to intensify, the cause may be the displacement of the sacrum.

Other triggering factors include:

• trauma or fracture of the sacrum during childbirth, which can be caused by an incorrect location of the fetus or its large size;
• recurrence of old injuries;
• scoliosis;
• perineal injury;
• infections of the genitourinary system;
• hemorrhoids, anal fissures;
• inflammation of the pelvic organs;
• calcium deficiency in the body;
• hernia;
• dysfunction of internal organs;
• dislocation of the vertebrae;
• pinching of the sciatic nerve;
• osteochondrosis.

During painful contractions and childbirth, women often do not feel other pain, so excessive tension and uncontrollable attempts can lead to displacement or dislocation of the sacrum.

Characteristic symptoms

Depending on the provoking factors for the occurrence of pain, the main symptoms are:

• pulling aches in the lumbar region with an increase in the load on the sacrum due to the growing uterus and fetus;
• severe sharp pain gives into the anus with the threat of termination of pregnancy;
• a pronounced pain syndrome of a paroxysmal nature worries while sitting and during defecation when the sacrum is displaced;
• aches in the sacrum, radiating to the thigh and legs with a lack of trace elements;
• slight pain, receding after resting in a prone position or walking in the fresh air during training bouts;
• sharp pain with every change in position and movement when a nerve is pinched;
• pulling aching pains that can disturb even at rest when the lumbar vertebra is displaced.

In case of recurrence of bacterial or viral infections, dull pain in the sacrum is accompanied by discomfort in the genital area, specific vaginal discharge and severe itching.

Diagnostics

Most of the available diagnostic methods are contraindicated for women during pregnancy. Therefore, the main way to determine the cause of pain in the sacrum is to interview the patient and visual examination by a specialist. The doctor examines the tone of certain muscle groups, reflexes, sensitivity of peripheral nerves. In addition, the doctor may prescribe a general and biochemical analysis of blood and urine, blood for glucose levels and hormone levels.

Of the instrumental diagnostic methods for pregnant women, only ultrasound is available. Such a study allows you to determine the cause of pain and exclude the possibility of developing pathology. In rare cases, MRI is allowed.

Treatment Methods

Massage can only be trusted by an experienced specialist

During pregnancy, medication is undesirable. Under the ban are also painkillers ointments and gels.

Physiotherapy, massage and therapeutic exercises for the treatment of lower back pain can only be used as prescribed by a doctor. All manipulations should be performed under the supervision of a specialist who has experience working with pregnant women. Wrong actions of a massage therapist or trainer can lead to premature birth.

Most often, the treatment of discomfort, if it is caused solely by physiological causes, takes place at home. The main goal of therapy is to evenly distribute the load from the uterus to the bones, muscles and ligaments.

Good rest, good sleep, light massage of the lumbar region, swimming and physiotherapy exercises help women. When choosing a set of exercises, it is important that the gymnastics correspond to the gestational age.

Significantly relieve pain allows the application of dry heat. The possibility of using this method of therapy must be agreed with the gynecologist. A fabric bag with warm salt or sand is attached to the bottom of the back. From above you need to wrap yourself in a woolen scarf or cover yourself with a blanket.

During pregnancy, in no case should you use hot heating pads and baths to warm the sore spot. Such actions will lead to vasodilation, excessive blood flow to the pelvic organs, and even miscarriage.

Sports gymnastic balls will help relieve pain in the lumbar region. Women are advised to use special orthopedic pillows for pregnant women, which will allow them to take a comfortable position during sleep.

Prevention

The bandage significantly reduces the load on the spine and joints

The following tips will help reduce the likelihood of pain in the sacrum during pregnancy:

• rest more - in the supine position, the muscles in the back relax, the load on the ligaments and muscles of the lower back decreases;
• walk more often in the fresh air - walks should not be long and tiring, so as not to unnecessarily burden the back;
• perform special sets of physical exercises for pregnant women, do yoga, swimming;
• massage the lower back - light stroking movements help relieve tension and improve blood flow to the pelvic organs;
• monitor nutrition - it is imperative to include foods high in iron, calcium, magnesium and potassium in the diet;
• wear a prenatal bandage and special underwear for pregnant women - such devices will evenly distribute the load from the enlarged abdomen;
• wear comfortable shoes and clothes;
• delegate part of their duties to close relatives;
• attend massage treatments with a qualified specialist who has experience working with pregnant women;
• avoid stress, nervous strain and stress;
• do not lift weights;
• take vitamin complexes - the necessary drugs prescribed by a gynecologist will make it possible to compensate for the deficiency of trace elements.

