Hip pain during pregnancy is a common problem, especially in the last trimester of pregnancy. Weight gain in the abdomen, changes in posture, loosening of connective tissues in preparation for childbirth may predispose to hip pain.
Hip pain due to problems such as pre-existing osteochondrosis, scoliosis, musculoskeletal injuries, osteoarthritis in the hip joint may also increase during pregnancy. Hip and lower back pain, especially in the first 3 months of pregnancy, may not be due to pregnancy, but may be due to another reason.
Many changes occur in the body during pregnancy; Various aches and pains can be seen. Sometimes it’s hard to even tell what’s what. Is it low back pain, hip pain or a sign of preterm labor? Is it just a pain due to the enlargement of the uterus or is there a more serious cause? Most of the waist and hip pains during pregnancy are the result of changes in the body due to pregnancy and are complaints that disappear after delivery. Sometimes, depending on the labor, the pain may continue for a while after the birth.
Nerves that leave the spinal cord in the lumbar region form the sciatic nerve and descend from the back of the hip to the foot. During pregnancy, there may be pressure on the nerves due to the growing uterus. This can lead to sensations such as pain, numbness, tingling in the buttocks, hips and thighs. This problem, called sciatica, can occur during pregnancy. In general, the complaints we talk about decrease with the baby’s position change in the period approaching the birth. There may be other causes of sciatic pain, such as herniated disc, slipped back, calcification, so it would be beneficial to consult a doctor.
Sacroiliac joint and muscle pain
As the abdominal regions of pregnant women grow, they increase the waist cupping and begin to bend backwards. This posture leads to an increase in the load on the spine and muscles. At the same time, the joint that connects the spine to the pelvis, called the sacroiliac joint, may also be strained. During pregnancy, pain may occur due to the strain of muscles such as the sacroiliac joint, thigh muscles, and posterior thigh muscles.
Round ligament pain
4-6 weeks of pregnancy. This is the period called the second trimester. In the second trimester, a problem called round ligament pain may occur. Round ligament pain is felt as sharp pain in the abdomen, hip and groin area. Pain may be exacerbated by rapid movement or changing positions. The round ligament is a ligament that supports the uterus; connects the anterior part of the uterus to the groin. Stretches during pregnancy. Movements such as standing up suddenly, laughing, coughing can cause rapid stretching of this ligament and cause pain. Round ligament pain usually lasts only a few seconds. Changing position with slow movements can relieve pain by preventing strain on the ligament.
During pregnancy, the body’s need for calcium and other elements increases. If there is not enough mineral intake with food, the minerals needed by the baby are mostly obtained from the mother’s skeletal store. As a result, disorders known as osteomalacia or osteoporosis, known as osteoporosis, may occur in the bones. Sudden changes in mineral levels in bones can cause pain. Calcium tablets can be recommended by the doctor to pregnant women whose nutritional needs cannot be met.
Symphysis pubis dysfunction
The symphysis pubis is the joint where the pelvis bones meet at the front of the groin. This joint is held in place by strong ligaments. Functional impairment may occur in this joint due to the hormone relaxin, which loosens the ligaments during pregnancy. In symphysis pubis dysfunction, low back pain, groin pain, pain along the thighs on the inside of the legs can occur. The pain may increase with activities such as opening the legs, walking, climbing stairs. Strengthening the pelvic floor, lower back and abdominal muscles with exercise is effective in treatment. Complaints disappear to a great extent after delivery. Rarely, this problem can progress; The gap between the symphysis pubis may increase. This condition is called diastasis symphysis pubis.
How can you reduce hip pain during pregnancy?
A sedentary lifestyle is one of the most important reasons that increase musculoskeletal pain. Getting into the habit of regular exercise before getting pregnant can prevent pregnancy-related pain. There are safe exercises that can be done during pregnancy as well. Doing exercises that strengthen the waist and abdominal muscles reduce hip pain. Raising the hips above chest level for a few minutes while lying on your back is also an exercise that can reduce pain. Swimming is a safe sport that works the muscles without burdening the joints. A warm bath or applying a warm compress over the painful shade can also reduce the pain. Hot application should not be applied to the areas on the uterus. Massage can relieve muscle spasms and stiffness. Among the alternative methods, traditional-complementary medicine applications such as acupuncture may be beneficial.
Prefer the side lying position as the time of birth approaches. Bend your legs slightly at the knee, use a pillow to support your abdomen and upper leg. If your hip pain increases while lying on your side, you can support the back of your waist with a small pillow. Thus, the load on the hip you lie on is reduced.
When to go to the doctor when there is hip pain in pregnancy?
Pain associated with pregnancy tends to change depending on hormonal and structural conditions. In general, if the pain is severe and continuous and does not give any relief, it is useful to have a doctor’s examination.
Consult your doctor if you have a feeling of pressure or pain radiating from the groin area to the thigh that accompanies hip pain before 37 weeks of pregnancy. It may be a sign of premature birth. In addition to the feeling of pressure in the groin area, other symptoms that indicate premature birth: cramps or discomfort especially in the lower part of the abdomen, low back pain that spreads to the front and sides of the body, that is not relieved by changing positions, unexpected contractions that occur on average every ten minutes, transparent, pink or brown from the vagina colored liquid.
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