Sacroiliac Joint Pain During Pregnancy
Sacroiliac joint pain (pain over the dimples in your low back), is extremely common during pregnancy. The pain is often achy, burning, sharp and deep feeling.
The “SI Joint” as it’s often called is especially vulnerable during pregnancy because it is where the lower half of the body meets the upper half of the body at the sacrum. The joints on both side of the sacrum are large. When misaligned even a tiny bit, they cause great discomfort and significant inflammation. Why? because the area is very “locked in” with ligaments, tendon, connective tissue and muscle. Under normal circumstances the joints do move, but pregnancy puts additional strain on them, often pushing them over the line into the zone of pain and dysfunction.
Will anti inflammatory drugs help? They may help with the inflammation, may help with pain, but I rarely encounter pregnant moms that want to take drugs. Additionally, medications don’t address the underlying joint dysfunction, just the pain. This leaves mom in a state of vulnerability where the slightest change in pelvic alignment or step down off a curb could trigger an SIJ meltdown.
Going in to labor and delivery in pain is often a recipe for a harder labor and delivery. The best time to deal with the problem is as soon as it starts. Waiting to see what happens can lead to running out of time, dystocia and even breech presentation of the baby which unless resolved with a technique like The Webster Technique, could lead to C-Section.
According to an article on Parents.com, Susan Warhus, MD, author of Countdown to Baby: Answers to the 100 Most Asked Questions About Pregnancy and Childbirth suggests, among other things, seeing a prenatal chiropractor for SI joint pain.
Dr. Lou Jacobs is a perinatal and pediatric chiropractic specialist in Portland, Maine. He has been working with moms and children of all ages since 2002. Dr. Jacobs may be reached at (207) 774-6251, by emailing firstname.lastname@example.org or via twitter @drloujacobs.