During pregnancy, a woman may experience various pains in various places. Often they are accompanying the pregnancy "normal" pain. And there is nothing left to endure. But the pain in the joints is one of the few, which happens to endure is already unbearable. Articular pain does not just bring discomfort to a pregnant woman, but brings the most real torment. And quietly endure such pain is not only extremely difficult, but also not desirable. Because you should definitely find out the reason for its appearance.
A joint is a moving part of a limb where two bones meet. The bones are held in place by the ligaments (strong tissue strands) and move by muscles and tendons (the latter attach the muscle to the bone). Pain in any of these parts is considered as pain in the joint. And in order to eliminate it, it is necessary to accurately determine the cause of its occurrence, that is, to make the correct diagnosis.
There are more than 100 pathological conditions contributing to arthritis (inflammation of the joints). Consequently, there are about 100 types of arthritis, and any of them can develop during pregnancy. And only a specialist can determine exactly what caused the pain in the joints during pregnancy.
Often the joints in pregnant women hurt due to lack of calcium. In this case, pregnant women are sent for a biochemical blood test to make sure that microelement deficiencies are suspected. And when the diagnosis is confirmed, calcium and vitamin D preparations are prescribed, and also the diet is adjusted in the direction of calcium-containing and vitamin D-rich foods. In addition to milk, kefir and cottage cheese, pregnant women are recommended to include in their menu such varieties of fish as cod, salmon, tuna, halibut and herring. A large amount of vitamin D is also found in egg yolk and liver.
Joints during pregnancy can hurt due to increasing load on them - the tummy grows and becomes heavy, which affects the work of the musculoskeletal system. In this regard, it is necessary to control weight gain and avoid prolonged standing on the legs, especially in the last weeks of the term.
Among the factors that provoke joint pain are increased secretion of relaxin during pregnancy. Under the influence of this hormone, pelvic ligaments soften, which allows them to elastically move apart to facilitate the movement of the baby through the birth canal. However, relaxin also affects other ligamentous tissues, softening the joints of the limbs as well. Therefore, even with a small initial weight and a slight increase in a woman there may be pain in the joints in the background of gestation.
All this is the so-called "normal" pain during pregnancy. They appear, as a rule, in the second or third trimester, they increase with prolonged standing or walking, but disappear after rest. If, after sleep, the pain does not go away, and even vice versa increases at night, most likely they are caused by other factors.
During pregnancy, the woman's body undergoes various changes, there is a physiological adaptation of all organs and systems, aimed at carrying the child.
Normally, all processes go unnoticed, but there can be pathological conditions that cause the expectant mother significant discomfort. Often during pregnancy joints hurt. This pain has a different location and can occur at any time of the day.
Causes of joint pain in pregnant women
In the development of pain during pregnancy can be identified several main factors:
- decrease in resistance to the physiological load of the joint,
- mechanical and functional overload
- weight gain
- past viral infections.
Important! The main reason for the development of joint pain is the discrepancy between the mechanical load on the articular surface of the cartilage and its ability to withstand the load, resulting in the destruction of cartilage. As a result, pain develops.
Weight gain in a pregnant woman leads to pain in the knee joint
The following risk factors can be noted:
- Genetic predisposition.
- Increase body weight.
- Household loads.
The mechanism of the development of pain
The main role in the mechanism of development of pain is inflammation. The cause of cartilage inflammation are irreversible changes in its structure, and during the process of deformation enzymes are released that damage cartilage collagen.
Due to hormonal changes in a woman's body, the amount of the hormone relaxin increases. Under the action of a hormone, the ligamentous apparatus of the hip bones deforms. They soften, become more elastic, to ensure a comfortable passage of the child through the birth canal. Hormone relaxin is one of the physiological factors for the development of pain in the elbow, knee and hip joints.
The increase in body weight that occurs during pregnancy leads to additional pressure on the joints, which provokes the appearance of pain in the lower parts of the spine, due to the inability to adapt to the increased load.
When the center of gravity shifts, the main load falls on the lumbar spine, which causes aching pain in a pregnant woman.
Certain importance in the mechanism of formation of pain in the joints in the later periods have edema. Swelling of the joints during pregnancy is the result of the pressure of the growing uterus on the blood vessels, which leads to a decrease in blood circulation.
Note. The usual manifestation of pregnancy is carpal syndrome, which leads to the development of swelling of the hands. The syndrome manifests itself as numbness, tingling, and dull pain, which is worse at night.
