Low Back Pain & Sciatica while pregnancy – rehabilitation
Unfortunately, low back pain or sciatica is a fairly common complaint while pregnancy, with in the middle of 50% and 80% of women suffering from this complaint. However, although this problem can be difficult to treat, it should never be proper as being ‘a part of pregnancy’. There are right on measures which can be taken to try and decree this problem.
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In order to treat those suffering with low back pain or sciatica while pregnancy, we need to address the change in curvature of the spine and also any muscle imbalance present. These two causes, along with hormonal changes, are discussed in my narrative “Low Back Pain & Sciatica while Pregnancy… Why?” The remainder of this narrative will look at how to treat the pain you may be currently suffering with.
Exercises
The aim of the following exercises are two fold:
1) “Reverse the Curve” When pregnant, the tendency is for your back to arch transmit and increase the transmit curve of your lower back. This places increased stresses across the surfaces of the facet joints. The exercise below will encourage your lower back & pelvis to move in the opposite direction. This will take the pressure away from the sensitive structures and encourage the pain to settle.
2) Strengthening. In order to ‘Reverse the Curve’, you will need to work your abdominal muscles. This will therefore help strengthen them. Increasing the stability of your abdominal muscles will help to prevent your back from over arching, therefore helping to take pressure from the facet joints as mentioned above.
3) Stretching. Once again, by spirited your lower back & pelvis in order to ‘Reverse the Curve’ the structures in the lower back which will be tightening due to the increased arch, will now be stretched out. This will further decrease the stresses being located across the sensitive structures in you lower back.
Exercise One: Posterior Pelvic Tilt
A good exercise for this is to lie on your back on the floor with your knees bent. The aim is then to flatten your back into the floor with a ‘back & downwards’ rotation of your pelvis.
If you find this difficult, you can try using your heels and lowest muscles to help out. As you exertion to flatten your lower back into the floor gradually tighten your buttock/gluteal muscles while very gradually pushing through your heels.
Exercise Two: Four Point Kneeling Stretch
Placing yourself on all fours, with your knees roughly under your hips and hands below your shoulders, gradually arch your back up towards the ceiling. Having done this, gradually lean backwards as if to sit on your heels. While doing this, you may feel a stretch in your lower back area, further up your back towards your shoulders or down towards your buttocks and even upper leg. As long as it is only a stretch you are feeling and not pain, this is no problem.
Nb None of the exercises given above should aggravate your pain. If they do, either ease off a tiny or temporarily stop doing them altogether until your pain settles a tiny more.
General Advice
As I alluded to above, the main problem with Low Back Pain and Sciatica while gravidity is typically the increased arch in the lower back. Therefore, other guidance which may help is as follows.
Abdominals: tiny and often while walking gradually tighten your stomach muscles for a few seconds (5-10) and then relax. The abdominal muscles are a vitally foremost muscle group when it comes to providing stability for the lower back. Therefore if you can tighten them tiny and often, it can help to prevent the transmit tilting of your pelvis.
Footwear: Not that I can dream many pregnant ladies walking colse to in high heels, but nevertheless, as a rule of thumb the smaller the heel the better. This is because a high heel will tend to lean you forward, which in turn is compensated for by leaning backwards from the lower back. This movement places increased pressure upon the facet joints which are a inherent sauce of your pain.
Sleeping Position: You may well find that sleeping becomes difficult when pregnant, especially towards the last trimester when you are becoming significantly larger. It is likely that the best position for you to sleep in is side lying, with either a pillow in the middle of your knees, or the position I feel is better, your lowest leg straight and top leg supported by pillows.
Nb As always be guided by what you body tells you. Although this may sound a tiny flippant, the best position for you to sleep in is the one which gives you the best nights sleep and where you wake feeling most comfortable in the morning.
Support Belt: My personal caress given by feedback from patients is that these are a bit ‘hit & miss’. The aim is to support both the back and your ‘baby bump’ therefore taking pressure from your lower back. They have worked well for some and yet others have gained no benefit.
For further facts and diagrams on the two exercises given above and the recommended sleeping position, use the link http://www.spinal-health-care.com/index.php?page=pregnancy
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