Sciatica in Pregnancy

Sciatica in Pregnancy

Characteristics of Sciatica

Sharp pain as burning pain that comes and goes and often only felt on one side only. May feel pain in the lower back, on the back of the thigh and the back of the leg.
May also feel a burning sensation or tingling and numbness or tingling in the legs. The pain may be uneven or wide. Well in case Sciatika these complaints can be very devastating and cause pain is more constant than pure pelvic pain / common in pregnant women.


 Home Care for Sciatica in Pregnancy
  1. Use warm compresses or ice packs to the painful area for 10 minutes. (for an ice pack can also use ice gel) and for a warm compress can use electric heat pillow or hot pot which can be found in pharmacies or in stores medical equipment.
  2. Wear flat-heeled shoes and soft. This helps prevent spinal too stretched and strained as it goes.
  3. Pay attention to your posture and try to keep your back straighter.
  4. When sitting, use a pillow / small bolster or rolled towel behind you to support and sustain the spine, and prop your butt, so that the buttocks are higher than the knee (this is also useful to keep you more optimal fetal position).
  5. Try not to lift anything heavy. If you have to lift something, bend your knees and keep you out of position in order to keep your back straight.
  6. Listen to your body and stop doing anything that hurt you.
  7. Keep your cell phone. Try not to be silent for a long time. Well when you are suffering from this complaint try to remain mobile and avoid sitting or silent on the position in the long term.
  8. At bedtime find the most comfortable position and use pillows to prop your stomach and waist
  9. Do exercise to strengthen pelvic muscles. Yoga can be an option or you do movements like in this video.

  10. Doing yoga, such as; cat cow position where you kneel down and then arch your back and relax as in this video, can greatly help alleviate this complaint.
  11. Squats slow or standing and kneeling slowly performed ten times a day to stretch and tighten the upper leg. You can use a chair to hold on to, or ask for help a husband to do this. Be sure to balance themselves by holding on to a table or chair.
  12. Pevic tilt is also not only help to relieve lower back pain, it is also preparing for a pregnant woman to give birth. There are two ways to do this exercise is by standing and lying down.
    • Standing: Stand with your back against the wall position and press your back against the wall. Then relax. Do it repeatedly
    • Lying down: Lie down with your knees bent and feet flat on the floor. While exhaling, press against the spinal curve of your back until you touch the floor. Then inhale and relax to your original position. Repeat as many times as you feel comfortable. Or it could also Lie on your back with the knees bent and feet resting on the opposite knee. Then lift your knees off the floor, and slowly stretch the opposite knee from the ankle rest. Switch legs and repeat. This movement can help release tension in the buttocks muscles.
  13. In addition to training / exercise / yoga, swimming and walking is an excellent way to reduce pressure on the lower back, bottom and upper thighs. Just make sure to walk on level ground and avoid inclines. Oya for pregnant women should not use sandals when walking (barefoot) but make sure there are no broken glass, glass or nails in the streets.
  14. A pelvic support belt will provide quick relief.
  15. Be careful when getting in and out of bed, car or shower. If you lie down, pull your knees up as far as you can then pause and then move the pelvis slowly when they wanted to get out of bed. If you are sitting, try arched her back and chest sticking out before moving your feet, as this also helps to stop the extreme flank of the movement.
  16. Sitting in the sphere of labor (birthing ball) and slowly doing pelvic rocking will make the weight of the baby in a stable position. Well, do as often as possible but remember! This is done only after the age of your pregnancy over 34 weeks.
  17. Avoid heavy lifting or pushing. Supermarket trolleys often can make you very sick, so it's better just shopping at online shop or ask someone to shop for you.
  18. When climbing stairs, up the leg you one step at a time and only use the stairs when you have to.
  19. Acupuncture can help, but make sure physicians trained and experienced in acupuncture clicking pregnant women.
  20. Osteopathy and chiropractic can help, but again, make sure you see a certified practitioner experienced in treating pregnant women.

Reference:
  • Berkmann S, Fandino J. 2012. Pregnancy and childbirth after microsurgery for lumbar disc herniation. Acta Neurochirurgica. 154(2): 329-34
  • Hall TM, Elvey RL. 1999. Nerve trunk pain: physical diagnosis and treatment. Manual Therapy. 4(2): 1-11
  • MacEvilly M, Buggy D. 1996. Back pain and pregnancy: a review. Spine. 21(6): 702-709
  • Ostgaard H, Zetherstrom G, Roos-Hansson E. 1994. Reduction of back and posterior pelvic pain in relation to pregnancy, Spine. 19: 894-900
  • OTIS. 2010. Ibuprofen and pregnancy. www.otispregnancy.org [Accessed June 2012]
  • Schafer A, Hall T, Briffa K. 2009. Classification of low back-related leg pain – A proposed patho-mechanism-based approach. Manual Therapy. 14: 222-230
  • Valat JP, Genevay S, Marty M, Rozenberg S, Koes B, 2010. Sciatica. Clinical Rheumatology. 24(2): 241-52
  • van Tulder M, Peul W, Koes B. 2010. Sciatica: what the rheumatologist needs to know. Rheumatology. 6(3): 139-45
  • Weber H, Holme I, Amlie E. 1993. The Natural Course of Acute Sciatica with Nerve Root Symptoms in a Double-Blind Placebo-Controlled Trial. Spine. 18(11): 1433-1438
  • Weinreb JC, Wolbarsht LB, Cohen JM et al. 1989. Prevalence of lumbosacral intervertebral disc abnormalities on MRI images in pregnant and asymptomatic nonpregnant women. Radiology. 170: 125-8
  • http://www.babycentre.co.uk/a546397/sciatica-in-pregnancy#ixzz2Mr95krPu

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