Postpartum Spine Pain: Causes and Treatment Options

Spinal pain

Hello Doctor: After giving birth, I have recently noticed that my spine often hurts, specifically in the area about 5 centimeters below the bra line.
It also hurts when I press on it with my hand, and the pain level is similar to that of a bruise.
I am unsure what this symptom could be.
Which specialty should I consult? Thank you!

G, 20~29 year old female. Ask Date: 2000/10/02

Dr. Lin Zhaopei reply Obstetrics and Gynecology

In general, postpartum pain is often related to the method of delivery and anesthesia used.
Vaginal delivery typically allows for quicker recovery and less pain; however, discomfort may occur due to tearing, particularly in the perineum and anus.
In the case of cesarean delivery, abdominal fascia and peritoneum are incised, leading to postoperative abdominal pain that can sometimes last for a month.
Pain in the spinal region or bruising is often associated with spinal anesthesia or epidural analgesia during cesarean sections, especially in obese mothers where spinal anesthesia can be more challenging, resulting in a higher incidence of pain.
It is recommended that this mother consult a rehabilitation specialist for therapeutic intervention.

Reply Date: 2000/10/02

More Info

Postpartum spine pain is a common issue that many women experience after childbirth. The pain you are describing, located just above the waistline and exacerbated by pressure, could be attributed to several factors related to the physical changes that occur during pregnancy and childbirth.

Causes of Postpartum Spine Pain
1. Hormonal Changes: During pregnancy, the body produces relaxin, a hormone that helps to loosen ligaments in preparation for childbirth. This can lead to instability in the spine and pelvis, resulting in pain.

2. Postural Changes: The physical demands of carrying a baby and the changes in body weight distribution can lead to poor posture. This can strain the muscles and ligaments of the back, causing discomfort.

3. Muscle Weakness: Pregnancy can weaken the core muscles that support the spine. After delivery, if these muscles are not properly strengthened, it can lead to back pain.

4. Injury or Trauma: The process of childbirth can sometimes lead to injury, particularly if there were complications during delivery. This can result in localized pain in the spine.

5. Myofascial Pain: This type of pain arises from muscle tension and trigger points in the back muscles, which can be exacerbated by the physical stress of caring for a newborn.

Treatment Options
1. Physical Therapy: A physical therapist can help you strengthen your core and back muscles, improve your posture, and teach you proper body mechanics to reduce strain on your spine.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain. However, it’s essential to consult with your healthcare provider before taking any medication, especially if you are breastfeeding.

3. Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold packs can reduce inflammation. Alternating between the two can be beneficial.

4. Massage Therapy: A licensed massage therapist can help relieve muscle tension and improve circulation in the affected areas.

5. Chiropractic Care: Some women find relief through chiropractic adjustments, which can help realign the spine and reduce pain.

6. Exercise: Gentle exercises, such as walking or postpartum yoga, can help improve flexibility and strength. Always consult with your healthcare provider before starting any new exercise regimen.

7. Ergonomic Adjustments: Make sure that your sleeping and sitting arrangements are supportive. Using pillows for support while sitting or lying down can help alleviate pressure on the spine.

When to Seek Medical Attention
If your pain persists or worsens, it is crucial to consult a healthcare professional. You may want to see a primary care physician, an orthopedic specialist, or a physical therapist who specializes in postpartum care. They can provide a thorough evaluation and recommend appropriate treatment options tailored to your specific needs.

Conclusion
Postpartum spine pain can be a challenging experience, but understanding the potential causes and treatment options can help you manage your symptoms effectively. It’s essential to listen to your body and seek professional help if the pain does not improve with self-care measures. Remember, you are not alone in this journey, and many women experience similar issues after childbirth. With the right support and treatment, you can find relief and regain your strength.

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