When pregnancy increases the consumption of calcium to build the musculoskeletal system of the child. If calcium does not enter the body of a woman with food, the growing body of the baby takes it away from the mother’s bone tissue, which can lead to the development of osteoporosis.
An important place in the mechanism of development of rheumatic diseases is occupied by viruses. Against the background of previous infections - ARVI, ARI and flu - viral arthritis can develop.
Clinical manifestations of pathological conditions during pregnancy
The manifestation of symptoms depends on the location of the affected joint. During pregnancy, the pain begins unnoticed, at first it is short-lived, and when the disease progresses, it increases.
In pregnant women, pain is localized in those places where the greatest load falls. These are mainly the lower limbs - the knee, hip and the joint of the first toe of the foot..
Women complain of severe pain in the joints, stiffness during movement, swelling. A frequent symptom is a characteristic crunch.
In pregnant women, painful sensations occur after prolonged exertion (prolonged walking, lifting weights, uncomfortable position of the body for a long time) and disappear after a night of rest.
Swelling of the hands leads to the development of tunnel syndrome, accompanied by numbness of the fingers and hand.
Important! For severe, sudden pain and excessive swelling of the arms and legs, you should immediately consult a doctor. These symptoms may indicate the development of preeclampsia or toxicosis.
Periodically there is swelling in the area of the joint, which leads to increased pain.
A characteristic manifestation of viral arthritis is a symmetrical lesion of small and large joints, the appearance of a skin rash.
In osteoporosis in pregnant women, pain in the joints can occur only as a result of fractures.
Important! Joint pain is the only sign by which early manifestations of autoimmune diseases can be diagnosed, their trigger is pregnancy.
Methods of functional diagnostics
Persistent and recurring pains require immediate consultation with the attending physician.
At the slightest deterioration in the state of health of the pregnant woman, you should contact your doctor in attendance; if necessary, he will refer you to a rheumatologist for consultation. Diagnosis of rheumatic diseases includes the study of complaints of women, the history of life, the definition of the general condition of the body.
To clarify the diagnosis of the doctor to prescribe a number of additional studies.
- general blood analysis,
- general urine analysis,
- blood biochemistry (C-reactive protein, rheumatic factor, CRP).
- ultrasound procedure,
- magnetic resonance imaging,
Council If osteoporosis is suspected, it is necessary to determine the level of calcium in the blood in a biochemical analysis.
Treatment of joint pain during pregnancy
Proper nutrition will help get rid of excess weight, provide the body with essential vitamins, improve metabolic processes
Treatment during pregnancy should be based on non-drug methods.
Dietary nutrition plays an important role in the treatment of diseases of the joints. Expectant mothers are recommended a dairy-vegetable diet, so as not to cause a sharp decrease in protein in the body, you can eat lean meats and fish. To prevent inflammation in the joints, one should eliminate pork, citrus fruits, limit salt intake.
An important component of treatment is physiotherapy. When performing gymnastics movements should be smooth, moderate. In tunnel syndrome, exercises are recommended for warming up the hands and fingers.
Tip! When pains in the joints in the later stages are necessary to relax more, take postures that help reduce pain, not to lift weights. To reduce pressure on the joints, doctors recommend wearing a bandage.
A pregnant woman is recommended moderate exercise, they will help maintain the elasticity of the joints and ligaments
Back pain is associated with a change in posture, a shift in the center of gravity, and additional weight.
To minimize pain, it is recommended:
- avoid standing for long periods of time
- wear comfortable shoes
- avoid weight lifting
- sleep on a hard mattress,
- apply cold compresses on sore areas,
- massage to relieve tension in the muscles.
Prenatal massage helps relieve joint pain in pregnant women. It will reduce puffiness, relieve tension in the stiff muscles, improve blood circulation.
To understand why pain occurs during pregnancy, you need to get acquainted with the structure of the joint. It consists of two bones that are connected by ligaments. The joint is mobile thanks to the tendons and muscles. With the appearance of pain you need to identify their etiology. Today, medicine knows many pathologies that cause inflammation of the joints. During pregnancy, any of them may appear.
The weight of the pregnant increases, there is swelling and displacement of the center of gravity. In the body, hormonal fluctuations occur, which also contributes to the appearance of pain. Changing the center of gravity of the body leads to stress on the joints. This is typical for those who suffer from osteochondrosis. Read more about weight gain during pregnancy →
Due to weight gain, discomfort in the knees, hips, and feet joins pain in the spine. The joints do not have time to adapt to the new load. Discomfort may be caused by swelling characteristic of the 3rd trimester. First of all, small joints - the feet and hands - are affected. A pregnant woman feels stiff in her legs in hot weather, in the mornings and evenings.
