What causes low back pain after cesarean delivery? From time to time, there are applications to physical therapy and rehabilitation clinics with the complaint of low back pain that started after cesarean delivery. One of the concerns of these patients is whether injections (epidural or spinal anesthesia) for pain relief during normal or cesarean delivery may cause low back pain. Pregnancy itself is a risk factor for low back pain. Spinal anesthesia method that can be used for cesarean section, that is, injection to the waist can also cause low back pain.
Causes of postpartum low back pain
While the dura membrane surrounding the nerve tissue is not passed in epidural anesthesia, this membrane is passed in spinal anesthesia. Therefore, there is a possibility of leakage of cerebrospinal fluid in spinal anesthesia. Head or neck pain may occur due to this infiltration. In epidural anesthesia, a slightly thicker needle is used compared to spinal anesthesia. Low back pain may occur due to injury to the skin, muscle, ligament or nerve tissue during injection to the waist. This pain is mostly felt at the level of the 1st or 2nd vertebra of the lower back.
Pain begins after the pain relief effect of the injection wears off, that is, within 2-6 hours. It may continue for several days or weeks. When an injection is made from the waist for spinal anesthesia, pain may occur due to leakage of cerebrospinal fluid from the injection site. Decreased cerebrospinal fluid can lead to headaches and neck pain in particular. Pain radiating from head to neck is felt. The pain worsens when the person is sitting or standing, and is relieved when lying down. Drinking plenty of fluids makes it easier to overcome complaints. Pain due to leakage of cerebrospinal fluid can occur between 12 hours and 5 days in general.
Postpartum low back pain treatment
Low back pain after epidural or spinal anesthesia usually lasts for a short time; It goes away on its own within a few days or weeks. Acetaminophen (Parol etc.) painkillers are sufficient. Hot or cold compresses can be applied. It rarely lasts longer. Low back pain that occurs months or years after birth is almost unlikely to be related to these needles. This movement forced the waist pain, trauma, hernia, posture disorders, such as muscular weakness of the reasons may be. During pregnancy, the stretching of the abdominal muscles and changing the posture increase the load on the waist and can cause low back pain. Weakness of the abdominal and lower back muscles can lead to the continuation of low back pain after birth. With exercise, these problems are largely solved.
During the breastfeeding period, the mother’s not standing in a proper posture, being too hunchbacked and her head forward can stretch the neck muscles and cause back pain. Taking care of a newborn baby 24/7, tired and sleepless nights make it difficult to overcome any musculoskeletal problem.
In less than 1 in 200,000 cases, a low back injection may have undesirable consequences such as bleeding or infection. In case of severe pain, fever, numbness, muscle weakness, deterioration in bladder and bowel control, you should consult your doctor or the emergency room immediately.