Chronic Back Pain After Childbirth and Pediatric Urinary Reflux Concerns - Rehabilitation

Share to:

Low back pain ## Ureteral reflux


Since giving birth, I have been experiencing chronic lower back pain, often waking up in pain in the morning.
I have consulted many traditional and Western medicine practitioners, but nothing has helped.
My child is now 2 years old, and I am still in pain, especially when lying down.
I have previously injured my coccyx, which has caused it to be misaligned; could this be the reason for my pain, or is it due to not properly recovering during the postpartum period? Would physical therapy help?
Regarding my son's condition, he underwent surgery for vesicoureteral reflux, but our insurance does not cover it, as the insurance company considers it a congenital condition.
Is this type of condition truly always congenital? Additionally, if my child needs a sensory integration evaluation, should we see a rehabilitation specialist?

A Fang, 20~29 year old female. Ask Date: 2004/03/15

Dr. Guan Zaoxiang reply Rehabilitation


Hello Ah Fang:
Regarding your first question, there are many possible causes for lower back pain after childbirth.
One potential reason could be that your coccyx has been impacted and is misaligned.
Another major cause could be postpartum herniated discs or other conditions.
I recommend that you visit a major hospital's relevant departments (such as Orthopedics, Neurology, Neurosurgery, or Rehabilitation) for further examination.
A more definitive diagnosis will help determine the effectiveness of treatment.
For your second question, which is also about diagnosis, if your son has already undergone surgery, please directly ask the surgeon for a detailed diagnosis.
There are many causes for urinary reflux, and it is essential for the surgeon to assess and confirm the specific reason based on their findings.
The third point may not be considered a question.
Sensory integration assessments are conducted by the Rehabilitation department (including physicians and relevant therapists), and treatment is also provided in the Rehabilitation department, so it is indeed appropriate to consult with Rehabilitation.

Yun Medical Rehabilitation Department, Guan Zhaoxiang.

Reply Date: 2004/03/15

More Info


Chronic back pain after childbirth and concerns regarding pediatric urinary reflux are two significant issues that can affect both mothers and their children. Let’s address each of your concerns in detail.


Chronic Back Pain After Childbirth
Chronic back pain following childbirth is a common complaint among new mothers. The pain can stem from various factors, including hormonal changes, physical stress during labor, and the demands of caring for a newborn. In your case, you mentioned that you have been experiencing persistent pain for two years, particularly in the morning and when lying down. This could be related to several factors:
1. Postural Changes: After childbirth, many women experience changes in posture due to the physical demands of carrying and caring for a baby. This can lead to muscle imbalances and strain on the back.

2. Injury: You mentioned a previous injury to your tailbone. If the coccyx (tailbone) was displaced or injured during childbirth or due to a fall, it could lead to chronic pain in that area, which may radiate to other parts of the back.

3. Hormonal Factors: Pregnancy causes significant hormonal changes, particularly an increase in relaxin, which can affect the ligaments and joints, making them more flexible but also more prone to injury.

4. Inactivity: After childbirth, many women may find it challenging to maintain an active lifestyle, which can lead to weakened core muscles that support the spine.

Regarding rehabilitation, physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the core and back muscles, improve posture, and alleviate pain. It’s essential to consult with a healthcare provider to develop a tailored rehabilitation plan that considers your specific condition and history.


Pediatric Urinary Reflux Concerns
As for your son’s condition, urinary reflux (vesicoureteral reflux) is often considered a congenital condition, meaning it is typically present at birth. However, it can also develop due to other factors, such as urinary tract infections or anatomical abnormalities. Surgical intervention is sometimes necessary to correct the reflux, especially if it leads to recurrent urinary tract infections or kidney damage.

1. Congenital vs. Acquired: While many cases of urinary reflux are congenital, it’s essential to understand that not all cases are purely genetic. Some children may develop reflux due to other medical conditions or infections. Therefore, it’s crucial to have a thorough evaluation by a pediatric urologist to determine the underlying cause.