If the hip joint is hurt during pregnancy, the reason is most likely hormonal changes, or the cause is old injuries or chronic pathologies.
During pregnancy, pain in the joints of the hands may occur due to a lack of vitamin D and an unbalanced diet. To find out the exact cause and to appoint therapy should the doctor, who observes the woman. When the joints of the fingers ache during pregnancy, this may indicate the presence of carpal tunnel syndrome ("tunnel syndrome"). This disease is recorded in 40% of pregnant women.
Pain in the joints of the fingers during pregnancy often begin to torment in 2-3 trimesters. Usually they are associated with weight gain. The tube that connects the fingers to the hand is squeezed, the functioning of the nerves is disturbed, and pain in the joints appears. Also hurt the joints of the hands during pregnancy may due to lack of calcium in the body.
During the gestation period, the hormone relaxin, by its action, develops hyper-mobility of the ligaments. Its production stretches the pubic joint, increases its mobility, preparing the body for the upcoming birth. At the same time, the hormone acts on other ligaments, which causes pain in the shoulder, elbow and knee joints.
During pregnancy, the joints ache and because of specific diseases that are characteristic only for women preparing to become mothers. Sometimes, however, there are non-specific, coinciding with this period. Here it is necessary to start therapy in time to avoid complications.
A frequent specific complication is symphysitis. This is an inflammation of the pubic joint caused by an excessive amount of relaxin, the presence of injuries, weight gain. Greater mobility of the bones of the womb contributes to its inflammation.
Symptoms are characterized by the following symptoms:
- gait disturbance,
- difficulty raising your legs
- pain in the pubic area, thighs, abdomen and back,
- mobility restriction.
Another reason why joints ache during pregnancy is the autoimmune pathology. At times, there is a failure in the immunity of women, provoking the formation of antibodies to their cells. This contributes to the development of autoimmune diseases.
- lupus erythematosus,
- rheumatoid arthritis,
- different forms of vasculitis.
These pathologies cause joint pain. Often at the beginning of their development, pain is the only symptom. In the future, the joints not only hurt, but also begin to redden, swell, deform. If regular rest or bed rest does not solve the problem, you need to consult with a rheumatologist.
Joint pain can also occur for psychological reasons. First of all, against the background of depression.
Her provoke such factors:
- new rhythm of life
- loss of familiar social circle
- dissatisfaction with your body,
- fear of childbirth.
What doctor treats
Joint pain treats arthrologist. Unfortunately, this kind of specialists is very small. And if in the clinic it is, then make an appointment is difficult. Therefore, you can contact a therapist who will become familiar with the problem, conduct an examination and, based on it, send it to a rheumatologist, orthopedic surgeon or surgeon. In some cases, an examination by a traumatologist, a virologist, a neuropathologist and an osteopath is necessary.
Consists of the following steps:
- Visual inspection on which the task of the doctor is to examine the volume, configuration and symmetry of the joints.
- Palpation. The temperature of the joints that hurt is determined. Check for thrombosis.
- Trendelenburg trial. The procedure evaluates the performance of the valves of the veins of the lower extremities. It is done this way: the pregnant woman is in a lying position, one of her legs is lifted upwards and massaged by the doctor along the entire length. Next, the doctor waits for the blood to drop down, emptying the superficial veins. A tourniquet is applied to the thigh to prevent blood flow. Then the woman is asked to try to quickly stand up and the harness is removed. The doctor looks at how fast the blood begins to flow through the veins in the opposite direction, fixes how quickly they fill. Oversees the change in the pattern of veins and sensations of the pregnant. If everything is in order, the blood should fill the veins no faster than in half a minute.
- Also, if necessary, laboratory tests of synovial fluid in the joint cavity, tissue biopsy, ultrasound and MRI are performed.
Future mothers should clearly understand that only a doctor prescribes treatment. Amateur activities here can not be. It is recommended to change work to a lighter one, if the previous one is associated with loads on the joints.
The possibilities of therapy during childbirth are limited, and doctors have to use non-drug treatment. If it does not give the desired effect, then resort to drug therapy. When any joints ache during pregnancy, and the situation is very serious, the doctor most likely hospitalizes the woman.
Therapy of physiological pain
It is very important to control the weight and not to allow it to increase excessively. To do this, you need to revise the daily diet, limit carbohydrates, arrange fasting days. But this is done all after consulting with the doctor.
