Quite often, doctors reveal symphysitis in women who have given birth. This pathology causes numerous uncomfortable symptoms in a woman, which seriously disrupt her usual lifestyle. Without treatment, this disease can have a rather unfavorable course.
About the pathological condition
The inflammatory process that occurs in the joints between the pubic bones of the pelvis leads to the development of a pathology called symphysitis by specialists.
This disease occurs quite often in women after childbirth.
Doctors identify a lot of reasons leading to the development of this pathology in women who have given birth. The severity of the arising violations can be different. This largely depends on the initial state of the woman, as well as the structure of her pelvis and the size of the baby.
Some hormones that appear in a woman's body lead to the development of adverse symptoms in this disease. Relaxin is one of these "provocateurs". This substance contributes to excessively strong mobility of the bones and joints of the pelvic region.
In some cases, this pathology can be displaced. In each case, an individual doctor's approach is required in order to select the necessary treatment regimen... So, the tactics of therapy for 1 degree of functional disorders will differ significantly from that used in severe cases of the disease.
In the next video, one of the mothers will tell her experience of overcoming symphysitis after the first birth.
The main symptoms
The development of pathology occurs gradually. Reviews of many women who developed symphysitis after childbirth indicate that the severity of their first symptoms was insignificant. Then the adverse clinical signs began to progress.
Often women with this pathology complain about the appearance of pain in the area of the pubic articulation.
Pain syndrome is initially mild, insignificant. Over time, it usually begins to grow. Soreness in this case already spreads to other anatomical zones of the pelvis.
Initially, pain in the womb occurs only when making any active movements. As the pathology develops and progresses, it begins to manifest itself in a calm state, as well as in a horizontal position.
With severe pathology, a woman notes that she has pain syndrome when performing ordinary household activities.
Increased pain in the affected area leads to the fact that the woman begins to be forced to change her gait. This is called duck walking. This is a compensatory reaction of the body to the appearance of pain. Soreness in the pelvic area contributes to the fact that the woman begins to walk with a limp or a little waddling.
A change in body position also contributes to an increase in pain. This is due to the peculiarities of the innervation of this anatomical region. So, the pain can intensify when bending over to lacing the boots or when climbing stairs.
If the pathology is already strong enough, pain syndrome can appear even when turning in bed... It can also lead to involuntary difficulty falling asleep and sleep disturbance.
How long does it take?
Adverse symptoms of the disease can persist for a long time. It depends on the initial state of the woman.
The stronger the damage and inflammation, the longer the illness lasts.
Adverse symptoms may take several months to resolve. Average, improvement in well-being occurs in 3-4 months from the start of treatment. For some women, it takes six months or more to normalize the condition.
Effects
The danger of this pathology is that it can lead to the development of disorders in the work of the musculoskeletal system. Frequent manifestation - gait disturbance... Severe pain syndrome can even lead to the development of lameness or forced limitation of the range of movements performed.
In the absence of treatment, the pathological condition can progress. This will increase the pain syndrome. Limiting the range of movements performed in one area leads to a violation of the static and supporting function of the entire spinal column. Over time, this situation will contribute to the development of various pathologies in other parts of the spine.
The inflammatory process in the womb can contribute to the development of pathologies of the urinary system... Such complications are found in some women with symphysitis. Their treatment requires a mandatory consultation with a urologist and the selection of drug therapy.
How to treat?
A comprehensive approach is used to eliminate the adverse symptoms of this disease. The combination of several therapeutic methods at once allows for better results.
Also, a complex effect helps to achieve a positive effect in a much shorter period of time. For the duration of the treatment of this pathology, a sick leave is issued.
Before the doctor develops a scheme for the necessary therapy, he always directs the woman to undergo diagnostics.
This is necessary in order to determine the cause that led to the development of adverse symptoms, as well as to identify the presence of possible traumatic injuries to the pelvic region.
So, the method of the therapy regimen will be different if a woman has tears or tears of the ligaments. In this situation, the duration of treatment also increases. It may take several months for you to feel better.
