Why do bones hurt after childbirth. After childbirth, the pelvis hurts, the bones of the pelvis (pelvic bones)

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 delivery is not always calm and fast. 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, the pelvic bones return to their 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 responsible than the pregnancy itself. That 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, endured discomfort. Therefore, it is not surprising that the recovery period after childbirth cannot be fast. Just to recover reproductive system, you need at least 6-8 weeks, after which a woman needs to go to an appointment with a gynecologist.

Major changes in female body when carrying a child occur due to the action of hormones. During pregnancy, they are actively produced, which is necessary for the healthy development of the fetus, the preparation of ligaments and bones for upcoming birth. After the appearance of the crumbs, 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, which is necessary for the production of breast milk. The process of restoring 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? Obstetrician-gynecologists state that the divergence of the pelvic bones occurs immediately before childbirth. In fact, this is a softening of the cartilaginous tissue in the area of the pubic joint, the divergence of the bones does not go beyond one and a half to two centimeters. After childbirth, there can be no lightning-fast return to their original state. Even if the delivery was easy and quick, the bones are still long time will return to their natural position. Often this takes the entire postpartum period, that is, 6-8 weeks.

About gymnastics after childbirth

Experts recommend new mothers not to delay the implementation 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 childbirth in the pelvic region, for example, urinary incontinence or symphysitis, uterine prolapse.

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

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

Retraction of the abdomen. It is necessary to lie on your back, bend your legs at the knees, press your feet to the floor. The palms should be on the stomach. It must be drawn in as you exhale very strongly and fix 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 the pelvis, tighten the buttocks and pull in the stomach. At the same time, the head rises and the chin is pressed against the chest. This is a difficult exercise, the number of repetitions must be increased gradually.
Raising the legs. Lying on your back with straightened legs, you must alternately slowly lift each of them up. In this case, it is necessary to pull the sock towards you. Exercises must be performed at a slow pace.
Cat. The exercise is performed from a position, standing on all fours. It is necessary to bend the back and round it with a wheel, while drawing in the stomach. Exercise tightens the muscles of the press, back, buttocks.
Squats. It is performed slowly from a position, standing straight. You need to squat so that the hips form a right angle with the floor. In this case, straight arms are extended forward. At the end of the run, you can spring on bent legs, increasing the static load and straining the press.

So, performing postpartum gymnastics will help a woman restore her shape, and the pelvic bones will return to their original position as soon as possible.

Childbirth is an amazing process that tells about the beginning of a new period in a woman's life. However, every mother remembers the pain that 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 birth of the long-awaited baby. This is often associated with pelvic pain. The causes of such pain can be different processes.

Pain in the coccyx and sacrum

Pain in pelvic area can be given from the sacrum and coccyx. Many women who have survived childbirth do not distinguish pain in the sacrum and tailbone between themselves. However, these are two different, albeit related, areas. The coccyx bone consists of several rudimentary vertebrae that have grown together. The sacrum is a large triangular bone. It is located at the base of the spine and is located slightly above the coccyx. Together, these two parts make up the fixed lower vertebral section. Ligaments connect the anterior and posterior surfaces of the sacrum with the pelvic bones. They firmly hold the bones of the pelvic ring.

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

The lumbar vertebrae deviate backward from the vertebral axis.
The lower limbs are removed from ilium, and the hip heads come out of the acetabulum.
The bones of the sacroiliac and pubic joints diverge slightly.
The arc of the coccygeal fold 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 is on the articulation in the pelvic region.

This can happen in three situations.

Large fruit size.
Incorrect presentation of the fetus.
Too fast delivery.

Pain in the pelvis can be triggered by overstretching of the joints if the passage for the baby's head was released manually 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 times when pain is sacral region in women in labor associated with defecation after childbirth. Indeed, due to the expansion of the sigmoid cone, which occurs due to the accumulation stool or acute phase chronic colitis, the pain of such localization can be felt. This is a complication of constipation after childbirth.

The pelvic bones are connected in front by the symphysis, the pubic junction. The pubic symphysis is the pubic fusion of two pelvic bones with the help of a fibrocartilaginous disc. In the center there is a cavity of an articular nature, which has a liquid. The symphysis is fixed on all sides by ligaments, thanks to which the joints become strong. The pubic joint has a very limited range of motion. The width of the symphysis should be no more than one centimeter.

All damage and changes in the pubic joint 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 the divergence of the pubic joint. This is the result physiological changes, which cause 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 the 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 articulation is most susceptible to such changes, the width of which becomes five or six millimeters larger. However, sometimes the degree of magnification becomes larger. Why?

