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What are the causes of prenatal and postpartum pubic symphysis separation pain?
Many mothers before and after childbirth will suffer from severe pain of pubic symphysis separation, and few people receive medical examinations of the skeletal system before pregnancy, but in many years of chiropractic experience, we can determine that the following factors are related to the pain of pubic symphysis separation
Symphysis pubis separation pain**.
1. When preparing for pregnancy, there is no professional chiropractic orthopedic hall for spine, pelvis and pubic examination, and there are hidden problems in the pelvis and pubic bone before pregnancy.
2. Before pregnancy, there is pubic bone, thigh root pain, or backache.
3. Displacement of pelvis and hip joints due to external force.
4. The fetus displaces the pelvis and pubic bone during pregnancy.
5. There is no scientific cultivation and physical recovery after childbirth.
Health tips: The pain of pubic symphysis separation caused by abnormal pelvic alignment before pregnancy often affects fetal development, resulting in habitual miscarriage, fetal malposition, occipital posterior position, oblique cephalic birth or compound birth pattern.
Synthesis of pain of separation of symphysis pubis**:
1. After the recovery of confinement, professional chiropractic and osteopathic manual reduction and correction will be carried out as soon as possible.
2. Assist in bed rest.
3. Assist in binding the pelvic recovery belt.
A lesson in orthopaedic chiropractic - manual reduction of pubic symphysis separation, which can quickly eliminate the symptoms of walking pain, limited movement, and inability to bring the legs together in a short period of time.
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Pubic English: pubic; Latin: ospubis, is the bone that makes up the pelvis, which is covered with a layer of fat. The pubic symphysis is at the base of the entire site. As shown in Fig
Further information: According to Google Encyclopedia, the pubic symphysis is composed of the pubic discs between the pubic symphysis surfaces of the pelvis and fibrocartilage. Sagittal fissures are often present in the interpubic disc, which is thicker and larger in women than in men, especially in pregnant and multiparous women.
The pubic symphysis is inactive, but during labor there is a slight separation to increase the diameter of the pelvis.
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1. In women during pregnancy, menstruation and childbirth, the endocrine changes make the ligaments around the pubic symphysis relaxed, and if there is a slight external force, it can lead to the separation of the pubic symphysis.
2. Trauma, when one leg stands with weight and suddenly slips or falls on one side of the buttocks, the recoil of the ground and the weight are used in each other, and the external violence directly acts on the pubic symphysis, which is not enough to cause rough pubic fracture or split and transverse leg split, and local contusion, etc., can cause the distance of the pubic symphysis to widen and increase or move up and down and produce clinical rock symptoms, pubic symphysis separation, and some can also cause pubic symphysis chondritis.
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First of all, let's talk about the pubic bone, the pubic bone is the two bones in the middle of the thigh, there is a space in the middle of the fingers instead of close together, the two bones are connected by ligaments and fibrocartilage tissue, this area is called pubic symphysis. The normal gap between the pubic symphysis is 4-5mm, but during pregnancy, due to the secretion of sunchisu, the ligaments and hoof tissues of the bones and muscles become loose and softer, and in order to prepare for childbirth, the distance between the pubic bones will increase and reach about 9 mm. When the gap is more than 10 mm and accompanied by painful symptoms, symphysis pubis is considered.
When symphysis pubis is painful, how should it be relieved in life?
1. Usually walk with small steps and don't lift heavy objects;
2. Don't sit for a long time, stand or walk, don't use too much force when squatting, and slow down when climbing the stairs, one step at a time;
3. Try to avoid straddle sitting and avoid splitting your legs;
4. When sleeping, you can clip a pillow between your legs, and turn over as slowly as possible;
5. You can try to tuck the abdominal belt, have regular prenatal checkups, and pay attention to controlling the weight of the fetus.
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It's too normal, you only hurt in nine months, I started to hurt when I was two months old, sometimes good and sometimes bad, generally covered with a warm water bag, and then lie at home all day, if you go out to play for a day or go to class, the pain will be so painful that you can't move, it hurts to walk a lot, and every time I swim, it will be relieved. After giving birth, the slow chisin is no longer secreted, and it will slowly get better. However, it is said that if the pain is too severe, you will not be able to give birth smoothly, and you will be depressed.
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The elasticity of the orthopedic belt can be fixed in the crotch to tighten the separated pelvis, especially the diamond pelvic belt, which can be the most scientific and maximal to help tighten and restore the pelvis, so that the separated pubic symphysis can be quickly restored, and there is no ***, which is simple and convenient to use, and it is also more optimistic about obstetricians today.
1.Acupuncture Pubic symphysis two-stage acupuncture and electroacupuncture.
2.Tuina Tuina Manipulation is an effective method for this disease, which can often achieve immediate effect, and with appropriate bed rest, the condition can recover quickly.
1) Rubbing the lumbosacral body: the patient takes the prone position, and the doctor first uses the thumb to press and knead the acupuncture points such as Baji, Baihuanyu, Zhibian, and Huan Jump, and then knead, press, roll and other techniques with the sacroiliac part for **3 5 minutes, and push and knead the lumbosacral tissues to diathermy.
2) Massage and relaxation: The patient takes the prone position, and the doctor first uses the thumb to knead the intermediate, curved bone and other acupuncture points, and then knead the pubic symphysis for 1 2 minutes, and the starting point of the adductor muscles for 1 2 minutes, and then pinch the quadriceps muscles and push and rub the vastus medialis muscle groups to fully relax the local soft tissues.
3) Traction reset.
1.The patient is placed in a supine position, the doctor pushes the lower part of the pubic bone on the unaffected side with one foot, holds the bare part of the lower limb on the affected side with both hands, and coordinates the hands and feet at the same time to do a sudden upward and downward pulling action, which can be reduced.
2.The patient is placed in a supine position, and the doctor holds the patient's bare parts with both hands, so that the patient is in a hip flexion and knee flexion and external rotation and abduction of both legs, and then the legs are suddenly forcefully rotated and straightened with both hands, which can be reduced.
4) Compression reset.
1.The patient is placed in a supine position, and the doctor presses the palms of both hands on the pubic symphysis, and suddenly presses down and firmly while the patient is breathing, which can be reduced.
2.The patient is placed in a prone position, and the doctor presses the palms of both hands on the middle of the sacrococcygeal region, and in the case of rotational compression, the hands are suddenly pressed down forcefully to reduce the position.
3.The patient faces the patient, drags the inner thigh of the patient's side with one hand and forearm, presses the hip with the other hand, and turns the hip around several times with the line, and then coordinates the force with the hand at the same time, and abducts and presses down to make the pubic symphysis gradually close and achieve reduction.
5) Inclined plate reduction: The patient takes the lateral decubitus position, the affected side is on top, and the lumbar oblique plate method is done to participate in the massage part of acute lumbar sprain. Or press down on the sacroiliac joint with one hand, hold up the bare upper part with the other hand, and push the plate firmly in the opposite direction of both hands to reset it.
In short, regardless of which method of reduction is used, the pain in the affected area should be significantly reduced or disappeared after reduction, and the flexion and extension function of the lower limb should be restored.
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A means of recovery from the diastasis pubis!
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