Physicians pointed out that the increase in abdominal circumference during pregnancy, excessive labor during labor damages the kidney qi, excessive postpartum hemorrhage, or accidentally catching cold during confinement will lead to damage to the veins.
(The picture is taken from photoAC)
[Reporter Wu Liangyi/Taipei Report] After giving birth to her second child, Ms. Huang had unbearable pain in her lower back. It was uncomfortable to lie, sit, or stand in a fixed position for too long. Moreover, her lower back pain intensified during her second pregnancy. Physical examination revealed that Ms. Huang's pelvic Dislocation, the lumbar spine is slightly forward, the diagnosis is that there is a problem with the veins in the meridians of traditional Chinese medicine, and the pelvic muscles are loose after delivery.
Zeng Shiting, a doctor of orthopedics and traumatology at Chang Gung, Kaohsiung, pointed out that during pregnancy, the fetus in the woman's abdomen grows gradually, and the waist will move forward, so she often suffers from backache and abdominal distension. The enlarged uterus during pregnancy will also expand the pelvis. If the pelvis is misaligned and incompletely expanded, it is easy to have symptoms such as sciatica, unilateral foot numbness and weakness.
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She pointed out that during the production process, oxytocin promotes contraction of the uterus, micro-expansion of the pelvis to open the pubic symphysis, the pelvis is more open, and the expansion of the lower birth canal can produce a smooth delivery.
During the second stage of labor, if the baby's head is down, if the labor process is too fast or too slow, it will also affect the mother's tailbone. Therefore, many mothers will have lower back and pelvic pain problems after giving birth.
In 2020, the journal "Musculoskeletal Science and Practice" also pointed out that risk factors such as more than 2 births, body mass index greater than 25 before pregnancy, frequent weight bearing during pregnancy, and depression during pregnancy, etc., have a higher probability of postpartum low back pain.
Zeng Shiting said that according to the meridian theory of traditional Chinese medicine, there are bladder meridian, kidney meridian or governor meridian in the back belt meridian, and it may also be that the belt meridian is out of order.
The belt vessel surrounds the waist, which is roughly where the belt is tied. It tightens all the straight meridians and has the function of "consolidating all channels". For women, it also has the function of protecting the fetus and taking care of the belt.
Pregnancy due to increased abdominal circumference, excessive labor during labor damages the kidney qi, excessive postpartum bleeding, or accidentally catches cold during confinement, which will cause damage to the belt veins and cause pain between the waist and spine.
Therefore, postpartum low back pain is mostly due to slack veins and insufficient liver and kidney. Traditional Chinese medicine needs to be based on nourishing liver and kidney qi, such as Eucommia, donkey-hide gelatin, and Polygonum multiflorum.
Zeng Shiting said that the traumatology department can use manipulation to return the pelvis and lumbar spine, massage and massage to benefit the waist and kidneys, increase the power of the two vessels of Rendu and Du and the liver and kidney, and then increase the force of the waist and abdomen with the pulse belt, so as to increase the strength of the waist and abdomen to treat lower back pain. back pain.
She also mentioned that women with low back pain and pelvic pain during pregnancy or postpartum who have received osteopathic treatment within 3 months of postpartum experience better pain than those who did not receive it, and the pain score can be improved by about 50%.
If intensive treatment can be performed during the critical period of pelvic involution at 3.6 months postpartum, lower back pain and mobility can be significantly improved.
She also reminded postpartum women not to stand and squat for a long time and lift heavy objects within 3 months, these will affect the back muscles and pelvic ligament muscles, and do not use waist corsets for a long time, which will easily lead to Weakness of the lower back muscles makes lower back pain more likely later on.
She suggested that home exercises can stretch the lower back muscles and train the core muscles to relieve lower back pain. The simplest core exercises are Kegel exercises, bridge poses and squats.
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lower back pain
pelvic muscle relaxation