Why do bones hurt after childbirth? After childbirth, the pelvis, pelvic bones (pelvic bones) hurt

The birth of a baby is one of the happiest events in a woman’s life. It is also the most painful. After all, the process of childbirth is not always calm and quick. It involves complex mechanisms the work of the reproductive system, the components of which are the divergence of the pelvic bones. The woman’s body prepares for this process in advance, which is accompanied by significant discomfort and pain. When, after childbirth, do the pelvic bones return to their proper position? natural position? What are the features of this process?

About the timing of the convergence of the pelvic bones

The postpartum period is a time no less important than pregnancy itself. This is why many experts call it the tenth month. For nine months female body actively prepared for the birth of the baby, adjusted to his needs, and endured discomfort. Therefore, it is not surprising that the recovery period after childbirth cannot be quick. Only to recover reproductive system, it takes at least 6-8 weeks, after which the woman needs to see a gynecologist.

Major changes to female body When carrying a child, they occur due to the action of hormones. During pregnancy, they are actively produced, which is necessary for the healthy development of the fetus, preparation of ligaments and bones for upcoming birth. After the baby appears, the woman’s body again undergoes hormonal changes. Those hormones that were responsible for the development of the child fade into the background; the hormone prolactin, necessary for the production of breast milk. The process of restoration of a woman's body after childbirth is called involution. It also provides for the convergence of the pelvic bones.

What happened to them before the baby was born? Obstetricians-gynecologists state that the divergence of the pelvic bones occurs immediately before childbirth. In essence, this is a softening of the cartilage tissue in the area of the symphysis pubis; the divergence of the bones does not go beyond one and a half to two centimeters. After childbirth, there cannot be a lightning-fast return to their original state. Even if the birth was easy and quick, the bones are still long time will return to their natural position. This often takes the entire postpartum period, that is, 6-8 weeks.

About gymnastics after childbirth

Experts recommend that new mothers do not delay in completing special exercises postpartum gymnastics. As soon as your health allows, you need to start. The main task of such gymnastics is to prevent negative consequences birth in the pelvic area, for example, urinary incontinence or symphysitis, uterine prolapse.

After the baby is born, the pelvic bones return to their place after some time, but some mothers are sure that their hip volume increases during childbirth, but this is not so.

Thanks to restorative gymnastics, muscles are strengthened pelvic floor, improving contractile activity uterus and it returns to its original size. So, you should start doing these exercises:

Abdominal retraction. You need to lie on your back, bend your knees, and press your feet to the floor. Your palms should be on your stomach. It must be pulled in very strongly as you exhale and hold this position, first for 3-4 seconds, then 6-10. The exercise is repeated after a deep and slow breath.
Bridge. The starting position of the body is the same. After exhaling, you need to raise your pelvis, tighten your buttocks and pull in your stomach. At the same time, the head is raised and the chin is pressed to the chest. This is a difficult exercise, the number of repetitions must be increased gradually.
Raising your legs. Lying on your back with your legs straight, you need to slowly lift each of them up in turn. In this case, you need to pull the sock towards you. Exercises must be performed at a slow pace.
Cat. The exercise is performed from a position on all fours. You need to bend your back and round it with a wheel, while drawing in your stomach. The exercise tightens the muscles of the abs, back, and buttocks.
Squats. Performed slowly from a standing position. You need to squat so that your hips form a right angle with the floor. At the same time, straight arms are extended forward. At the end of the execution, you can spring on your bent legs, increasing the static load and straining your abs.

So, performing postpartum gymnastics will help the woman regain her shape and the pelvic bones will quickly return to their original position.

Childbirth is an amazing process that tells the story of the beginning of a new period in a woman’s life. However, every mother remembers the pain childbirth brought her. Despite the fact that every sadness is followed by joy, many women in labor still feel unfavorable. for a long time after the long-awaited baby was born. This is often associated with pain in the pelvic area. The causes of such pain can be various processes.

