The symptoms and treatment of degenerative disc disease during pregnancy and after childbirth
Osteoarthritis is a metabolic disorder that causes degenerative changes in cartilage. This disease affects the intervertebral discs and eventually causes sciatica. In turn sciatica leads to pinched spinal nerves, causing severe pain.
depending on the localization distinguish 5 main types of disease: cervical, thoracic, lumbar, sacral, and mixed. Given the amount of damage distinguish the 2 main forms of disease: monosegmental and polysegmental.
As we all know, childbirth is a serious condition and testing for the female body. Because of its specificity during pregnancy the female body is completely changed. That is why low back pain during pregnancy is an important issue of our time.
the Causes and mechanism of development of disease
low back pain in pregnant women can develop for a variety of reasons, but it is necessary to distinguish specific and nonspecific etiology in pregnancy.
- spinal injury
- surgical intervention and manipulation;
- infectious disease of the vertebrae;
- heavy physical work;
- sedentary lifestyle
- old age
- endocrine pathology
- autoimmune disease
- mineral imbalance.
The Specific causes which arise on the background of adjustment of the organism during pregnancy:
- deficiency of trace elements;
- hard carry
- endocrine restructuring;
- debilitating effect of pregnancy on the body
- the action of gravity due to the development of the fetus and increase its mass.
It is Worth noting that the female body is protected from strong fluctuations. But there are times when the body is not enough nutrients for gestation, it is in such situations and there is a degenerative disc disease in pregnant women. The treatment of degenerative disc disease in pregnant women requires exposed etiological diagnosis, so the search for the true causes of very important.
harmful factor acts on intercostal disk. In it at once have degenerative changes that lead to depletion of cartilage. Destroyerman cartilage fiber loses its physiological characteristics, and causes of pathology.
Symptoms and problem diagnosis
There is no Characteristic symptomatic pattern. This pathology is diagnosed usually by accident, or in case of any complication of sciatica. It is sciatica pain with prevailing symptoms causes a person to seek professional help.
low back pain in pregnant women can have serious consequences. Depending on localization of the pathology will arise characteristic signs.
Damage to the cervical spine is characterized by pain in the neck. In some cases, tracked irradiation of pain in the lower jaw or the head. In this case it is necessary to carry out differential diagnostics with dental pathology or migraines.
Osteochondrosis of the thoracic causes a characteristic type of pain – intercostal neuralgia. In this case it is necessary to make a differential diagnosis with myocardial infarction, pleurisy, angina, pulmonary infarction. Osteochondrosis in pregnant women with intercostal neuralgia can lead to chronic hypoxia, which can harm the child.
low back pain during pregnancy in the lumbar spine is characterized by severe pain. It should be noted that in the lumbar spine on the background of neuralgia there are specific pain symptoms – sciatica and lumbago.
In addition, the pathology of lumbar pain can mimic acute appendicitis, peritonitis, renal colic. In rare cases during pregnancy can lead to premature birth.
The Pain is most acute pricking character. But also occur, and periods of remission, when pain becomes chronic. During acute pain patients completely lose their working ability. During these periods, they prefer to lie down in bed, slightly improves their condition.
low back pain in pregnant women is a difficult disease to diagnose. For example, pain in the lumbar location of the lesion may resemble a normal spinal pain due to excessive weight. It is therefore very important to correctly to collect the anamnesis and to identify the disease at early stages.
Advanced research methods during pregnancy are practically not used. This is due to the fact that most of these methods cause major harm another are not protected by fruit. Therefore, radiography, CT and magnetic resonance imaging carried out only in a critical case.
You Can pass a blood test for signs of etiological pathology, but such attempts often fail. It is best to carry out ultrasonic diagnosis, but she multiantenna.
Treatmentdegenerative disc disease pregnancy is to rid the patient from pain and subsequent etiological treatment. It is important to understand that the treatment of degenerative disc disease in pregnant women requires careful selection of drugs. Because most of the drugs can pass through the placental barrier and harm the fetus.
As mentioned earlier, the first step is to get rid of the neuralgia. This can be achieved using steroid anti-inflammatory drugs, selection of which is carried out individually. These drugs quickly relieve the inflammation in the nerve and thus eliminate the pain.
note: non-steroidal anti-inflammatory drugs is strictly contraindicated in infectious disease. Eliminating the inflammation, they do not kill pathogens, which contributes to its rapid reproduction and generalization of the pathological process.
After you eliminate the pain immediately proceed to the etiological treatment, which acts directly on the cause of pathology. Low back pain in pregnant women is a very complex situation, which requires observation of an experienced physician.
low back pain after the delivery is easier because you can hold x-rays and identify the cause. Besides the range of drugs expands significantly, because now we need to weed out only those who can enter breast milk.
As before, the first step is to get rid of the pain, which is achieved anti-inflammatory drugs. The next step is purposeful etiotropic therapy.