The above preventive measures will help if pain in the sacrum is caused by physiological reasons for the process of bearing a baby. If pain is provoked by the development or recurrence of pathologies, correct treatment is necessary to avoid the threat of abortion.

With the onset of pregnancy, a woman has to change her usual way of life and reconsider many preferences. And this is mainly due to the processes occurring in her body. The new life that has arisen inside requires the restructuring of almost every system, including the musculoskeletal system. Most of the changes are hard to miss, and sometimes a woman feels them quite clearly. Symptoms that cannot be called pleasant include pain in the sacrum during pregnancy.

Causes

Regardless of the origin, pain in the sacral area is called sacrodynia. This is not an independent disease, but a symptom complex caused by various processes in the pelvic cavity and nearby areas. In late pregnancy, a similar phenomenon worries almost every woman, fitting into the category of physiological changes. If the doctor confirms this state of affairs, then the woman has nothing to worry about - everything will return to normal after the birth of the baby. But there are other situations associated with obstetric pathology:

1. Miscarriage (spontaneous abortion, premature birth).
2. Ectopic pregnancy.
3. Placental complications (abstraction).

In these cases, it is important to notice the threatening condition in time and rush for medical help, because there is a rather serious risk for the fetus and the woman herself. And in addition to the causes associated with pregnancy, pain in the sacrum is provoked by the pathology of other structures:

• Spine (osteochondrosis with radiculopathy, osteoporosis, spondylolisthesis, injuries, anomalies).
• Urinary tract (pyelonephritis, cystitis).
• Genital organs (adnexitis, endometritis).
• Intestines (colitis).

Therefore, it is possible to find out why the sacrum hurts only according to the results of a comprehensive examination and after consulting a specialist. In no case should you endure pain, because it is not known what caused it, and many pathological processes, although not directly related to pregnancy, definitely complicate the period of bearing a child.

Sacrodynia is the result of processes occurring directly during pregnancy, or is a sign of other diseases.

Symptoms

At the initial stage, when the woman just went to the doctor, the cause of the pain will help to establish a clinical examination. During the survey, possible prerequisites for the development of sacrodynia and other symptoms that bother the pregnant woman are clarified. And during the examination (clinical and gynecological), objective signs of a particular condition are established. An experienced doctor, based on this, will indicate the probable cause, and additional diagnostic methods will only confirm his assumption.

Physiological changes

If the sacrum hurts during pregnancy in the third trimester, then most likely this phenomenon is due to an increase in the size of the uterus. As a result, the center of gravity of the whole body shifts, and the lumbosacral spine becomes the point of greatest tension. Because of this, women feel constant fatigue in the back, it is difficult for them to find a position in which to relax. With an increase in the period, the internal ligaments and pelvic muscles are tightened more and more, which creates additional discomfort.

Shortly before childbirth, a woman begins to feel the harbingers of the end of pregnancy. Among these symptoms, false contractions (Brexton-Higgs) are important. They indicate the preparation of the uterus for further events and are often manifested by discomfort in the abdomen or sacrum. But from true fights, such abbreviations are distinguished:

1. Less duration and frequency.
2. No progression.
3. The frequency of occurrence.
4. Low intensity.
5. Disappearance after walking or changing position of the body.

If the pulling pains become more widespread, their frequency and duration increase, amniotic fluid pours out, then you can think about the onset of labor.

Discomfort or pain in the sacrum in women in the third trimester of pregnancy is more often caused by physiological processes: an increase in the load on the spine, tension of the ligamentous-muscular structures, harbingers of childbirth.

obstetric pathology

The sacrum can hurt in the early stages. But in this case, one should look for a connection with obstetric pathology. With an ectopic pregnancy, pain is localized in the lower abdomen (right or left), often radiating to the back or rectum. If a tube ruptures, then internal bleeding is possible with the corresponding symptoms: general weakness, pallor, a decrease in pressure and an acceleration of the pulse.

Miscarriage is also characterized by pain in the sacral region. Depending on the stage of spontaneous abortion, the following symptoms occur:

• Cramping or aching pains.
• Bloody issues.
• Increased urination and defecation.

In this case, the cervix opens, and the fetal egg begins to be pushed out. Incomplete abortion is characterized by the retention of embryonic tissues in the cavity of the organ, which creates prerequisites for infection or bleeding.