Pain in the coccyx and sacrum

Pain in pelvic area may radiate from the sacrum and coccyx. Many women who have experienced childbirth do not distinguish between pain in the sacrum and coccyx. However, these are two different, although interrelated, areas. The coccyx bone consists of several rudimentary vertebrae that are fused together. The sacrum is a large triangular bone. It is located at the base of the spine and is located slightly above the tailbone. Together these two parts make up the fixed lower vertebral region. The anterior and posterior surfaces of the sacrum are connected to the pelvic bones by ligaments. They hold the bones of the pelvic ring quite firmly.

From the beginning of carrying the baby in the womb musculoskeletal system women preparing for childbirth. This is due to several factors.

The lumbar vertebrae deviate backward from the vertebral axis.
The lower limbs are removed from iliac bones, and the hip heads emerge from the acetabulum.
The bones of the sacroiliac and pubic joints diverge slightly.
The arc of the coccygeal bend changes, and the fixed bone of the sacrum moves slightly posteriorly.

The pain in the sacrum that a woman feels after childbirth may develop due to too much strong pressure, which turns out to be on the joint in the pelvic region.

This can happen in three situations.

Large fruit size.
Incorrect presentation of the fetus.
Delivery too fast.

Pain in the pelvis can be caused by hyperextension of the joints if the passage for the baby’s head was manually cleared during childbirth. The nature of the pain depends on the degree of congestion of the sacrococcygeal joint. This also affects the duration of the recovery period.

There are situations when pain in sacral region in women giving birth is associated with defecation after childbirth. Indeed, due to the expansion of the sigmoid cone, which occurs due to the accumulation feces or acute phase chronic colitis, pain in this localization may be felt. This is a complication of constipation after childbirth.

The pelvic bones are connected in front by the symphysis, the pubic joint. The pubic symphysis is the pubic fusion of the two pelvic bones using a fibrocartilaginous disc. In the center there is a cavity of an articular nature, which contains fluid. The symphysis is secured on all sides by ligaments, thanks to which the articulation becomes strong. The symphysis pubis has a very limited range of motion. The width of the symphysis should be no more than one centimeter.

All damage and changes to the symphysis pubis are combined into one word - symphysitis. It includes expansion, stretching, divergence and many other components. Pain in the pelvic area after childbirth can occur due to all these changes, for example, due to divergence of the symphysis pubis. This is the result physiological changes, which determine preparatory process to make childbirth easier. During pregnancy, the placenta and ovaries secrete relaxin, which is characterized by a relaxing effect. The female sex hormone and this substance act together, so new ones appear in the joints, and ligaments and cartilage swell. Due to these processes, there is an increase in mobility in the pelvic joints, and the distance between the bones that form each joint increases. The pubic symphysis is most susceptible to such changes, the width of which becomes larger by five or six millimeters. However, sometimes the magnification rate becomes greater. Why?

The reason for this may be symphysiopathy. This is another definition that reflects the unsatisfactory state of the symphysis pubis, more precisely, its relaxation.

Most often this is considered one of the manifestations of toxicosis, when severe damage is observed osteoarticular system. Relaxation can take pathological character, which leads to a strong divergence of the joints of the pelvis. With symphysiopathy, complaints and symptoms appear if there is such a discrepancy. It can be expressed in three degrees:

up to 9 millimeters;
from 10 to 20 millimeters;
more than 20 millimeters.

Since symphysiopathy can lead to divergence of the symphysis and cause pain after childbirth, it is important to find out the reasons that lead to it. In this, the leading role is assigned to a lack of vitamins D and an imbalance in the balance of phosphorus and calcium. As is known, bone strength depends on calcium. Phosphorus is also necessary for bone formation. In the exchange of calcium and phosphorus important role belongs to the parathyroid hormone and thyroid gland. In order for the body of a pregnant woman to have required amount calcium and phosphorus and their balance, you need to eat right. If the balance is disturbed, these elements are delivered to the baby in the womb from the mother's teeth and bones. It is clear that their condition is worsening because of this. Due to impaired absorption of phosphorus and calcium, bone mineralization is impaired because there is a lack of vitamin D. The level of calcium in the blood may decrease in some diseases.