In the first trimester, you should spend more time relaxing, so that the body is used to changing the center of gravity. It is also recommended to diversify the load, do gymnastics, yoga, look for poses in which the pain becomes less intense or disappears altogether.
With the appearance of puffiness, it is necessary to reduce the amount of daily liquid drunk. Если отеки не сопровождаются наличием в моче повышенного содержания белка, доктор может назначить травяные сборы с легким мочегонным эффектом.
With excessive mobility of the joints, which is formed in connection with the action of relaxin, doctors advise to avoid sudden movements. After pregnancy, the joints become stable again and no longer hurt.
In tunneling syndrome, it is sometimes recommended to wear nerve tires to protect against nerves. In this case, the pain also disappears after childbirth. If a pregnant woman needs calcium, she is prescribed the means with its content. Also shown are preparations with vitamin D.
Pathological Pain Therapy
In the presence of pathological diseases, compulsory therapy is prescribed. For example, autoimmune diseases, rheumatoid arthritis require anti-inflammatory treatment, and sometimes constant hormonal therapy.
When symphysitis is recommended to wear stabilizing bandages and drink drugs with calcium, if osteoporosis is observed. In addition, you need to avoid physical exertion and stick to a diet enriched with useful trace elements.
For injuries, fractures, dislocations, bruises, therapy is carried out by a trauma doctor. Anti-inflammatory, antibacterial drugs, analgesics are prescribed. If necessary, plaster is applied.
Select the appropriate drugs gynecologist with a rheumatologist. Only those drugs that do not harm the mother and child are used. In 90% of cases, pain in the joints disappear immediately after childbirth.
Unfortunately, some pregnant women do not attach particular importance to joint pain. However, you need to be serious about this issue.
To prevent joint pain processes, you should:
- Add calcium and vitamin D foods to your food,
- use vitamin complexes,
- drink the right amount of fluid
- watch your weight
- wear comfortable shoes without heels,
- do gymnastics and yoga.
If during pregnancy, pain in the joints, it is better not to tolerate them, and seek advice in the clinic. Otherwise, you can get an unwanted chronic disease. When a woman continues to hurt her joints even after pregnancy, we are talking about the presence of a serious pathology. And it is impossible to delay its treatment. It is recommended to immediately consult a doctor, be examined and begin treatment.
Author: Alexander Indra, doctor,
specifically for Mama66.ru
Why do the joints ache during pregnancy?
There are many reasons for this. First of all, we can distinguish two groups:
- joint pain associated with changes in the body during pregnancy, and not with the disease. They can be called physiological. They are expected, easily corrected by a doctor and disappear after birth.
- pains directly related to joint disease. Diseases of the joints can be provoked and aggravated by pregnancy. In addition, they can harm her. They necessarily require treatment by a specialist, and after childbirth they do not always pass.
Changes in weight and center of gravity
The first thing that leads to stress on the joints is a change in the center of gravity of the pregnant woman. Even with zero weight gain, the expectant mother often notes aching pain in the lumbosacral spine and hip joints - the main burden now falls on this area. This is especially characteristic of women suffering from osteochondrosis of the spine.
Weight gain is the second most important factor. With a significant increase in body weight to the pain in the spine will join the discomfort in the knee, ankle joints and feet. Especially often this happens if weight gain occurs abruptly, and the joints do not have time to adapt to the increased load.
Very often, discomfort in the joints causes swelling. This is typical for the third trimester of pregnancy. Initially, small joints - the hands and feet, and the ankles - suffer. They show stiffness, mainly after sleep, by the end of the day and in hot weather.
With pronounced edema, the periarticular tissues are compressed and pain also appears with time.
It should be noted that the swelling in itself can be a serious complication of pregnancy - a manifestation of preeclampsia and require a mandatory examination by a doctor.
Swelling of the arms and hands leads to the development of tunnel syndrome, or carpal syndrome. An excess of extracellular fluid squeezes the median nerve, which causes numbness and tingling in the hands and fingers. With a strong compression of the nerve, dull pain is felt, which is aggravated at night and can cover the whole arm. In addition, pregnant women note an increase in weakness in their hands.
The effect of relaxin
A specific complication of pregnancy is pain in large and medium joints - shoulder or elbow, knee. This is due to the developing hypermobility of the ligaments, caused by the action of the hormone relaxin.