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

Most often, this is considered one of the manifestations of toxicosis, when a severe lesion is observed. musculoskeletal 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 levels:

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

Since symphysiopathy can lead to a 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 a failure in the balance of phosphorus and calcium. Calcium, as you know, depends on the strength of bones. Phosphorus is also needed for bone formation. In the exchange of calcium and phosphorus important role belongs to the parathyroid hormone 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 teeth and bones of the mother. It is clear that their condition is deteriorating because of this. Due to malabsorption of phosphorus and calcium, bone mineralization is disturbed, 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 a child, so a woman can be prepared for the fact that after childbirth she may face pain in the pelvic area. In the second half of carrying a child, the tension of the abdominal muscles is restrained by the ratio of the pubic bones, which is explained by the increase in the uterus. After childbirth, these muscles become flabby, and very sharply, therefore frontal bones can diverge by 20 millimeters or even more. It 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 a divergence of the joint. The gap occurs when the divergence of the symphysis reaches the third degree. When ruptured, the iliac-sacral joints may suffer. Usually, the injury develops as a result of operative delivery or when a narrowed pelvis is combined with violent labor activity. Mechanical trauma does not have a dominant value. The tensile strength of the symphysis is about 200 kilograms. The gap is interconnected again 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 pubic joint spread slowly, so the pain when moving the legs of a woman can only intensify a couple of days after childbirth. Sometimes a woman in labor can feel a sharp pain in the pubic region. At the same time, you can hear the sound of torn ligaments, then the fetal head, even a large one, quickly descends through the bone ring, which becomes much wider. The pain can be caused not only by the gap itself. The fact is that the rupture of the symphysis can be accompanied by an injury to the urethra and bladder. Hematomas may also form in pubic area and near the labia. There is a possibility of joining the inflammatory process, which is 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 needs to be made. After that, the doctor will prescribe treatment. If the divergence of the pubic symphysis occurred during childbirth and pregnancy, the operation is most often not done. With the development of symphysiopathy, which is combined with a slight divergence of the symphysis, it is important to limit physical activity after childbirth. A woman needs to wear a bandage, and it is best to sleep on a special orthopedic mattress. In order to restore the balance of calcium in the body, you need to take special preparations. It is necessary that calcium is contained in them in a form digestible by the body of a woman. If the examination reveals a urogenital infection, treatment includes antibiotic 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 take quite a long time - up to six weeks. This means that a woman can not only walk, but even get up. In addition, she needs to use a bandage. For the first time after childbirth, a woman is given a cold, and then physiotherapy procedures are prescribed for her. You can also use painkillers and take calcium supplements.

Prevention

Pain can be avoided, 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 enough vitamins D.
Maintain moderate physical activity therapeutic gymnastics, designed specifically for pregnant women and aimed at strengthening the muscles and stretching the ligaments of the pelvic floor.
Long walk on fresh air. It is desirable that a woman be exposed to ultraviolet rays.
Take a prenatal multivitamin.
Fight dysbacteriosis and diseases of the gastrointestinal tract.

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

There are many reasons for the appearance of pain in the leg in the hip joint after childbirth in a woman. But all of them are 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 uncomfortable sensations allows you to orient yourself in time and take steps to prevent any pathological changes.

The main causes of pelvic pain after childbirth and characteristic signs

The described condition is detected in 50% of all women giving birth. The lower back can also hurt pubis, hip joint, coccyx, knee. Any discomfort interferes with living and fully caring for the baby. Some recover quickly, others take time. Explain painful conditions not difficult. Among the many possible factors doctors distinguish the following provocateurs:

Features of the body. In the third trimester hormonal background future mother is changing internal systems in this way prepare for the upcoming process. Together with sex hormones, relaxin is produced in large quantities. Its action leads to softening of the bones and joints of the pelvis. Becoming loose and mobile, the bones are involved in the formation of the birth canal. With a strong divergence of the pubic joint, severe pain occurs. She can disturb women for another three months after the safe birth of the baby. Over time, the discomfort goes away on its own.
Violation of vitamin and mineral metabolism. Developing fetus need a lot of phosphorus, calcium. He receives them from his mother, "withdrawing" 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 provoke the appearance of persistent pain and the development of dangerous injuries.
Increasing the load on musculoskeletal system. With the growth of the fetus, the uterus, the muscles of the small bottom are stretched. lower division the spine deviates backward. The pubic, sacroiliac articulation diverges. Position is changing hip bones. When all this returns to normal, there are strong painful sensations.
Birth injury. Considered potentially dangerous appearance into the world big baby in a woman with a narrow pelvis. If the process is transient, the internal space does not have time to transform and adapt to the growing load. In such situations, a rupture of the pubic joint often occurs, which causes severe sharp pains. 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 action of hormones, the cartilaginous disk is stretched, connecting the pubic bones to each other. The development of pathology is accompanied by an inflammatory process. A woman experiences severe pain while walking, when performing any, even the most insignificant load, when changing body position. Discomfort is aggravated by defecation and urination. Rupture of cartilage during childbirth is rare. It requires surgical intervention, after which a long recovery period begins, strict bed rest.

