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Pain in knees after pregnancy: Postnatal knee pain — CARiFiT Babywearing workouts


Postnatal knee pain — CARiFiT Babywearing workouts

4. Anserine bursitis.

Impossible to diagnose without a more complete history and a physical examination, but I can tell you about something I have seen in 17 years of working with postnatal clients and alongside specialist physios. If your pain is just below your knee in the inside, chances are it’s anserine bursitis.

A bursa is a small sac filled with fluid that acts as a cushion over bone surfaces or tendons. Pain from anserine bursitis is felt more when walking up or down steps, so that part of your history fits. If you can avoid that activity, it would help you heal. A steroid (cortisone-type) injection can also be helpful but really this is one to get EXPERT MEDICAL SUPPORT for. Pregnancy would not directly cause anserine bursitis, but the extra weight carried during pregnancy could conceivably contribute to its development which could be compounded by the factors already outlined above.

5. ITB pain.

If you’ve got a nagging pain on the outer part of your knee, especially if you’re a runner, or are currently in a period of physical change in terms of demands, posture and alignment it could be a symptom of iliotibial band (IT band) syndrome. It’s an injury often caused by activities where you bend your knee repeatedly, like running, cycling, hiking, and walking long distances. As a new mum this one will particularly sting when you spend any length of time kneeling. Your IT band is a thick bunch of fibers that runs from the outside of your hips to the outside of your thigh and knee down to the top of your shinbone. If your IT band gets too tight, it can lead to swelling and pain around your knee. A combination of ice, foam rolling and a focus on strengthening and improving all of the surrounding muscles particularly the glutes is the way to progress and mange this long term.

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If you’ve got a nagging pain on the outer part of your knee, especially if you’re a runner, or are currently in a period of physical change in terms of demands, posture and alignment it could be a symptom of iliotibial band (IT band) syndrome. It’s an injury often caused by activities where you bend your knee repeatedly, like running, cycling, hiking, and walking long distances. As a new mum this one will particularly sting when you spend any length of time kneeling. Your IT band is a thick bunch of fibers that runs from the outside of your hips to the outside of your thigh and knee down to the top of your shinbone. If your IT band gets too tight, it can lead to swelling and pain around your knee. A combination of ice, foam rolling and a focus on strengthening and improving all of the surrounding muscles particularly the glutes is the way to progress and mange this long term.

How to Get Relief from Postpartum Back and Knee Pain

Pregnancy is one of the most joyous moments in a woman’s life. While you await the arrival of your little one, you put up with all the changes that pregnancy brings with it – the morning sickness, the swelling,  the aches and pains. All so that you can hold your little one in your arms one day. And once you welcome your little one into the world, you think your body will go back to normal self. However, a lot of new moms complain about postpartum back and knee pain even after pregnancy. Unlike pregnancy, where there are many natural and safe mom care products that help take care of stretch marks, dark circles and other concerns, there aren’t many products that can help relieve pain after pregnancy. 

Is it normal to have back pain after birth?

A woman’s body undergoes several changes during pregnancy which can lead to back pain. However, some women continue experiencing back pain even after delivery. The pain in the back and knees can hinder day to day life and even interfere with things like breastfeeding.  

One of the main causes of back and knee pain after pregnancy is the changes in hormone levels. During pregnancy, a woman’s body releases progesterone and relaxin hormones which prepare the body for delivery by relaxing the joints and ligaments. These hormones may stay in the body for a few months after delivery and lead to back and knee pains. Weight gain during pregnancy can also lead to painful back during pregnancy which may well continue after pregnancy as well. Coupled with incorrect posture while breastfeeding, bending and picking up the baby frequently and sleepless nights – all of these can cause back and knee pain. 

Another reason for back pain during pregnancy can be the expansion of uterus to make room for your little one. As the uterus grows, it puts a strain on the lower back and lower abdominal muscles which can cause back pain and may take a while to go away completely.

Does back pain go away after pregnancy?

Due to changes in hormones during pregnancy, it takes time for the back pain and knee pain to subside. A taxing labour can also cause back pain after delivery. It can take up to 6 months to a year for the pain to subside as your hormone levels return to normal and your body heals. However, there are certain steps and tips which can be followed to reduce back and knee pain and get relief. 

What helps with postpartum back pain?