The production of this hormone is aimed at stretching the ligaments of the symphysis, increasing its mobility, so as not to complicate the process of childbirth. But along the way, other ligaments become targets of relaxin.
Metabolic disorders during pregnancy
At the junction of physiological and pathological processes during pregnancy is a loss of calcium - osteoporosis. This is a natural process, since some of the calcium is given to a growing child, but this loss should not be excessive. If calcium is not replenished enough, pain in all joints occurs.
Calcium deficiency cannot be ignored.
Gradually, the pain will increase, there will be brittle nails, brittle teeth and bones. This threatens a pregnant woman with fractures even with minor injuries.
Pathological processes in the joints
The diseases of the joints during this period include specific - characteristic only for pregnant women, and non-specific, but provoked or simply coincided with pregnancy. Their feature will be the appearance of complications in case of delayed treatment.
Often encountered specific complications of pregnancy is symphysitis - inflammation of the symphysis pubis. This disease is provoked by excessive production of relaxin, overweight, injuries, and heredity.
Excessive mobility of the pubic bones in the area of the connection (symphysis) leads to its inflammation.
This is manifested by the following symptoms:
- pain in the pubic area, in the lower abdomen and back, in the hip joints,
- gait disturbance of the "duck" type, clicks when walking,
- difficulty raising the legs from a prone position,
- difficulty walking up the stairs, and in severe cases and a significant restriction of mobility.
Due to the displacement of the center of gravity and overweight, the gait of a pregnant woman becomes awkward, the risk of injury increases. A hyper-mobility of the ligamentous apparatus and the fragility of the bones, associated with a lack of calcium, increase the likelihood of dislocations and fractures.
To manifest such injuries will also be pains in the area of the joints, but they require a mandatory consultation of the traumatologist.
Inflammation of the joints after infectious diseases
Transferred infectious diseases (acute respiratory infections, sore throat, flu) can manifest itself as a very unpleasant complication - reactive arthritis. More often, such inflammation of the joint occurs during the illness, but may be after recovery. Manifesting classic signs of inflammation - redness, pain and swelling of the joint. It can be combined with damage to the eyes - conjunctivitis.
The diagnosis is easily established by complaints and questioning, identifying a connection with a past illness.
Pregnancy is not only a single organism of mother and child, it is also a conflict between two different people - at the cellular level. Sometimes the immunity of the maternal organism fails, and it begins to produce antibodies against its own cells. The so-called autoimmune diseases develop, and pregnancy plays the role of a triggering factor.
- rheumatoid arthritis,
- systemic lupus erythematosus,
- periarteritis nodosa,
- various vasculitis.
All of these diseases are often manifested by pain in the joints, and sometimes, at the beginning of the disease, this is the only sign.
At the same time, the joints will not only hurt, but also become inflamed - swelling, blushing, deforming. With constant excruciating pains that are not relieved by rest and bed rest, with signs of inflammation of the joints, it is obligatory to consult a rheumatologist.
The debut of an autoimmune disease during pregnancy is a rare complication, but it should not be discounted.
What to do if pain in the joints?
In pregnancy, the main rule should be: any deterioration in health requires consulting a doctor.
Inspection of the attending gynecologist is enough to determine the tactics of examination and treatment.
If osteoporosis is suspected, blood calcium levels will need to be checked, this is determined by biochemical analysis.
If there is not only pain, but also signs of acute inflammation of the joint, the doctor will certainly refer the pregnant woman to a study of inflammatory markers. These will be rheumatic tests and a general clinical blood test. If the inflammation is confirmed by laboratory data, consult a rheumatologist. If necessary, he will designate a detailed examination.
In case of injuries, a pregnant woman is examined by a traumatologist, who makes a decision on the appropriateness of radiography.
Treatment of physiological joint pain
With physiological pains, you need to strictly control weight gain, change the diet, limit digestible carbohydrates (buns, cakes, bread, potato dishes). Sometimes - on the recommendation of the attending physician - it is desirable to arrange fasting days.
In the first trimester, you need to rest more, giving the body an opportunity to get used to changing the center of gravity. To diversify and alternate physical exertion, to take poses in which pain disappears, to do gymnastics.
In case of edema, it is worth checking the volume of fluid consumed and, if necessary, reduce it. If the swelling is not accompanied by a change in the urinalysis (the presence of protein - proteinuria), the doctor will recommend herbal preparations with a weak diuretic effect.
When lying down, lift the swollen legs.
In tunnel syndrome, it is sometimes necessary to wear a special splint protecting the nerve from squeezing. But usually the pain in the hands disappears after childbirth.