Symphysiopathy often begins to manifest itself even before the birth of the child, so a woman can be prepared for the fact that after childbirth she may encounter pain in the pelvic area. In the second half of carrying a child, the tension of the abdominal muscles restrains the relationship of the pubic bones, which is explained by the enlargement of the uterus. After childbirth, these muscles become flabby, and very sharply, so frontal bones can diverge by 20 millimeters or even more. This brings pain to the woman.

However, pain can also be caused by a rupture of the symphysis. This rarely happens. In such a situation, there is a violation of the integrity of the joint, but the situation is also associated with divergence of the joint. The rupture occurs when the divergence of the symphysis reaches the third degree. If a rupture occurs, the iliosacral joints may suffer. Typically, the injury develops as a result of surgical delivery or when a narrowed pelvis is combined with a violent labor. Mechanical injury is not dominant. The tensile strength of the symphysis is about 200 kilograms. The gap is again associated with symphysiopathy. But inflammatory changes that occur in the pubic bones and symphysis can also play a role. Sometimes the impact can be small mechanical impact, which can push the rupture of the weak adhesion of the ligamentous apparatus.

The tissues of the symphysis pubis spread slowly, so pain when moving a woman’s legs may intensify only a couple of days after childbirth. Sometimes a woman in labor may feel a sharp pain in the pubic area. In this case, you can hear the sound of tearing ligaments, then the fetal head, even a large one, quickly descends through the bone ring, which becomes much wider. Pain may not only be caused by the rupture itself. The fact is that rupture of the symphysis can be accompanied by injury to the urethra and bladder. Hematomas may also form in pubic area and near the labia. There is a possibility of an inflammatory process called symphysitis. The pain that a woman feels prompts her to take a forced position.

How to get rid of pain

In order to get rid of pain in the pelvic area after childbirth, you need to find out exact reason its occurrence. This takes time as a thorough diagnosis must be carried out. After this, the doctor will prescribe treatment. If the discrepancy of the pubic symphysis occurs during childbirth and pregnancy, surgery is most often not performed. With the development of symphysiopathy, which is combined with a slight discrepancy of the symphysis, after childbirth it is important to limit physical activity. A woman needs to wear a bandage, and it is best to sleep on a special orthopedic mattress. In order for the calcium balance in the body to be restored, you need to take special drugs. It is necessary that they contain calcium in a form that can be absorbed by the woman’s body. If examination reveals a urogenital infection, treatment includes antibacterial therapy. The doctor also prescribes painkillers: ointments, gels, tablets and suppositories.

If the discrepancy has reached the second or third degree, it is necessary to bring the ends of the pubic bones together and force them to stay in the achieved position. For this, bed rest is prescribed. Unfortunately, it can last quite a long time - up to six weeks. This means that a woman cannot not only walk, but even stand up. In addition, she needs to use a brace. During the first time after childbirth, the woman is given cold, and then she is prescribed physiotherapeutic procedures. You can also use painkillers and take calcium supplements.

Prevention

It is possible to avoid pain, although not always. Prevention includes following several rules.

Follow a diet that is based on trace elements and minerals involved in the formation of the skeleton. Products must contain sufficient quantity vitamins D.
Maintain moderate physical activity, perform therapeutic exercises, designed specifically for pregnant women and aimed at strengthening muscles and stretching the pelvic floor ligaments.
Long walk on fresh air. It is advisable for the woman to be exposed to ultraviolet rays.
Take a prenatal multivitamin.
Fight against dysbiosis and gastrointestinal diseases.

Such simple measures will protect against many health problems for both mother and child.

There are many reasons for a woman to experience leg pain in the hip joint after childbirth. But they are all associated with changes that allow the body to adapt to pregnancy and ensure the safe birth of the baby. Knowledge about the nature of the occurrence of discomfort allows you to navigate in time and take steps to prevent any pathological changes.

