October 21, 2018

Really bad middle back pain :(

Ask The Doctor > Questions & Answers > Really bad middle back pain :(

Patient: I’m 34 weeks pregnant and having really bad middle back pain

Symptoms: Survive middle back pain

Doctor: Thank you for writing to us.Back pain during pregnancy is common. Approximately half of all pregnancies are complica ted by back pain. About 10% of the time, the pain becomes so severe that it can interfere with the ability to work or carry out normal activities during pregnancy. Key factors that are associated with increased risk of developing lower back pain during pregnancy include:1. Physically strenuous work2. Lifting, bending, and child care3. A history of low back pain prior to pregnancyYour expanding uterus shifts your center of gravity and stretches out and weakens your abdominal muscles, changing your posture and putting strain on your back. It may also cause back pain if it’s pressing on a nerve. In addition, the extra weight you’re carrying means more work for your muscles and increased stress on your joints, which is why your back may feel worse at the end of the day. Moreover, hormonal changes in pregnancy loosen your joints and the ligaments that attach your pelvic bones to your spine. During pregnancy, your body makes a hormone called relaxin that allows ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process. The same hormone can cause ligaments that support the spine to loosen, leading to instability and pain. This can make you feel less stable and cause pain when you walk, stand, sit for long periods, roll over in bed, get out of a low chair or the tub, bend, or lift things. Certain medications, rubs and exercises are prescribed for back pain and they are quite effective too. Please contact your doctor for suggestions regarding exercises and medications to ease back pain.Hope this helps.

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Dr. Jimmy Obaji M.D.

Dr. Jimmy Obaji completed his residency in Family Medicine at the University of Manitoba. He currently operates a walk-in-clinic in downtown Toronto.

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