2. Insurance Concerns: Regarding insurance coverage, it can be frustrating when a provider does not cover a procedure deemed necessary. It may be helpful to appeal the insurance company's decision, providing documentation from your child's healthcare provider that outlines the medical necessity of the surgery.

3. Sensory Integration Evaluation: If you are considering a sensory integration evaluation for your child, it is typically conducted by occupational therapists or developmental specialists. These professionals can assess your child's sensory processing abilities and recommend appropriate interventions if necessary.


Conclusion
In summary, chronic back pain after childbirth can result from various factors, including postural changes, previous injuries, and hormonal influences. Rehabilitation through physical therapy may provide relief. Regarding your son's urinary reflux, while it is often congenital, it can also develop due to other factors. It’s essential to work closely with healthcare providers to address both your and your child's health concerns effectively. If you have further questions or need additional support, don’t hesitate to reach out to your healthcare team.

Similar Q&A

Postpartum Back Pain: Seeking Solutions After Multiple Doctor Visits

Hello Doctor, this is a question I previously raised. I developed back pain two weeks after completing my postpartum confinement, which is six weeks after giving birth. The pain is located in the middle of my back, neither too high nor too low. I did not fall or sustain any injur...


Dr. Tao Ruiming reply Pulmonology
Hello: Various examinations indicate that there is approximately no progressive disease, and the pain should gradually diminish. Regular follow-up with chest X-rays can be performed.

[Read More] Postpartum Back Pain: Seeking Solutions After Multiple Doctor Visits


Child Experiences Back Pain While Urinating: What Parents Should Know

Hello Doctor: My child complained of back pain while urinating today, and it took her three attempts to finish urinating. Upon further questioning, I found out that she did not use the restroom at school all day, nor did she at her after-school care. She went from 7 AM until 8 PM...


Dr. Pei Rensheng reply Pediatrics
Dear Maggie: Hello, the symptoms in your child strongly suggest a urinary tract infection. Please ensure they drink plenty of water and urinate frequently. It is important to consult a pediatrician. Generally, the physician will perform a urinalysis, and if a urinary tract infect...

[Read More] Child Experiences Back Pain While Urinating: What Parents Should Know


Postpartum Back Pain: Causes, Concerns, and Relief Strategies

Hello, I have received an epidural during labor, and it has been four months postpartum. I often experience lower back pain; could this be a residual effect? Are there any ways to improve this? Occasionally, I have abdominal cramps, but not frequently; is this a concern? I had a ...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Postpartum lower back pain is common and can be improved with increased postpartum exercise. 2. If there is blood in the stool, it is advisable to consult a colorectal surgeon to determine if it is caused by hemorrhoids or other issues.

[Read More] Postpartum Back Pain: Causes, Concerns, and Relief Strategies


Postpartum Urethral Pain: Causes, Concerns, and When to Seek Help

Hello, I gave birth to my daughter on April 7, 2005, through vaginal delivery, and I underwent an episiotomy. During labor, I had a urinary catheter, and three days postpartum, I no longer felt pain at the incision site. I experienced some pubic bone pain for a day or two, but la...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Childbirth will inevitably cause some degree of pelvic muscle and ligament damage, which may result in sensations related to urination and defecation. The best rehabilitation is warm water sitz baths. 2. Both are acceptable. Hsinchu Hospital, Department of Obstetrics an...

[Read More] Postpartum Urethral Pain: Causes, Concerns, and When to Seek Help


Related FAQ

Back Pain

(Rehabilitation)

Coccyx Pain

(Rehabilitation)

Cramps

(Rehabilitation)

Chest Pain

(Rehabilitation)

Foot Pain

(Rehabilitation)

Low Back Pain

(Urology)

Infant Urination

(Pediatrics)

Post-Spinal Surgery

(Rehabilitation)

Ultrasound Therapy

(Rehabilitation)

Urination

(Obstetrics and Gynecology)