With hypermobility of the joints associated with the action of relaxin, it is recommended to avoid sudden movements. After birth, their stability will be restored.
With a confirmed calcium deficiency, pregnant women are prescribed complex preparations containing calcium and vitamin D3.
Treatment of pathological conditions
In case of pathological diseases of the joints, treatment is necessarily prescribed.
When symphysitis is used, the wearing of a stabilizing bandage and calcium preparations in the case of osteoporosis. A woman is recommended to reduce physical exertion and follow a diet rich in calcium.
For bruises, sprains, sprains and fractures, analgesics, anti-inflammatories, antibacterial drugs and plaster immobilization are used if necessary. The treatment is carried out under the control of a traumatologist.
Rheumatoid arthritis, autoimmune diseases require anti-inflammatory therapy, and in the second case, constant hormonal treatment.
The selection of medicines is carried out by a rheumatologist together with a gynecologist, necessarily taking into account the ratio “the benefit to the mother is the risk to the child” Regardless of the cause of the disease, doctors use only those drugs that are allowed during pregnancy and do not harm the baby.
In most cases, all problems with joints in pregnant women disappear safely immediately after childbirth.
Only a specialist can answer the question why a hip joint hurts during pregnancy. Therefore, if any discomfort appears, you should inform the supervising gynecologist about this and, if necessary, undergo a medical examination. If the pathological nature of the pain is identified, treatment will be prescribed in accordance with the overall clinical picture of the pregnancy and the nature of the disorder.
If it is determined that the unpleasant symptoms are exclusively of physiological origin, the patient will have to be patient before delivery. There are several safe ways to make your future mother feel better.
Distribution of load on the hip joint
To prevent and eliminate pain in the pelvic and hip joints, the following recommendations should be followed:
- Wear a bandage or supporting laundry as prescribed by a doctor,
- Sleep on a hard orthopedic mattress,
- Use special pillows and rollers for pregnant women,
- Avoid long walk and high loads
- Wear orthopedic shoes,
- Alternate the load and rest in the prone position,
- Take a walk in the fresh air,
- In the absence of contraindications to do swimming, walking, yoga and gymnastics for future mothers.
The following exercises are recommended during all pregnancy periods:
- Rotation of the pelvis. Stand straight, feet shoulder-width apart, feet parallel to each other. Palms grasp the protruding bones of the hip joint. Slowly rotate the pelvis in a circle, gradually increasing the amplitude. Make 12-16 repetitions in both directions,
- Unloading of the hip joint. Lie on your back, stretch your legs, put your relaxed arms along your body. Gently turn from back to side and back, reduce and spread legs, pull your knees to the stomach. All movements should be performed in random order 10-12 times,
- Butterfly. Sit on the floor with a straight back, bending the legs and joining the soles together so that the feet are as close as possible to the pubis. Put your hands on the inner thighs near the knees and, slightly pressing with palms, try to reach the floor with your knees. Repeat at least 20 times at a slow pace.
Massage and physiotherapy
To facilitate well-being at home, you can do a light massage of the hip joints using olive oil or special pharmacy tools for pregnant women. You can only act directly on the articulation, hips and lateral surface of the back. It is allowed to perform stroking and rubbing movements of moderate intensity.
Physical therapy during pregnancy is applied only if indicated. On the body of the future mother allowed the impact of weak electrical impulses, ultrasound, light and vibration.
Before undergoing any procedures, you must notify the doctor about the duration of pregnancy and all existing diseases. Many manipulations for the hip joints can adversely affect the condition of the fetus, leading to premature birth or miscarriage.
If the pain in the joints during pregnancy is caused by a lack of nutrients, you need to make changes in your diet. Adequate drinking regime should be observed, including foods rich in calcium and magnesium in the daily menu:
- Milk and dairy products (kefir, cottage cheese, ryazhenka),
- Lean meat (chicken, turkey, rabbit, veal),
- Sea fish,
- Boiled chicken and quail eggs,
- Fresh seasonal fruits and vegetables.
As prescribed by a physician during pregnancy, vitamin-mineral complexes and dietary supplements for expectant mothers should be consumed.
If the joints during pregnancy hurt very much and for a long time, the doctor may prescribe medication. The use of the following drugs is allowed during pregnancy:
- Nonsteroidal anti-inflammatory drugs in the form of tablets, capsules and syrups for oral administration (Paracetamol, Nurofen, Ibuprofen, Papaverine, Riabal),
- Anesthetic ointments and gels for local application to the hip joint (Ibuprofen, Nurofen, Menovazin, Revmalgon 911, Ketorolac).