Another important problem during pregnancy is placental complications, in particular, premature detachment. It can occur at any time, so it is extremely important to identify the pathology in time. The main symptoms will be:

• Pain at the site of detachment or widespread.
• Increased uterine tone.
• Bleeding from the vagina (not always).
• Fetal distress syndrome.

The last sign indicates a violation of the child's condition, because blood circulation suffers, which means that the supply of oxygen and nutrients. If more than half of the placenta exfoliates, then the fetus dies.

Obstetric pathology at an early or late stage can lead to termination of pregnancy and even create a danger to the woman herself.

Pathology of the spine

Given the increased load on the axial skeleton during pregnancy, women often have to deal with spinal problems. In most cases, they were present before, but did not appear or were overlooked. Most often, the main source of shooting or aching pain in the lumbosacral region is osteochondrosis with radicular syndrome. Unpleasant sensations can be given to one or both legs, which makes it difficult for the already limited movement of a woman at a later date. But in addition to pain, the clinical picture includes other symptoms:

• Numbness, tingling, crawling.
• Decreased sensitivity.
• Weakness in the lower limbs.
• Changing reflexes.

In the lumbar region, tension of the paravertebral muscles is noted, the exit points of the roots are painful. Often there is a smoothing of physiological lordosis, and movements in the affected area are limited.

Diseases of the urinary tract

Pain that radiates to the lumbosacral zone is not uncommon in pathological processes in the urinary organs. Basically, we are talking about inflammatory processes of renal and cystic localization (pyelonephritis and cystitis). Moreover, pregnancy becomes an aggravating factor, since in the later stages the organs of the retroperitoneal space and the small pelvis are pushed aside. Based on the clinical diagnosis, symptoms may include:

• Pain in the lumbar or suprapubic region.
• Frequent urination.
• Change in color of urine.
• Temperature increase.

If an acute pathology is not treated in time, it will turn into a chronic form. And a long course of pyelonephritis can provoke a violation of renal function (failure).

If pain occurs in the lumbosacral region, inflammation of the urinary tract should also be considered, which is a fairly common situation in pregnant women.

Gynecological problems

Inflammatory diseases occur not only in the urinary system, but also in the genital organs. And although the changed hormonal background of a woman reduces the risk of such a pathology, adnexitis and even endometritis still occur during pregnancy. In this case, the following manifestations may develop:

• Aching pains in the lower abdomen and groin, radiating to the sacrum.
• Pathological discharge from the vagina.
• Temperature increase.
• General weakness.

Therefore, noticing something like this, a woman should contact a gynecologist. Untimely treatment can cause the spread of the inflammatory process to the surrounding tissues and fruit membranes. And this already has the most adverse consequences.

Bowel disease

The enlarged uterus puts pressure on the abdominal organs, pushing them upward. And this, of course, does not pass without a trace for the digestive tract. The stomach suffers, leading to heartburn and nausea. But pain in the sacrum can occur with intestinal pathology - colitis. Most often, we are talking about the defeat of the final section, i.e., the descending colon, sigmoid and rectum. And the inflammation will be manifested by the following symptoms:

• Constipation or diarrhea.
• Rumbling and bloating.
• Pathological impurities in the feces (mucus, pus, streaks of blood).

Increased intestinal peristalsis can create conditions for increasing uterine tone, which is dangerous in terms of miscarriage. Therefore, any diarrhea should alert the woman and lead to an appointment with a doctor.

During pregnancy, the intestines can also suffer, and inflammatory changes in its wall are manifested by pain.

Additional diagnostics

To accurately determine the cause of pain in the sacral region, it is necessary to undergo an additional examination. The list of necessary laboratory and instrumental tests is determined by the doctor's preliminary diagnosis. It may include:

1. General and biochemical analysis of blood.
2. Urinalysis (general, according to Nechiporenko and Zimnitsky)
3. Vaginal smear.
4. Coprogram.
5. Ultrasonography.

Since some studies are contraindicated in pregnancy, only those that do not affect the fetus are used. In addition, you should consult related specialists: a neurologist, traumatologist, urologist. And when the full picture of the problem becomes clear, appropriate measures are assigned to eliminate it. Again, the treatment program includes only safe techniques that do not pose a danger to the expectant mother and her child.

