In this article we will be looking at some of the most common causes for pain during pregnancy and postpartum -symptoms and treatments. We also aim to offer a resource of useful information from a variety of sources that help to provide advise and products that may be useful at providing support or relieving pain during pregnancy.
Pelvic pain and instability
There is some really useful advice on managing pelvic girdle pain via this link:
There is consensus from low-level evidence and clinical reviews about providing advice on minimising pain, including (Vleeming et al 2008; Leadbetter et al 2004; Aslan & Fynes 2007):
- wearing low-heeled shoes
- seeking advice from a physiotherapist regarding exercise and posture
- reducing non-essential weight-bearing activities (eg climbing stairs, standing/walking for long periods of time)
- avoiding standing on one leg (eg by sitting down to get dressed)
- avoiding movements involving hip abduction (eg taking care getting in/out of cars, baths or squatting)
- applying heat to painful areas.
Abdominal Muscle Separation (Diastasis Rectus Abdominus Muscle DRAM)
A description of the symptoms, causes and treatment of abdominal Separation (diastasis recti) symptoms and treatment can be found here.
Returning to running after pregnancy
There have been some excellent guidelines that have been created by the dedicated work of Tom Goom, Gráinne Donnelly and Emma Brockwell https://www.running-physio.com/postnatal-guide/ who have a passion for increasing awareness about the importance of a safe and timely return to running postnatal. They recommend that a low impact exercise timeline is followed within the first 3 months of the postnatal period, followed by a return to running between 3-6 months postnatal, at the earliest. In addition to this, every postnatal mother regardless of delivery mode, should take the opportunity to receive a pelvic health assessment (from 6-weeks postnatal) with a specialist physiotherapist to comprehensively assess the abdominal wall and pelvic floor.
Symphysis pubis dysfunction (SPD) and Diastasis symphysis pubis (DSP)
Symphysis pubis dysfunction (SPD) is one type of pelvic girdle pain. Diastasis symphysis pubis (DSP) is another type of pelvic girdle pain which happens when the gap in the symphysis pubis joint widens too far. Diastasis symphysis pubis (DSP) is rare, and can only be diagnosed by an X-ray, ultrasound scan or MRI scan
C-section or perineal trauma
The NHS has some excellent advice regarding the risks associated with Caesarean section and information on Episiotomy and perineal tears.
SJP or Sacro Iliac joint pain
What is sacroiliac joint pain?
The SI joints are located between the iliac bones and the sacrum, connecting the spine to the hips. The two joints provide support and stability, and play a major role in absorbing impact when walking and lifting. From the back, the SI joints are located below the waist where two dimples are visible.
Sacroiliac joint pain ranges from mild to severe depending on the extent and cause of injury. Acute SI joint pain occurs suddenly and usually heals within several days to weeks. Chronic SI joint pain persists for more than three months; it may be felt all the time or worsen with certain activities.
Other terms for SI joint pain include: SI joint dysfunction, SI joint syndrome, SI joint strain and SI joint inflammation.
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Note – please always consult your Doctor for advice for pain relief or before starting any new exercise routine during pregnancy or postpartum.