Fighting pain syndrome begins with the elimination of the causes of its occurrence.

When to See a Doctor

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

Should be cause for concern severe dizziness and loss of consciousness (even short-term), vaginal bleeding, fever and chills. Is considered dangerous sharp drop blood pressure. These warning signs are - serious reason to call an ambulance.

Establishing diagnosis

If the specialist sees that the woman does not require urgent surgical intervention, he begins to question the patient in detail about the symptoms and medical history. He is interested in how pain arises - suddenly or constantly, what kind of character it has - sharp or pulling, how severe discomfort on a ten point scale. The doctor must understand what the formation of the syndrome is connected with, whether there are other factors that exacerbate 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 range necessary examinations. As a rule, patients are issued a referral for the following diagnostic procedures:

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

Be sure to take swabs from the vagina to detect sexually transmitted infections. If the decoding of the analyzes does not reveal the cause of the pain, laparoscopy can be performed.

Therapy Methods

The therapeutic scheme is aimed at eliminating the provocative factor. Apply in parallel medical measures that help to stop the main symptoms of malaise. For this purpose, non-steroidal anti-inflammatory drugs ("Ibuprofen") are prescribed. In the absence of effect, analgesics are used.

When the pain spreads to the muscles, complete rest will help alleviate the condition, dry heat and physiotherapy procedures. It is imperative to replenish the reserves of calcium and vitamin D, for this it is used special diet or badas. Painful 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 supplemented by physiotherapy procedures. Transferred stress, unstable hormonal background depresses the central nervous system and changes the perception of pain. Some women may also be prescribed mild sedatives: "Glycine", "Valerian", "Motherwort" in tablets.

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

Preventive measures

In order to prevent the appearance of any discomfort, it is important to learn how to properly recover after childbirth. For this you need:

Immediately after the birth of the baby, observe bed rest, reduce physical activity as much as possible, entrusting the care of the newborn to relatives, if possible.
Wear bandages designed specifically for women who have just given birth: they limit mobility hip joint take on some of the load.
Visit an osteopath.

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

According to statistics, almost 50% of women have pain after childbirth. pubic bone. Below we describe the main causes of this problem, as well as explain how it can be solved.

AT recent weeks During pregnancy, a woman's body changes dramatically in response to the imminent onset of childbirth. Expectant mothers diverge pelvic bones and soften cartilage tissue. Well, after the birth of the child, the reverse processes begin, which return the body to normal. Which explains why the pubic bone hurts after childbirth.

What do we have to do?

Many mothers ask themselves: What to do if the pubic part hurts after childbirth, how to respond to the divergence of the bones? For starters, don't panic. As already mentioned, this process is absolutely normal. Indeed, during pregnancy, the hormone relaxin is released in the body of a woman, softening the cartilage and ligaments. Under its influence, the pubic part is stretched in the pubic region, which provokes pain.

Especially strong impact relaxin is observed in the last weeks of pregnancy. During this period, cartilaginous tissues swell, the distance between the bones increases, and their mobility increases. These changes often cause discomfort. They also cause inconvenience at the postpartum stage, provoking pain symptoms in the region of the pubic bone.

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

Is there a health hazard?

In some cases, the pubic part is displaced too much, which provokes inflammation of the symphosis (pubic articulation 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 the doctor (especially calcium and magnesium);
reception sunbathing(for the absorption of vitamin D);
limitation physical activity, frequent change of position (you can not sit, stand or walk for more than an hour);
consumption of food containing a large number of calcium (nuts, dairy products, fish, etc.).

Also, treatment may be accompanied by taking painkillers and anti-inflammatory drugs under the supervision of a doctor. As for surgical intervention– There are very few reasons for having surgery on the pubic bone. This procedure is required by less than 1% of moms.

Carrying and giving birth to a child puts a serious burden on the body of women, physical level. Under the action of hormones, cartilage tissues soften, bones diverge, ligaments and muscles are stretched. This is necessary so that the baby's passage through birth canal passed painlessly. Reverse changes and restoration of the body can be delayed and proceed with complications. Complaints of the mother that the pubic bone hurts after childbirth are common. Apart from severe pain, the pathological divergence of the pubic articulation is accompanied by changes in gait and, in general, spoils the quality of life of a woman.

The pubic joint is a type of semi-movable joint of the skeleton, in one of the three pelvic bones - the pubic. 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, a transformation of the pubic joint 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 divergence of the pelvic bones is eliminated, the width of the cavity is compacted and reduced. But, with favorable factors, a change in the structure of the joint sometimes goes beyond the normal. In such cases, they speak of symphysiopathy, which means the pathology of the pubic symphysis, in which the pubic bone is very sore.