The main causes of pelvic pain after childbirth and characteristic symptoms

The described condition is detected in 50% of all women who give birth. The lower back may also hurt, pubic part, hip joint, tailbone, knee. Any discomfort interferes with living and fully caring for your baby. Some recover quickly, others take time. Explain painful conditions not difficult. Among the many possible factors Doctors identify the following provocateurs:

Features of the body. In the third trimester hormonal background expectant mother changes, internal systems in this way they prepare for the upcoming process. Relaxin is produced in large quantities along with sex hormones. Its action leads to softening of the bones and joints of the pelvis. Becoming loose and mobile, the bones participate in the formation of the birth canal. With severe divergence of the symphysis pubis, severe pain occurs. It can bother women for another three months after the successful birth of the baby. Over time, the discomfort goes away on its own.
Violation of vitamin and mineral metabolism. To the developing fetus you need a lot of phosphorus and calcium. He receives them from his mother, “removing” them from the bones. As a result of this, the skeletal frame gradually softens. Since during childbirth the greatest load falls on the pelvis, its elements suffer the most. This condition can cause persistent pain and the development of dangerous injuries.
Increased load on musculoskeletal system. As the fetus grows, the uterus and fundus muscles stretch. Lower section the spine bends back. The pubic and sacroiliac joints diverge. The situation is changing hip bones. When all this returns to normal, severe painful sensations arise.
Birth injury. Considered potentially dangerous appearance into the light large child in a woman with a narrow pelvis. If the process is fleeting, the internal space does not have time to transform and adapt to the growing load. In such situations, rupture of the symphysis pubis often occurs, which causes severe sharp pain. You can get rid of them after long-term treatment or surgical intervention.
Possible diseases. Many women develop symphysitis during pregnancy. With this pathology, under the influence of hormones, the cartilage disc connecting the pubic bones to each other is stretched. The development of pathology is accompanied by an inflammatory process. A woman experiences severe pain while walking, when performing any, even the slightest, load, or when changing body position. Discomfort increases with defecation and urination. Cartilage rupture during childbirth is rare. It requires surgical intervention, after which a long recovery period and strict bed rest begins.

Fight with pain syndrome begins with eliminating the causes of its occurrence.

When to see a doctor

If you are constantly bothered by pulling or sharp pain in the pelvic area, lumbago occurs, which is accompanied by nausea and vomiting, increased sweating, you must make an appointment with a traumatologist or orthopedist and undergo a full examination.

There should be cause for concern severe dizziness and loss of consciousness (even short-term), vaginal bleeding, fever and chills. Considered dangerous sharp drop blood pressure. The following warning signs are: serious reason to call an ambulance.

Establishing diagnosis

If the specialist sees that the woman does not require emergency surgery, he begins to question the patient in detail about the symptoms and medical history. He is interested in how the pain arises - suddenly or constantly, what its character is - acute or drawing, how severe discomfort on a ten-point scale. The doctor must understand what causes the formation of the syndrome, whether there are other factors that increase or alleviate the symptoms.

After a physical examination is performed, based on its results, the specialist is able to draw preliminary conclusions and determine the circle necessary examinations. As a rule, patients are given a referral for the following diagnostic procedures:

General analysis of urine and blood:
Ultrasound of the pelvic organs;
CT or MRI.

Vaginal swabs must be taken to detect sexually transmitted infections. If the interpretation of the tests does not reveal the cause of the pain, laparoscopy may be performed.

Therapy methods

The therapeutic regimen is aimed at eliminating the provoking factor. Apply in parallel therapeutic measures, helping to relieve the main symptoms of illness. For this purpose, non-steroidal anti-inflammatory drugs (Ibuprofen) are prescribed. If there is no effect, analgesics are used.