Drug treatment of joints during pregnancy is carried out in case of acute need in the absence of contraindications. All drugs should be consumed only as prescribed by a doctor, without changing the recommended dosage and treatment regimen. With persistent pain syndrome of the hip joint, hospitalization is indicated.
To eliminate pain in the hip joint, you can use traditional medicine:
- Compresses of white and blue clay, boiled oatmeal, chopped celery root,
- Applications with decoction of medicinal herbs (cowberry leaves, chamomile, birch buds, eucalyptus, pine needles),
- Massage with ice, honey and salt, walnut tincture,
- Rubbing with melted butter and pine extract.
Pain in the hip joint during childbirth in 70-80% of cases is caused by physiological causes and does not require special treatment. It is possible to relieve the condition with the help of physical exercises for the hip joints, massage, diet and traditional medicine.
How to treat joints during pregnancy
To eliminate the physiological pain is usually not required to carry out therapeutic activities. It is enough to follow the recommendations of the doctor who tells the expectant mother what to do to eliminate unpleasant sensations.
With a deficiency of calcium and vitamin D, a pregnant woman will take medicine with their content or a complex of vitamins. Также необходимо наладить полноценное питание, включив в рацион соответствующие продукты — молочные продукты, треска, лосось, тунец, палтус, сельдь, яичный желток, печень.
Контроль веса – неотъемлемая часть лечения болей в подвижных соединениях. Стоит пересмотреть ежедневное питание и ограничить прием углеводов. When pregnancy occurs in the first trimester, you need more time to rest, so that the woman is accustomed to a change in body weight. If the expectant mother suffers edema, the doctor prescribes a herbal collection with a diuretic effect and reduce the amount of fluids taken. To get rid of pain in the joints, it is useful to do yoga, gymnastics, swimming.
With increased mobility of the joints, associated with an increased production of relaxin, doctors recommend not to make sudden movements, not to lift weights and not to load the joints.
With pronounced development of tunnel syndrome (carpal syndrome), the expectant mother is placed on the limb with special tires that protect the nerve from compression. A few weeks after giving birth, the pains go away without any intervention. In rare cases, surgery is performed in which oblique ligaments of the wrist are incised and the pressure on the median nerve is reduced.
In case of systemic diseases, medications are prescribed under the supervision of the attending rheumatologist, who clearly indicates whether this or that medication can be taken by a pregnant woman. It is often required to hospitalize a woman in a hospital where they use more powerful drugs that have a teratogenic effect on the fetus (cytostatics, NSAIDs). In the early stages it is sometimes necessary to terminate the pregnancy.
The development of symphysitis involves the wearing of a stabilizing bandage and medication with calcium. You should not physically overstrain, it is recommended to follow a diet that contains the necessary substances and trace elements.
Upon receipt of fractures, dislocations, contusions during pregnancy, treatment is carried out by a traumatologist. The doctor prescribes drugs against inflammation and pain. The following products are approved for use by pregnant women: Traumeel C ointment, Nurofen tablets, Malavit gel, If necessary, a plaster cast may be applied.
Folk methods against pain
With unpleasant sensations in articulation, pregnant women often resort to the use of "grandmother's tools", because they are confident that the recipes of alternative medicine can not harm their child. However, this is not entirely true. There are herbs that are forbidden to use during gestation: they lead to miscarriage of pregnancy or premature birth. Therefore, traditional methods of treatment should be applied with the permission of the doctor.
Some safe recipes:
- Baths with needles or birch leaves. For the preparation of funds required 1 kg of the ingredient pour 7 liters of water. Boil for about 30 minutes, strain and add to the bowl where the hands or feet of a pregnant woman fall.
- Honey with salt. Take 1 tbsp. l honey and stirred with 1 tbsp. l salt. The product is applied to a linen cloth and placed on diseased moving joints. Cover the bandage with compressor paper and wrap with woolen material on top. Apply every night before bed to improve.
- Interior fat. Apply for pain in the joints of the legs during pregnancy.
- Pine buds with sugar. In a liter jar I place the pine buds with a layer of 2 cm, and sugar is poured on top. Next, alternate layers to fill the banks. The container is removed in a dry dark place for 7 days. Over time, rub the means of the patient joints.
With the onset of pregnancy, a woman should make every effort to prevent pain in the joints.