Drug treatment
The selection of medicines is carried out by a doctor. To do this, he assesses the general condition of his patient, and also determines whether she has contraindications in connection with the existing chronic diseases of internal organs.
Multivitamins enriched with B vitamins, magnesium, calcium can reduce pain syndrome... Such drugs are usually prescribed for long-term regular use.
In most cases, vitamin supplements are prescribed by a doctor in tablets. However, in some situations, it is possible to prescribe injectable forms. As a rule, preparations of B vitamins are administered in this way.
Antibacterial drugs are prescribed strictly for medical reasons. You cannot take antibiotics at home on your own in the absence of a doctor's recommendation.
This can lead to a disruption in the course of the disease, as well as provoke the development of dangerous side effects.
Pain relievers can be used to relieve pain. When taking them, it is very important to remember that they have contraindications and side effects. It is undesirable to use painkillers constantly. Better to do it "on demand" - in the event that pain occurs. The possibility of a longer admission must be discussed with the attending physician.
Exercise and remedial gymnastics
This pathology requires the limitation of intense physical activity. You should also not lift weights. This can lead to a significant increase in pain syndrome.
To reduce pain and improve the general well-being of a woman, special methods of therapeutic gymnastics are used. Such exercises have a positive effect on the bosom area, leading to an improvement in blood flow in this area and a decrease in pain.
Such exercises are carried out, as a rule, in the presence of a physiotherapy specialist. They are aimed at strengthening the muscles of the pelvic region and lower back.... The specialist also gives recommendations to a woman for self-study at home.
It is important to remember that if the pain syndrome only progresses during exercise, then this is a reason to see a doctor... Perhaps the scheme of physiotherapy exercises in this case was not chosen quite correctly and requires correction.
In addition to physical exercises for stretching and strengthening the muscular apparatus of the pelvis, breathing techniques are also carried out. They help to improve the blood supply to the damaged area, and also reduce the severity of hypoxia (oxygen starvation) of the internal organs.
The combination of breathing practices and physical exercises usually achieves more effective and long-term results.
Orthopedic products
The use of such technical means can reduce the severity of pain. The convenience of using them also lies in the fact that they can be worn at home.
Before choosing an orthopedic product, it is very important to first consult a doctor... The doctor will also help a woman determine the required size and other parameters of such a device.
To reduce the severity of the resulting functional disorders, doctors often recommend wearing a postpartum brace, which helps to significantly relieve the pelvic region after childbirth.
In some situations the doctor may recommend wearing a corset, the use of which is mandatory when performing any physical activity. This will significantly reduce the static load on the spinal column and relieve the pelvis.
Slightly reduce pain in the spine and womb an orthopedic mattress will also help... During sleep on it, the spinal column is in a more favorable functional position. This leads to the fact that the pain in the lumbar region and pelvis is somewhat reduced.
Helper methods
In order to improve the process of regeneration (repair) of damaged tissues, doctors may prescribe physical therapy. Such methods reduce the severity of the inflammatory process, improve blood flow, and also normalize the general condition of the woman.
One of the methods of physiotherapy for this pathology is ultraviolet irradiation (UFO).
It may take 10-15 procedures to normalize the condition. Course physiotherapy is carried out, as a rule, against the background of drug treatment and other methods. This allows for better results.
It is also possible to improve blood supply in the damaged area with the help of some heat and light physiotherapy techniques. UHF therapy and magnetic therapy can be prescribed as treatment.... The frequency of procedures is determined individually. In some situations, several courses of physiotherapy are required to achieve a therapeutic effect.
It is very important for women who suffer from symphysitis to monitor their weight.... So, obesity will contribute to an increase in pain syndrome. This is due to the increased load on the pelvis due to excess fatty tissue on the abdomen and buttocks.
Obesity can also contribute to the formation of pathologies in the work of the hip joints. These combined diseases usually have a worse prognosis and are treated for a longer time.