They say that pregnancy is not a disease, and therefore the expectant mother should normally feel good. Nevertheless, there is probably no such organ that would “have no right” to get sick just like that, without pathological reasons, just because a woman is in a position and her whole body is subject to enormous changes, up to the transfiguration of bone tissues .

Among others, there may be pain in the sacrum during pregnancy in response to ongoing processes. But the danger of such symptoms lies in the fact that they can accompany much more dangerous conditions. However, there is no reason to worry: often this phenomenon is of a temporary harmless nature. If some pathology is found, then a qualified doctor will be able to alleviate and even relieve pain in the sacrum during pregnancy.

Despite the fact that pain in the sacrum occurs quite often, not all of us understand what it is about. First, many people confuse the sacrum and the coccyx; secondly, the pain can spread throughout the entire lumbar region, affecting the joints, ligaments and joints surrounding the sacrum, radiating to this bone as well, while the source of pain is located in a completely different place. So let's get specific first.

The sacrum is a large bone that, together with others, forms the pelvic ring. It is located behind at the junction of other bones. The upper part of the sacrum is connected to the last (lumbar) vertebra, the lower part is connected to the coccyx, and the side parts are connected to the pelvic bones. The sacrum itself is triangular in shape.

Its location predisposes to the fact that during the period of bearing a baby in this area, pain is often felt due to an increase in body weight in general and the weight of the tummy in particular. As the term increases, such sensations will occur more and more often. But the appearance of such pain in the early stages can be a threatening sign. However, let's talk about this in more detail.

Why does the sacrum hurt during pregnancy: causes

In fact, there are a huge number of reasons why a woman in a position can experience such sensations. Often they are not dangerous, they are physiological in nature, and after childbirth everything goes away. That is why gynecologists often respond to such complaints simply: be patient.

However, it is not always possible to endure, because sometimes the sacrum hurts very much, the pain is sharp, sharp. And in this case, you must definitely consult a doctor. Only a specialist is able to determine the cause of sacral pain in a pregnant woman. It can be:

• Increasing the load on the lumbosacral region . The more the fetus and uterus grow, the more the center of gravity shifts and the load on the lower back increases. This reason is most relevant in the second trimester and in late pregnancy. To maintain balance, the woman involuntarily arches the spine in such a way that the sacrum experiences increased stress. The situation is aggravated by hormonal changes, due to which, among other things, ligaments and tendons soften, bones diverge, including in the lumbosacral zone.
• Incorrect position of the fetus . Sometimes the baby rests the back of the head against the sacrum, exerting strong pressure on it, or takes another “uncomfortable” position in the uterus. At the same time, mommy may experience pain of varying intensity.
• Violation of phosphorus-calcium metabolism . With a lack of calcium and magnesium in the body of a pregnant woman, bone tissue is loosened, which is fraught with multiple complications. Pain in the sacrum, back, coccyx, legs - one of the possible consequences of mineral deficiency. In osteoporosis, they are usually long, but dull, weak.
• Threat of abortion . Pain that radiates to the sacrum may indicate an existing threat of miscarriage. In this case, it is usually combined with other dangerous signs: pulling pains in the lower abdomen and its tension, petrification, brown or red vaginal discharge. In addition, with an ectopic and missed pregnancy, pain can also appear that radiates to the sacrum and anus. Therefore, such a sign in the early stages of pregnancy should be the reason for an urgent visit to the doctor. You should listen to your own feelings in the later stages, since pain in the sacrum can also occur with the threat of premature birth. Cramping pains that occur in the abdomen and “spread” around the back, which intensify, grow and begin to repeat more often, should alert. At the same time, the stomach hardens.
• Braxton Hicks training contractions . But if contractions occur only sporadically, without a tendency to intensify and increase, then these are most likely the so-called false contractions. They are harmless and even useful, do not require any special action. The pain in this case is usually mild, does not cause much discomfort, but you can alleviate your condition by lying down and resting. For some, a leisurely walk helps, for others, a glass of water or herbal tea.
• pinched nerve . This trouble can happen to anyone, and pregnant women are at risk of pinching even more. As a rule, in this case, pain occurs or increases with a change in body position.
• Displacement of the lumbar vertebra accompanied mainly by aching pain in the sacrum.
• Injuries and anatomical features . Pregnant women tend to be cautious and try not to do physically strenuous work. However, right now, previous injuries in the sacrum can remind of themselves. Pain also occurs if there are any deviations in the anatomical structure of the sacro-lumbar.
• Inflammatory processes in the pelvic organs . Urological infections and gynecological pathologies are also often accompanied by pain in the lower back and sacrum. Unpleasant sensations during urination, sex and other associated symptoms are most likely associated with this.
• Violation of the digestive processes , in particular, chronic constipation and exacerbation of colitis also lead to painful sensations of different localization.