Sometimes the term symphysiolysis or symphysiolysis is called a synonym for symphysiopathy. In obstetrics, it is known as a syndrome that includes three stages. The first is pain in the pubis, the second is the divergence of the pubic joint varying degrees(actually symphysiolysis), and the third - rupture of the symphysis.

In practice, the word symphysitis is used to refer to the collective diagnosis of excessive and painful dehiscence of the pubic bone. But in fact, symphysitis is translated as inflammation. bone tissue joints that appear similar symptoms, but having differences in diagnostics.

The reasons

There is no consensus on why pathology occurs. The trigger for a situation when the pubis hurts after childbirth is a number of factors. This is anatomically 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 due time, and sometimes they are damaged even more.

These factors and mechanical injuries do not always cause complications in the form of symphysiopathy or joint rupture. Bosom in healthy body able to withstand loads up to 200 kg. But the favorable moments lead to the fact that in the process of childbirth 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 occurs in the background concomitant diseases. For example, when diabetes, kidney failure, problems in the work of the gastrointestinal tract and often with an unbalanced diet of a woman in position.

As a result, there is a weak mineralization of the bone tissue of a woman. During pregnancy, to meet the needs of the fetus in calcium, it is "redistributed" to the detriment of the mother's body. In this case, the pathology manifests itself earlier, there is pain in the pubis even before childbirth.

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

Symptoms and complications

Usually, signs of pathology appear during the bearing of a child. At the end of the second and in the third trimester of pregnancy, the pubic bone already begins to hurt before childbirth, the sensations intensify. It is possible to suspect the divergence of the articulation with the available 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 divergence to be noted only after the birth of the child. Due constant tone the muscles of the abdomen, holding the growing uterus, a kind of fastening of the symphysis occurs. After childbirth, the flabby abdominal muscles no longer hold back the articulation, an increase in the gap appears, accompanied by pain.

The severity of symptoms depends on the value of how much the bones have dispersed. In addition to aching pubic bones, a woman complains of pain in the groin, lower abdomen, lower back and pelvis that occurs at night or after physical exertion. Discomfort is aggravated by walking, changing position, moving the leg to the side, turning in bed, or rising from a chair.

Pathology in addition to pain provokes a violation of posture. A pronounced divergence of the articulation contributes to the appearance of a waddling gait, called a "duck", up to a complete loss of the ability to move. Sometimes, on palpation, you can hear a crack or click coming from the womb, while the pubic bone is painful.

A dangerous type of injury is a 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 the gap of the womb is more than 20 mm and the absence of adequate tactics for the management of childbirth.

Articulation break damages bladder and urethra. Often, the pubis turns blue and swells after childbirth, a hematoma appears in its area and joins inflammatory process- symphysis.

Diagnostics

Divergence of the pubic bone during childbirth is determined based on the woman's complaints of characteristic pain. At gynecological examination the doctor can literally feel the gap in the womb, feel its asymmetry.

The diagnosis is confirmed after X-ray, ultrasound or MRI of the symphysis, where the divergence of the pubic articulation is more than 0.8-1.0 cm. destructive changes are not found in the pelvic bones. A rupture of the symphysis is said when a gap in the pubis 7-8 cm wide is observed on the x-ray and there is a horizontal displacement of the bones.

The pathological divergence of the pubic joint is divided into three stages:

I - an increase in the gap of the symphysis 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 surveys, the fundamental factor for the medical conclusion is the well-being of the woman in labor. So, a discrepancy of 1 cm in one woman indicates symphysiopathy and becomes a reason for a caesarean section, in another it does not cause any discomfort.

When visualizing the destruction of bone tissue, that is, with porosity, friability, the question arises of the addition of inflammation and then the diagnosis of symphysitis sounds. In this case, usually simultaneously with the onset of pain, the woman notes that her pubis has become larger after childbirth and reddened. This is due to soft tissue swelling. With an 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 performed with sciatica, inflammation sciatic nerve, hernias, pelvic vein thrombosis.

Treatment

The divergence of the symphysis can be corrected without surgical intervention. Severe ruptures of the pubic symphysis do not go away on their own, an operation is required using lavsan, wire sutures, knitting needles, and titanium structures. Recovery period takes from 3-4 months after the 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 divergence of the bones of the womb. Calcium and magnesium preparations, vitamins D, group B are prescribed, fish fat. Held ultraviolet irradiation womb areas.

What to do if the pubic bone hurts after childbirth:

consult a doctor and do not self-medicate;
take medications and perform physiotherapy, gymnastics 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, corset;
for pain relief, use special gels, ointments, creams or tablets.

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

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