Female postpartum body undergoes a series of physical changes.This consequence of certain changes in the female body can be certain complications.Sometimes the post-partum period is accompanied by a feeling of discomfort and pain in the pubic area.Such feelings may be intensified during the climb out of bed, change position, walk the stairs.It is also possible the emergence of edema pubis and a sort of "duck" gait.The presence of these symptoms can often indicate a disease called "symphysis".
details on the pubic symphysis after childbirth
Formed by two female pelvis bone pelvic bones on the sides, behind - the sacrum.Front hip bones are connected to the pubic connection - symphysis, behind - they connect the sacroiliac joint.Both are connected to the pubic bone fibrous cartilage disc - a fusion of them was called the pubic symphysis.In the center of the seam is the articular cavity in the form of a slot filled with joint fluid.Strengthened by the symphysis ligament promoting greater strength of th
Pubic symphysis - polusustav, having a very limited range of motion.The width of the symphysis (the distance between the pubic bones) in the normal state can be up to 1 cm. In front pubic symphysis pubis is lined with fat and ligaments, which raises the clitoris.Under the symphysis below are vessels and nerves.Behind it is located the bladder and urethra.
What is symphysis in the postpartum period?
symphysis (lat. - Symphysit) - inflammation of the pubic symphysis.This name is common for damages and changes in the symphysis pubis.Usually appear and manifest these changes is during pregnancy, childbirth or in the postpartum period.Pathological changes in the joints of the pelvis during pregnancy, the postpartum period are referred to medical sources and simfiziopatiey sakroileopatiey, arthropathy pregnant simfizitom, divergence or breaks the symphysis pubis.At the characteristic pathologies of the joints of the pelvis during pregnancy and the postpartum period is recommended by many authors use the definition of the symphysis pubis dysfunction.
Possible causes simfizita during pregnancy and after childbirth
in the ovaries and the placenta during pregnancy there is a development of relaxin, which is provided by the action of specific relaxing effect.The combined effect of female sex hormones, relaxin leads to swelling of the articular cartilage and ligaments, with the introduction of additional slots in the joints filled with liquid.The consequence of this problem is to enhance mobility in the joints of the pelvis, between the bones that make up each composition, the distance increases.These changes are particularly pronounced in lonnom junction where increased blood flow is increased swelling and loosening of all ligamentous apparatus.
Such changes lead to the expansion of the symphysis pubis by a few millimeters.With moderate softening of the joints of the pelvis with concomitant stretching symphysis pubis will promote favorable conditions for the passage of the baby through the pelvis bone.Such changes can sometimes go over the physiological limits.In this situation, the relaxation of the joints of the pelvis is excessive, resulting in pain and danger of overstretching even rupture during childbirth.
pain appearing after birth may be the consequence of a traumatic birth (the excessive dilution of the hips at birth, forceps and so on. Perhaps too significant discrepancy symphysis pubis, with a movable symphysis, very extensible ligaments, which is why there is a threat simfizita.
Signs simfizita during pregnancy and childbirth
For simfizita characteristic of many of the signs and symptoms of the problem. Among the most characteristic note:
emergence of pain in the pubic area, "shooting" pain.
Painwhile walking, pain with abduction hip, changes in posture, the appearance of pain in all movements.
pain that renders in the groove, in the abdomen, in the back, crotch, leg or thigh.
pain while standingone leg, bending forward, when climbing or descending stairs, rising from a chair, turning in bed.
pain that is relieved by rest.
crackling, clicking or grinding, which can be heard on palpation womb.
problems with defecation.
possible emergence of pain immediately after birth or within 24 hours.
diagnostic methods simfizita
simfizita Diagnosis is made using special methods (computer tomography, X-ray technique, ultrasound, magnetic resonance imaging) to determine the degree of stretching of the symphysis, eliminating the gap symphysis pubis and the other possible diseases.
Ultrasonography reveals the state of the symphysis.It is used in the investigation of the symphysis pubis after childbirth computed tomography.Through magnetic resonance imaging (MRI) is possible assessment of bone status symphysis, soft tissue.
addition to stretching the symphysis pubis, it is necessary to distinguish between the symphysis pubis and gaps, often arising during childbirth.To identify simfizita made differential diagnosis with certain diseases:
urinary tract infections.
femoral, inguinal hernia.
lumbago (Acute pain).
thrombosis of the femoral vein.
Sciatica (pain caused by irritation of the sciatic nerve or lesion).
pelvis infection (syphilis, osteomyelitis).
pressure nerve (in particular, damage of the intervertebral disc).
also recommended consultation with traumatologist orthopaedist, neurologist, radiologist, surgeon, physiotherapist and other specialists.This condition is essential, given the complexity of the detection of the disease because of its symptoms, which in many ways resemble the above disease.
There are 3 degrees of divergence pubic bone:
first degree - width difference pubic bone is 5-9 mm.
2nd degree - the difference in the 10-20 mm.
3rd degree - more than than 20 mm.
Among simfizita symptoms may be mild discomfort and a sense of unbearable pain.Usually, pregnant women and new mothers in the first degree of divergence pubic bones do not complain.Identify the difference pubic bone can only palpation and symphysis pubis according to a detailed survey.Confirm the diagnosis may be due to X-ray, ultrasound.
Treatment of first-degree difference symphysis pubis is usually not required.Pain in the sacrum, in symphysis, difficulty walking are a sign of second-degree difference pubic bone.The third degree is accompanied by the most severe symptoms.Including mothers celebrate the emergence of significant pain in the pubic area and the sacrum (the sacroiliac joint), the inability to make active movements in the lower limbs, turning over on his side.
methods of treatment simfizita
To treat symphysis recommended restriction of motor activity, using a band that captures the hip trochanter.Sometimes used canes, crutches or even a wheelchair.Analgesia provided by paracetamol to relieve pain after childbirth, used anti-inflammatory drugs and opiates.
also used percutaneous electroneurostimulation, with ice or external heat, performing massage.Bed rest combined with exercise.In the treatment of postpartum simfizita used vitamins B, calcium supplements.
If you get rid of the pain can not, need help of competent professionals.Including called to consult a doctor-osteopath.Recommendations osteopath on medical gymnastics complexes contribute to a significant improvement in the state of postpartum women.