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All about Post Pregnancy Lumbar Lordosis Pain

Pregnancy is a stage of immense biological change during which every system of the body is affected. These natural changes during pregnancy and after delivery impact the connective tissues and pelvic floor muscles usually causing pain and discomfort for women either during pregnancy or after birth.

Origin of Lumbar Lordosis in Pregnancy

Pregnant women occasionally develop postural deformities normally associated with physical and hormonal changes during pregnancy. The changes include kyphosis and lordosis.

Kyphosis is a spinal disorder in which an excessive curve of the spine results in an abnormal rounding on the upper back around the thoracic region. In pregnant women, this comes as a result of the enlargement of the breast.The gravitational pull exerted on breast will tend to pull the thoracic spine in front hence a curvature on the upper back which is referred to as kyphosis.

Lordosis is also a spine disorder which is associated with an excessive inward curvature of the spine. In pregnant women, lordosis comes as a result of an increment in the size of the uterus which normally shifts the body’s center of gravity anteriorly. The shift of the center of gravity will result to an anterior pelvic tilt which will result to a lumbar lordosis.

Lordosis normally depends on the pregnancy trimesters.

Causes of Post Pregnancy Lumbar Lordosis Pain

After delivery, approximately 40% of women have a diastasis rectus. This condition causes low back pain, pelvic organ prolapse and stresses urinary incontinence due to the division of the abs from their central tendon. Plus, 15% of women with pregnancy-related pelvic girdle pain during pregnancy remain in pain after delivery. Another 10% of first-time moms experience severe pelvic floor muscle pain after a normal pregnancy or childbirth.

Symptoms of Post Pregnancy Lumbar Lordosis

Perineal pain

It’s a common symptom in postpartum women who are recovering from an episiotomy or those who tear during childbirth. Furthermore, tight pelvic floor muscles will cause a few women to experience constant perineal pain, even when their wound has healed.

Urinary difficulties

Urinary incontinence causes women to leak urine when they run, sneeze or cough. Other women experience a sudden or frequent need to urinate even though their bladder is empty. Some are incapable of emptying their bladder when urinating or even start the flow of urine at will.

Pelvic pain

After childbirth, some women have pain during sex for many months or even years. While others have chronic vulvar pain, itching or burning and discomfort during bowel movements.These signs are usually as a result of tight pelvic floor muscles which can lead to painful nerves and tissues.

Anal incontinence

This is the condition that affects many women after birth that results in poor bowel movements or gas.

Evaluation

After new moms have been cleared to resume sex and exercises, it is vital for the physical therapist to evaluate their pelvic floor. This kind of early intervention can ultimately enable new moms to return to functional and active lives plus help address any concerns while possibly preventing future pelvic floor dysfunction.

During postpartum, a physical therapist will first take an extensive medical history of the patient. The physical therapist will then conduct a thorough internal and external musculoskeletal examination.

Investigations for Lumbar Lordosis

  • X-ray
  • MRI scan
  • Bone scan
  • CT scan

Treatment for Lumbar Lordosis

When a patient is experiencing a lot of discomforts, then enrolling for a physical therapy program at Prime Physiotherapy Services with manual, hands-on techniques and individualized home exercise programs under the guidance of a professional therapist is the way to go.

The program is aimed at strengthening of the weak abdominal muscles and flexibility to increase the range of motion. With time and through consistency the weakened abdominal muscles will gain strength.

That way, they will counter the strong back muscles and create a balance in posture thus reducing the exaggerated back curve {sway back} and the patient will resume a normal lifestyle. You will not need to deal with chronic back pain anymore.

Some of the physiotherapy services include:

Scar mobilization for episiotomy, Cesarean section, and other vaginal scars: During intercourse, scar tissue can generate continuous pain and lead to discomfort and pain. Besides, scars from a C-section can add to urgency/frequency of the physiotherapy sessions upon evaluation and recommendations by your doctor.

Musculoskeletal Examination: This includes an evaluation of structure, tissue, muscles, and manual assessment of the pelvic floor muscles. The physical therapy will identify problematic scar tissue and muscles and develop a treatment plan based on the findings.

Manual PT for pain with vaginal penetration or intercourse: Tissue hypersensitivity around the incision is as a result of post vaginal delivery that creates tightness in a traumatized muscle in and around the pelvis or myofascial trigger points. The physical therapist will work to eliminate myofascial trigger points, normalize pelvic floor muscle condition and reduce tissue hypersensitivity with manual techniques that can successfully resolve pain with vaginal penetration or intercourse.

Diastasis Recti Examination: Specific exercises are given to patients suffering from diastasis recti to correct the problem. Exercises such as Pilates, yoga or even standard exercises can worsen this problem and should only be practiced after the diastasis recti is addressed.

Pelvic Floor Muscle control exercises and practice to manage urinary incontinence: A recent study shows that almost 50% of women could not perform a Kegel correctly with verbal cueing alone. And 20% of the women were performing the attempted Kegel in a practice that could improve incontinence. Treating incontinence demands training in other vital exercises and proper Kegel instruction to eliminate the problem.

Final Thoughts

You should always seek treatment if you’re experiencing post pregnancy lumbar lordosis pain that conflicts with your day to day tasks. Much of your mobility, flexibility and daily activities depend on the health of the spine. Your physical therapist will offer options for managing the excess curvature. Treating Lumbar Lordosis now can help prevent complications later in life, such as chronic back pain and arthritis.

Don’t put up wit back pain that affects your normal daily functions. Post pregnancy lumbar lordosis is a manageable condition only if you are in the right hands. Contact Prime Physiotherapy Services today and start your healing journey.

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