When the pain spreads to the muscles, complete rest will help relieve the condition. dry heat and physiotherapy procedures. It is imperative to replenish calcium and vitamin D reserves, for this purpose it is used special diet or dietary supplements. Sore joints can be influenced through the skin, using painkillers and anti-inflammatory ointments, massage.

Treatment of pain in the pelvic bones after childbirth is necessarily complemented by physiotherapy procedures. Experienced stress and unstable hormonal levels depress the central nervous system and changes the perception of pain. Some women may also be prescribed mild sedatives: Glycine, Valerian, Motherwort tablets.

On initial stage therapy, each patient must make one important decision for herself: whether she will continue breast-feeding or switch the child to formula. The selection of medications will depend on this.

Preventive measures

In order to prevent any discomfort, it is important to learn how to properly recover after childbirth. To do this you need:

Immediately after the birth of the baby, observe bed rest, reduce physical activity as much as possible, and, if possible, entrust the care of the newborn to relatives.
Wearing bandages, the design of which was specially designed for women who have just given birth: they limit mobility hip joint, take part of the load upon themselves.
Visit an osteopath.

During an uncomplicated pregnancy, it is useful to walk a lot, take a walk in the fresh air, take vitamin and mineral complexes, and eat right: eat more foods that contain phosphorus, calcium, magnesium, and iron. A full night's sleep is very beneficial.

According to statistics, almost 50% of women experience pain after childbirth. pubic bone. Below we will describe the main reasons for this problem and also explain how it can be solved.

IN last weeks During pregnancy, a woman’s body changes greatly, reacting to the imminent onset of labor. Expectant mothers are at odds pelvic bones and soften cartilage tissue. Well, after the birth of the child, reverse processes begin that return the body to normal. Which explains why the pubic bone hurts after childbirth.

What do we have to do?

Many mothers ask the question: What to do if the pubic part hurts after childbirth, how to react to the discrepancy of the bones? For starters, don't panic. As already mentioned, this process is absolutely normal. Indeed, during pregnancy, a woman’s body releases the hormone relaxin, which softens cartilage and ligaments. Under its influence, the pubic part in the pubic area is stretched, which provokes pain.

Especially strong impact relaxin is observed in the last weeks of pregnancy. During this period, cartilage tissue swells, the distance between bones increases, and their mobility increases. These changes often cause discomfort. They also cause inconvenience at the postpartum stage, causing pain symptoms in the pubic bone area.

In 90% of cases, pain goes away within 1-2 weeks after birth. To eliminate them, you need to spare your body, follow all the doctor’s recommendations, and eat right. And also remain calm and good location spirit. After all, stress and anxiety create additional load on the body, slowing down its recovery.

Is there a health risk?

In some cases, the pubic part moves too much, which provokes inflammation of the symphosis (the pubic joint of the pelvic bones). However, this disease can be easily cured after childbirth by adhering to the following rules:

wearing a bandage belt that fixes the pelvis and hips in the desired position;
regular intake of vitamins and minerals recommended by your doctor (especially calcium and magnesium);
reception sunbathing(for the absorption of vitamin D);
limitation physical activity, frequent changes in position (you cannot sit, stand or walk for more than an hour);
consumption of food containing a large number of calcium (nuts, dairy products, fish, etc.).

Treatment may also be accompanied by taking painkillers and anti-inflammatory drugs under the supervision of a doctor. As for surgical intervention– There are very few reasons to perform surgery on the pubic bone. Less than 1% of mothers require this procedure.

Carrying and giving birth to a child puts a serious strain on a woman’s body, physical level. Under the influence of hormones, cartilage tissue softens, bones separate, ligaments and muscles stretch. This is necessary so that the baby's passage through birth canal it was painless. Reversal changes and restoration of the body can be delayed and occur with complications. Complaints from mothers that the pubic bone hurts after childbirth are common. Besides severe pain, pathological divergence of the symphysis pubis is accompanied by changes in gait and generally spoils a woman’s quality of life.

