Keywords; leg pain during pregnancy, chiropractic, sacroiliac joint inflammation, infantile colic.
Lower extremity discomfort can mean anything from a joint pain, for example around the pubic bone, to groin or inner thigh pain, calf and foot tingling, and sciatica. A huge group of conditions, I hope you will agree.
The sources of pain can be vascular, muscular, joint and nerve in origin; again vast.
We'll start with the pelvis. During the last trimester of pregnancy, the body releases a hormone called relaxin that, believe it or not!, relaxes the ligaments of the pelvis. The reason is obvious. Baby has to pass through a rather small canal in the pelvis, and the three joints of the pelvis need to be able to stretch. A tight squeeze I think you'll agree.
Three joints? Yes, two identical mirror image joints near two prominent bony bumps, the sacroiliac joint anatomy, which you can feel low down in the pelvis, in the lower back. The third is where the two pubic bones meet in the front; the pubic symphysis. All three of these joints can be trouble makers, both during pregnancy and afterwards, and all of them can contribute to sacroiliac joint inflammation and leg pain during pregnancy.
Low back pain and leg pain during pregnancy is assumed by many to be inevitable, and there's nothing to be done. Accept it, it goes with pregnancy. You want to have babies? Then expect back pain.
Nothing could be farther from the truth.
In the first place every woman should and could start pelvic exercises, even before baby is a twinkle in the eye. In the planning phase, not only start thinking about a nursery, but also getting the body in shape.
The right exercises, now! Not any old exercises that may make you worse. If you sign up for our hot chiropractic tips, amongst a whole lot of other useful information, you will get some simple and safe back exercises. You'll find chiropractic tips in the navigation bar, now on the left, soon to be at the top.
I'll wait! Go click and sign up for the tips, and come back so we can
continue this saga. Meantime, I'll set up a picture of the pelvis for
you. Come back here when you are done with tips and we'll continue with
the subject of leg pain during pregnancy.
Okay. Signed up for the tips? Let's proceed. Here you can see the pelvis from the front. The sacroiliac joints are labelled, and the third joint which is called the pubic symphysis. It's in the front where the two large pubic bones meet.
Run your finger down from your navel, and the first hard bone you meet is what we're talking about. That may well be the cause of leg pain during pregnancy. And, if you ignore it, sacroiliac joint inflammation will start.
Is it tender? Here often is the source of leg pain during pregnancy. Slide your finger sideways, and deeper and lower. There are actually two pubic bones here on each side, one superior and one inferior. Here is an X-ray of the two pubic bones, or 'rami' as they are called. One pubic ramus, two rami, one superior and one inferior with a large hole in the middle.
Do you see them? You should. Both have fractures in them. Ouch.
Here's an important aside. Painful fractures are the future of every woman who won't start as a young woman taking preventative action. Your little baby is going to suck it out of you. Literally.
Three important things that every woman should do, or experience the sheer misery of osteoporosis and bone fractures. All women, including young child bearing lady, should consider the causes of osteoporosis.
3. For the rest, cow's milk remains controversial. It causes allergies; have you got a frog in your throat? It's probably milk or a milk product that's causing it. I haven't settled it in my own mind, but don't blithely accept that dairy is all good. We're just not sure. Rather take some extra calcium; the right one. Talk to your pharmacist, and ask your doctor to prescribe it for you. Calcium carbonate is quite useless.
Incidentally, if you were overweight when you fell pregnant, you have to be very careful if you want to lose weight whilst pregnant or breast feeding. Do it under a nutritionist's guidance. After the birth of your child, your milk is very rich in fat, and cutting out all fat in your diet to lose weight will have a very detrimental effect on your baby's brain.
Three pecan nuts a day, ground flaxseeds, avocados and fatty fish will provide all your needs of omega 3. Because they go rancid so quickly you must look for freshly cracked and ground sources.
Love to read? Chiropractor Bernard Preston writes fascinating stories about health that will intrigue you. These are books you will read from start to finish. Promise! For a free sample chapter, click here. FATHER TIME ...
This is going to be a long session. I've just taken a tea break. Want to join me? Movement remember reduces sacroiliac joint inflammation! Joint fixation increases it. Click here to try some of this lovely tea with no milk and no sugar at DRINKING WATER ... and then scroll down to the bottom of the page.
Right, got your tea? I've got large mug of weak black tea with a mandarin sliced in it today. I use lots of different fruits in my tea. It's quite sweet enough without sugar.
Where were we? Oh yes, the pubic rami as a cause of leg pain during pregnancy. Now these little bones are the origin of some very important muscles that run down the inner thigh. They are called the Adductors and often are a great source of leg pain during pregnancy.
Quite often during pregnancy, pubic bone pain, the pubic joint (pubic symphysis is its name), the pubic rami and the Adductors become extremely painful. Perhaps I should emphasize that. Very, very sore. What's more don't believe your doctor if he says that leg pain during pregnancy is just part of the deal, and you must accept it.
The bad news? If you don't deal with it now, then making the next baby is likely to be extremely painful! This is a very treatable syndrome. I'm talking about significant relief within a few days or certainly a couple weeks.
Sacroiliac joint inflammation is a common complaint at the chiropractic coalface. But is it really inflamed, or just painful?
It was a Swiss chiropractor Dr Fred Illi who first is credited with establishing that the sacroiliac joint is a freely movable joint. Much contrary to medical opinion of the time, in the 1940's, which considered it an immovable joint and incapable of causing low back pain.
New medical research now confirms that sacroiliac joint inflammation is probably the cause of about thirty percent of lower lumbar back pain.
At chiropractic help we strongly advocate mobilising and adjusting the fixated sacroiliac joint when it becomes stuck, it may well be the cause of your leg pain during pregnancy, and not waiting for that dreaded inflammation to set in. Other research confirms that fixated joints become arthritic joints, immobilisation arthritis. Hyaline cartilage starved of nutrients first causes pain. If you don't listen, then irreverible degenerative arthritis sets in and sacroiliac joint inflammation. Pain is believe it or not your friend. It's trying to tell you something, and just turning it off, or ignoring it, is very silly.
From Chiropractic Tips you'll get some simple exercises to mobilise your sacroiliac joint. If they don't loosen it up, then see your chiropractor. Not in six months' time!
Aside. Do you know the Rule of Three concerning the inconsolable, crying baby? For more information, click here. COLIC CHIROPRACTIC ...
During the second exercise, when pulling both knees to the chest, merely open the thighs to allow room for the baby.
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Interesting challenges of the day
1. Mr D has very severe midback back. He bent and twisted, feeding his son, and then laughed. Every breath is a nightmare. A sprung rib is every chiropractor's delight. He or she has golden hands. 30 percent better after one treatment.
2. Mrs C has a long history of severe, disabling migraine headaches since having her wisdom teeth removed. She clenches her teeth at night. After six treatments she has no migraines but some jaw joint discomfort remains; a bite plate is in the offing.
3. Mrs U has the trophy for the worst back this year. After major surgery with plates and screws two years later she still had paresis in the lower leg and severe disabling back pain. She's doing far better than expected, in no little part due to a lift in her shoe for a very short leg.
4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.
5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.
6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.
7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.
8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.
9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine.
10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.
13. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?
Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
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Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
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The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.