Patient's question:
Detailed medical condition and consultation purpose: My periods were on the 1st for the past two months! And the amount was very little, completely different from before! It's the 1st of this month, but my period hasn't come yet. My lower back and abdomen are sore, and my waist has become thicker, and my stomach is slightly larger than before! Is it related to pregnancy that my lower back and abdomen are sore?Doctor's answer:
After pregnancy, as the gestational period progresses, the uterus gradually enlarges, and the supporting force on the waist increases. The round ligaments of the uterus become due to prolonged stretching, leading to the relaxation of the sacrospinal ligaments, which compress pelvic nerves and blood vessels, causing many expectant mothers to experience lower back pain. This type of lower back pain usually gradually disappears as the abdominal muscles recover after childbirth.Additionally, if the expectant mother lacks calcium during pregnancy, it can also cause lower back pain.
If the lower back pain is mild, the expectant mother can try the following:
(1) Use a maternity belt to support the waist and alleviate pain.
(2) Engage in appropriate exercise, such as suitable prenatal exercises or swimming, and exercise according to personal circumstances to strengthen endurance.
(3) Choose appropriate beds, shoes, and other items. Avoid sleeping on too soft beds, as this can cause the waist to sink, triggering or worsening lower back pain. Also, wear comfortable shoes and avoid high heels.
(4) Adjust diet. Foods rich in protein, calcium, B vitamins, vitamin C, and vitamin D can help alleviate lower back pain.
(5) Massage and local heat application. Expectant mothers with lower back pain can perform at-home massage exercises. Family members can help with back massages. Local heat application can also be done using a hot towel, gauze, or a hot water bag. Apply heat for 30 minutes daily to reduce pain.
(6) Ensure proper warmth. During cold weather, pay attention to keeping warm, as getting cold can cause adverse reactions in the kidneys and, in severe cases, lead to lower back pain.