The pubic symphysis is a type of semi-movable skeletal joint located in one of the three pelvic bones - the pubis. In medicine it is called the pubic or pubic symphysis. Unlike joints, symphyses do not calcify over time, do not lose their cartilage layer, and have a cavity inside. For example, intervertebral discs are also symphyses.

During pregnancy and childbirth, transformation of the symphysis pubis occurs, often accompanied by moderate pain in the pubis. The gap between the branches of the pubic bone increases, on average, by 5-6, sometimes by 10 mm from the initial values. This is a physiological phenomenon.

Normally, in postpartum period The discrepancy of the pelvic bones is eliminated, the width of the cavity is compacted and reduced. But, with favorable factors, changes in the structure of the joint sometimes go beyond the normal. In such cases, they talk about symphysiopathy, which means pathology of the pubic symphysis, in which the pubic bone hurts greatly.

Sometimes the term symphysiolysis or symphysiolysis is used synonymously with symphysiopathy. In obstetrics it is known as a syndrome that includes three stages. The first is pain in the pubis, the second is divergence of the symphysis pubis varying degrees(symphysiolysis itself), and the third is rupture of the symphysis.

In practice, the word symphysitis is used to denote a collective diagnosis of excessive and painful divergence of the pubic bone. But in essence, symphysitis is translated as inflammation bone tissue articulation, manifested similar symptoms, but with differences in diagnosis.

Causes

There is no consensus on why pathology occurs. The trigger for a situation where the pubis hurts after childbirth is a number of factors. This is also anatomical narrow pelvis, And large fruit, And multiple pregnancy. In combination with rapid, violent labor or use obstetric forceps. This leads to the fact that the pelvic bones do not return to their previous state in a timely manner, and sometimes become even more damaged.

These factors and mechanical injuries do not always cause complications in the form of symphysiopathy or rupture of the articulation. Bosom in healthy body Can withstand loads up to 200 kg. But the positioning factors lead to the fact that during the birth process it is overstretched and damaged.

Why does the pubic bone hurt after childbirth:

acute deficiency of vitamins and minerals leads to pathological “weakness” of the skeleton;
Excessive production of the hormone relaxin contributes to excessive relaxation of the tissues of the pubic joint.

The main role in the development of symphysiopathy belongs to vitamin D deficiency and failure of calcium-phosphorus metabolism. This happens in the background concomitant diseases. For example, when diabetes mellitus, renal failure, problems in the gastrointestinal tract and often with an unbalanced diet of pregnant women.

As a result, weak mineralization of the woman’s bone tissue occurs. During pregnancy, in order to meet the fetal needs for calcium, it is “redistributed” to the detriment of the mother’s body. In this case, the pathology manifests itself earlier, pain in the pubis occurs even before childbirth.

Second version - hormonal imbalance. Relaxin is responsible for the relaxation of bone tissue and the physiological divergence of the symphysis pubis. Excessive hormone production leads to pathological increase symphysis fissures and discomfort in the pubic area.

Symptoms and complications

Typically, signs of pathology appear during pregnancy. At the end of the second and third trimester of pregnancy, the pubic bone begins to ache before childbirth, and the sensations intensify. Articulation discrepancy can be suspected if there are related problems with teeth, hair loss, the appearance of convulsive twitching of the calf muscle.

It is not uncommon for the first symptoms of pubic bone dehiscence to occur only after the birth of the child. Due to constant tone Abdominal muscles holding the growing uterus, a kind of fastening of the symphysis occurs. After childbirth, the flabby abdominal muscles no longer hold back the joint, and the gap appears, accompanied by pain.

The severity of symptoms depends on how much the bones have separated. In addition to pain in the pubic bones, the woman complains of pain in the groin, lower abdomen, lower back and pelvis that occurs at night or after physical activity. Discomfort increases when walking, changing position, moving your leg to the side, turning in bed or rising from a chair.

In addition to pain, the pathology provokes poor posture. A pronounced divergence of the articulation contributes to the appearance of a waddling gait, called a “duckling”, up to a complete loss of the ability to move. Sometimes upon palpation you can hear a cracking or clicking sound coming from the pubis, while the pubic bone is painful.