There are simple tips that are approved by doctors and help alleviate the condition of the future mother:
- Do not panic, it worsens the situation.
- Perform self-massage brushes, thighs, knees, rubbing, pinching and flapping movements.
- Eat foods rich in calcium and vitamin D.
- Drink plenty of fluids.
- Gain body weight gradually, avoiding jumps indicators.
- Wear comfortable shoes without heels.
- Do yoga, swimming or gymnastics.
- Walk in the fresh air more often.
- Give up monotonous work with your hands.
- Take special vitamins for pregnant women.
- Visit your doctor regularly - this will help identify pathologists at an early stage.
Pregnancy is a happy period for expectant mothers. The woman is waiting for the crumbs, but at this time quite often there are various pains, including in the joints. They can seriously darken the period of gestation, causing pain and discomfort.
Doctors do not recommend tolerating discomfort in joints: you must contact a qualified doctor. Timely detection of the disease will save a pregnant woman from various complications and taking powerful medicines that are undesirable for use during gestation.
Which doctor to contact
The cause of joint pain can be identified not only by the observing doctor, but also by the arthrologist. Often, the same problems are addressed to the worm. If there are no narrow specialists in the clinic, then it is recommended to contact the therapist. He will refer the patient to a rheumatologist, who will definitely study the clinical picture, prescribe tests and additional studies, and then be able to answer why her knees hurt during pregnancy.
If your knees hurt badly and permanently during late pregnancy or at the beginning, in the middle of gestation, this may indicate a number of physiological problems:
- Calcium deficiency - a massive return of trace elements and vitamin composition from mother to fetus causes a shortage of important components. Among those whose deficiency can adversely affect the state of health and cause pain in the knees during pregnancy, calcium. Not only the knees can begin to hurt, but also the jaw when opening and closing the mouth.
- Excessive relaxin production. This is a unique hormone that should prepare a woman for the upcoming birth, he is responsible for the softening of the joints and skeleton, as well as ligaments. A clear sign of increased production is pain in the joints during late pregnancy, including in the elbows, knees, and shoulders.
- A serious increase in body weight, and therefore excessive stress on all joints, muscles, ligaments. Starting from the 36th week of pregnancy, the patient may swell, her joints are experiencing increased stress, and therefore begin to get very sick.
- Lack of vitamin D. This can lead to unpleasant sensations in mobile joints.
Serious psychological stress during gestation can also have a negative impact. After changing the mass and shape of the body, women may complain that their joints hurt during pregnancy. If after inspection and diagnostic studies have not been identified reasons, we can talk about depression. She may well be the companion of the last months of pregnancy and even the postpartum period. That is why you can also meet patients who have sore knees after pregnancy. This is due to the changes that are made in the life of a young mother.
Among the most frequent pathological processes are:
- Symphysis - inflammation in the pubic joint. This condition can be caused by excessive release of relaxin and serious injury during delivery.
- Carpal tunnel syndrome. You can talk about it when the fingers of the hands hurt the joints of a pregnant woman. This condition can begin in the second trimester.
- Systemic diseases, which include autoimmune diseases. This is a condition where the body, for some unknown reason, begins to produce antibodies to the cells of its own body. This leads to the defeat of various organs, but vessels and joints are often the first to suffer.
- Injuries - bruises, sprains, fractures during childbearing - this is a nuisance that may cause the future mom to complain that her knee is hurt during pregnancy or another injured joint.
The cause of trouble can also be arthrosis - a condition characterized by degenerative changes.
There are other causes and diseases, the activation of which leads to complaints that during or after pregnancy the joints ache.
If the pains torment the future mother, you should not endure them. It is necessary to decide with the doctor what to do if the joints ache during pregnancy. The features of the upcoming procedures, as well as the therapy, will depend on the patient's condition, as well as the results of her complete examination. If you have to fight arthritis, therapy should be carried out under the supervision of a physician.
You should make an appointment after visiting your supervising doctor, who will recommend a specialist.
Ointments and creams
When making a diagnosis of "symphysitis" will require treatment with a special bandage. The doctor also prescribes potassium preparations. Healing ointments and gels of standard composition cannot be prescribed. Instead, funds can be used on natural ingredients, including those with a barn or sabelnik in the composition. However, the doctor will make a decision on such therapy along with the gynecologist who is observing the pregnancy.
Can be used and folk remedies, including self-created ointment on the basis of clover and butter.
One share of the plant needs 2 shares of oil. To treat the problem in this way, you need to apply compresses on the sore spot.