There are other reasons that provoke pain in the sacrum during pregnancy. However, they are much less common. Among these, for example, damage or damage to the musculoskeletal apparatus in this area, chronic posterior parametritis, varicose veins in the pelvis, salt deposition, staphylococcus aureus, tuberculosis, etc.

There is a very high probability that the discomfort you feel is related to the physiological changes that are currently taking place in the body. It can be significantly reduced by walking more, resting more often, eating better (focusing primarily on calcium-containing foods) and wearing a bandage, if this is approved by the gynecologist leading the pregnancy.

He may suggest taking vitamin supplements, as well as suggest ways to relieve and relieve pain in the sacrum during pregnancy. Relief comes from a light, gentle massage in the cross area, warm, short baths, dry heat, a visit to the pool, Kuznetsov's iplicator, but in each case, you should consult a doctor.

It is absolutely necessary to tell him about the pains that bother you (especially if there are very strong, sharp pains), because it is very difficult, if not impossible, to accurately determine their cause on your own. If necessary, the gynecologist or therapist will refer you to a more specialized specialist. It can be an osteopath, a neuropathologist, a urologist, sometimes even a gastroenterologist.

If a disease is detected, the doctor will prescribe a safe treatment for this period. Often, pregnant women are advised simple exercises for pain in the sacrum. Fitball exercises help a lot: just sit on the ball with your sacrum and roll from side to side.

So that pain in this area does not bother you, exclude physical activity and weight lifting, refuse to sit on upholstered furniture and do not make sudden movements / turns.

Especially for - Larisa Nezabudkina

During pregnancy, a woman's body experiences a significant load. At this time, chronic diseases begin to worsen or new ones appear, which in the “non-pregnant” state never made themselves felt. In addition, from time to time a woman in an "interesting" position may experience pain here and there. This is due to the changes that occur during pregnancy, and in many cases, there is no escape from this. For example, women often complain of pain in the sacrum. What provokes such a state?

Sacrum- This is a large bone that has the shape of a triangle. It is located at the base of the spine between the two hip bones and forms the upper back of the pelvic cavity. With its upper part, the sacrum connects to the last lumbar vertebra, and the lower part to the coccyx.

Pain in the sacrum during pregnancy

During pregnancy, pain in the sacrum occurs for various reasons. For example, they can be caused by a shift in the center of gravity in a woman's body, which is especially felt with. A pregnant woman bends her back more and more in the lumbar region, which affects her health, causing certain pains, including in the lumbosacral region.

The so-called training (Bregston-Hicks contractions) are often manifested by pain in the lumbar and pelvic region. Especially the pain is localized in the region of the sacrum. In this case, no special measures are taken, because this “rehearsal” is really needed by the body before the “main performance”. Another thing is if the discomfort or pain becomes unbearable. Then you need to try to relax as much as possible, perhaps sleep. Relaxing helps a lot. If there is someone nearby, ask them for help. You can also drink or herbal tea, sometimes a light "snack" helps.

In late pregnancy, pain in the sacrum may indicate the onset. If this is observed, especially if there is tension in the uterus, and the pains are cramping periodic in nature, you should urgently consult a doctor.

By the way, sometimes pain in the sacrum during pregnancy can appear if the child is in the rear position (or occipital). In this case, the back of the child's head presses on the sacrum.

It is possible that the pain that manifested during pregnancy is not at all associated with this condition. The cause of their occurrence can be, for example, anomalies in the development of the spine, pathological processes in the muscles of the gluteal region, lesions of the sacroiliac ligaments, as well as an infectious lesion of the sacrum. Also, often the cause of pain in the sacrum is any gynecological disease.

Since there can be many causes of pain in the sacrum during pregnancy, if necessary, you need to contact an observing gynecologist or therapist. After consultation, the doctor, if this case is not within his competence, will send the woman to a narrower specialist: a neurologist, urologist, gastroenterologist.

A woman may have to wear prenatal, supporting the stomach and easing the load on the spine. General recommendations in such situations are moderate physical activity, outdoor walks, nutrition correction (with an increase in calcium-rich foods), rest on an orthopedic mattress.

Especially for- Olga Pavlova