A dangerous type of injury is rupture of the symphysis during childbirth. The condition is rare and is characterized by a violation of the integrity of tissues and ligaments. Occurs when pathological expansion pubic fissure of more than 20 mm and lack of adequate labor management tactics.

Articulation rupture damages bladder And urethra. Often the pubis after childbirth turns blue and swells, a hematoma appears in its area and joins inflammatory process– symphysitis.

Diagnostics

Discrepancies of the pubic bone during childbirth are determined based on the woman’s complaints of characteristic pain. At gynecological examination the doctor can literally feel the gap in the womb and feel its asymmetry.

The diagnosis is confirmed after X-ray, ultrasound or MRI of the symphysis, where the discrepancy of the symphysis pubis is clearly determined by more than 0.8-1.0 cm. In this case destructive changes are not found in the pelvic bones. A rupture of the symphysis is indicated when an x-ray shows a gap in the pubis 7-8 cm wide and there is a horizontal displacement of the bones.

Pathological discrepancy of the symphysis pubis is divided into three stages:

I – increase in the symphysis gap by 5-9 mm exceeding the physiological expansion during pregnancy;
II – by 10-20 mm;
III – more than 20 mm.

Regardless of the results additional examinations, the fundamental factor for the medical conclusion is the well-being of the woman in labor. Thus, a discrepancy of 1 cm in one woman indicates symphysiopathy and becomes a reason for a caesarean section, while in another it does not cause any discomfort.

When visualizing the destruction of bone tissue, that is, with porosity, friability, the question arises about the addition of inflammation and then the diagnosis of symphysitis is made. In this case, usually simultaneously with the appearance of pain, the woman notes that her pubis has become larger after childbirth and has turned red. This occurs due to swelling of the soft tissues. During the inflammatory process in the womb, an increase in body temperature is observed.

Clinical blood tests show a decrease in the level of calcium and magnesium, urine, on the contrary, - slight increase. With symphysitis, unlike symphysiopathy, leukocytes are also found in the urine. Differential diagnosis carried out with radiculitis, inflammation sciatic nerve, hernias, pelvic vein thrombosis.

Treatment

Symphyseal dehiscence can be corrected without surgery. Severe ruptures of the symphysis pubis do not go away on their own; surgery is required using lavsan, wire sutures, knitting needles, and titanium structures. Recovery period takes 3-4 months after surgical treatment.

The existing inflammatory process (symphysitis) is stopped by taking antibiotics to eliminate the source of infection. At the same time, therapy is carried out aimed at eliminating the causes that caused the discrepancy of the pubic bones. Prescribed calcium and magnesium supplements, vitamins D, group B, fish fat. Held ultraviolet irradiation womb area.

What to do if your pubic bone hurts after childbirth:

consult a doctor and do not self-medicate;
take medications and perform physical procedures and exercises for the pelvic muscles prescribed by a doctor;
enrich the diet with foods containing calcium, magnesium and other elements;
limit or eliminate physical activity;
provide support for the pelvic bones with a bandage or corset;
For pain relief, use special gels, ointments, creams or tablets.

Self-medication for pubic pain is extremely contraindicated. Only a doctor can accurately determine the width of the articulation divergence and, therefore, select effective therapy. If at the first stage of symphysiopathy it is enough to limit activity and take vitamins, then for the second and third stages more serious measures are necessary. Bed rest lasts at least 3-6 weeks, often using tight or postpartum swaddling. The goal of the measures is to achieve maximum approximation of the edges of the symphysis.

The lack of adequate help leads to the fact that pubic pain does not go away for longer than 6 months, sometimes even several years. This occurs as a result of improper fusion of damaged tissues, their replacement with scars and development chronic pathology. Prevention postpartum complications symphysis consists of obligatory healthy diet, taking special vitamin-mineral complexes and providing physical activity even at the stage of pregnancy.