Pregnancy-related herniated disc compressing nerves?
Hello Doctor, I am currently 17 weeks pregnant and experiencing severe pain due to nerve compression, making it difficult to walk or sit, so I can only stay in bed at home.
I underwent an MRI, which confirmed a herniated disc in my lumbar region.
The orthopedic and rehabilitation doctors suggested that due to my pregnancy, surgery is not an option, and I should start rehabilitation to improve my condition.
However, the orthopedic doctor believes that lumbar traction can be performed, as long as it is not too heavy, and it may help gradually reduce the herniation.
On the other hand, the rehabilitation doctor is not very supportive of performing traction during pregnancy and has only recommended heat therapy and electrical stimulation, which have not been very effective.
I would like to ask you if lumbar traction can improve a herniated disc? Is it really not advisable for pregnant women to undergo traction? Thank you.
Yu, 30~39 year old female. Ask Date: 2022/07/25
Dr. Li Yanheng reply Rehabilitation
It is generally advised that pregnant women should not undergo lumbar traction.
Reply Date: 2022/07/25
More Info
Managing herniated discs and nerve compression during pregnancy can be quite challenging due to the physiological changes that occur in a woman's body. As you are currently 17 weeks pregnant and experiencing significant pain due to nerve compression from a herniated disc, it is essential to approach your situation with caution and care.
Firstly, it is important to understand that during pregnancy, the body undergoes various changes, including hormonal shifts that increase the elasticity of ligaments and changes in posture due to the growing belly. These factors can exacerbate existing conditions like herniated discs and lead to increased nerve compression, resulting in pain and discomfort.
Given your situation, the recommendations from your orthopedic and rehabilitation specialists are crucial. While some practitioners may suggest traction therapy for herniated discs, it is generally not recommended during pregnancy. This is primarily due to the potential risks involved, including the possibility of exacerbating the condition or causing additional strain on the body. Traction can sometimes lead to increased discomfort, and the safety of both the mother and the fetus must always be the priority.
Instead, non-invasive and conservative management strategies are typically advised. Here are some methods that may help alleviate your symptoms:
1. Physical Therapy: Engaging in physical therapy tailored for pregnant women can be beneficial. A physical therapist can guide you through safe exercises that strengthen the muscles supporting your spine, improve flexibility, and promote better posture. This can help reduce the pressure on the affected nerves.
2. Heat and Cold Therapy: Applying heat to the affected area can help relax tense muscles and improve blood flow, while cold therapy can reduce inflammation and numb sharp pain. Alternating between heat and cold can provide relief.
3. Gentle Stretching and Yoga: Prenatal yoga or gentle stretching can help maintain flexibility and reduce tension in the back. However, it is crucial to consult with a qualified instructor who specializes in prenatal yoga to ensure that the exercises are safe for your condition.
4. Rest and Positioning: Adequate rest is vital. Finding comfortable positions that relieve pressure on your back can help. Using pillows for support while lying down or sitting can alleviate discomfort.
5. Medication: While many medications are off-limits during pregnancy, some options may be available. Always consult your healthcare provider before taking any medication, including over-the-counter pain relievers.
6. Chiropractic Care: Some women find relief through chiropractic adjustments, but it is essential to seek a chiropractor experienced in treating pregnant patients. They can use gentle techniques to help align the spine without putting undue stress on the body.
7. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall health and potentially reduce inflammation.
8. Consultation with Specialists: Regular follow-ups with your obstetrician and possibly a pain management specialist can help monitor your condition and adjust your treatment plan as needed.
In summary, while traction may seem like a viable option for herniated discs, it is generally not recommended during pregnancy due to potential risks. Instead, focusing on conservative management strategies, including physical therapy, heat and cold therapy, gentle stretching, and proper rest, can provide relief. Always consult with your healthcare providers to tailor a plan that is safe and effective for your specific situation. Your comfort and the health of your baby are paramount, so prioritize open communication with your medical team throughout your pregnancy.
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