Once you welcome your little one into the world, your hands will be full, literally. As you spend time getting to know your baby and caring for them, don’t let back pain and knee pain come in the way and add to your list of things to worry about. Here are some tips you can follow to get relief from pain

  • Take rest The 9 months of anticipation and anxiety finally culminate into labour and delivery and can leave you physically exhausted. Coupled with getting up at odd hours to feed the baby, your body will be craving for rest. It’s best to give your body time to rest and heal while you spend time cuddling with your baby and bonding with them. Ask your friends and family members to pitch in and help with food or chores around the house so that you can relax.
  • Exercise
    There are many benefits to exercising after pregnancy. However, before you begin an exercise regime, speak to your doctor and take their advice. You can start off with going for walks or even try simple stretching exercises to ease the tension and strain build up in the muscles. You can also try yoga to ease sore muscles and relieve the pain. Make sure you incorporate pelvic exercises to strengthen your muscles.
  • Carry your baby properly Avoid carrying your baby on your hip for long periods of time as it can strain your back muscles. When you bend down to pick up your baby, get into a kneeling position or get close and then lift the baby up. 
  • Eat healthily
    Eating a balanced diet and keeping yourself hydrated will help your body heal and add to your bone and muscle strength. It will also help you reduce excess weight and keep back pain in check.
  • Take hot water baths
    Warm water can help relax strained muscles and bring you relief from pain and stiffness.
  • Try a hot or cold compress
    Place a hot water bag or an ice bag under your back or knees to soothe sore muscles and get some much-needed relief from the pain.
  • Use a breastfeeding pillow
    While breastfeeding your little one, make sure your baby is properly supported so that you can spend time with your baby without nagging back pain.
  • Ditch high heels and uncomfortable shoes
    Now that your little one is here, you will be carrying them whenever you step out. Make sure you wear comfortable footwear that supports your feet and don’t put extra pressure on your knees or back.
  • Go for a massage Regular massages will help improve blood circulation, ease out stiff and sore muscles and bring relief from pain. Get a relaxing oil massage done at regular intervals to keep back and knee pain at bay
  • Try a pain relief oil Choose a natural oil that can help relieve pain and apply it to the affected areas such as the back, legs and knees. Pain relief ointments typically have chemicals which can get absorbed in the body and may not be safe to use if you are breastfeeding your baby. 

Instead, choose a natural relief oil that is free from harmful chemicals and toxins such as Mineral Oil and has natural oils such as Mahua and Turmeric Oils. Traditionally, Mahua Oil has been used to alleviate joint and muscle pain and is known to reduce inflammation. Mahua Oil is also a rich source of Calcium, Phosphate, Iron and Potassium which can help improve bone and muscle strength.

Turmeric Oil, when used as a part of postpartum massage oil, can bring relief from muscle pain and reduce swelling as it is a rich source of Curcumin which has many benefits for our body.  

When choosing a massage oil for back pain, make sure it also has Mustard Oil as it is known to improve blood circulation and rejuvenates stressed and overworked muscles. 

The Moms Co.’s Natural Relief Oil is the perfect massage oil for postpartum pain and works well as knee pain relief oil. Natural Relief Oil is a powerful blend of 15 natural oils that includes Mahua, Turmeric and Mustard Oils along with Seabuckthorn Oil which helps ease muscle inflammation, reduce Postpartum Back and Knee Pain, and improve bone and muscle health with natural vitamins and minerals such as Iron, Calcium, Phosphate and Potassium.

The Natural Relief Oil also helps reduce menstrual cramps as it has Mahua and Sea Buckthorn oils which alleviates pain and cramps. Made without harmful chemicals and toxins such as Mineral Oil, Parabens, Phenoxyethanol and more, the Natural Relief Oil is the ideal postpartum massage oil as not only does it help provide relief from pain and muscle inflammation but also helps the body recover bone and muscle strength through essential minerals and vitamins naturally present in the oils. So go ahead and take some time off to help your body relax and recover.


Painful knees four months after giving birth


I had a baby four months ago and since then I have suffered from very painful knees when I sit down or crouch to pick something up. They also make a cracking sound.

I am still a stone heavier than I was before my baby was born and he of course is another stone in weight that I am carrying around.

I have been told that it could be a hormonal thing, but would be grateful for your advice.


Your symptoms are likely to be related to a number of factors.

As you point out, two stone is not an inconsiderable additional weight to be carrying around for a lot of the time on a day-to-day basis.

The hormone progesterone rises to more than three times the normal level during pregnancy.

This is responsible for causing muscle relaxation and enabling the pelvis and vagina to cope with the significant change in shape required for delivery of your baby.

Your joints need muscles for their support and even four months after the happy event, it is possible that you still have increased mobility of your joints compared with before you became pregnant.

The cracking you describe may be due to the knee ligaments being more lax than usual.

These symptoms usually diminish with time as your hormones revert to normal, you manage to lose a little weight and your baby becomes more mobile, probably in that order.

If the pain is severe and your knees swell or give way, I would suggest that you arrange for your doctor to examine them and give their opinion.

Yours sincerely

The NetDoctor Medical Team

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Joint Pain after Pregnancy – Causes, Recovery & Home Remedies

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Pregnancy exposes you to a variety of information about your own body, allowing you to come to terms with the changes that have taken place in the entire period. However, there are a bunch of other changes that occur after delivery of the child as well. Many mothers experience pain in their hips, even after surgery, and discover that the weird wobbly feeling in the knees persists, even after the baby is out of their womb. Joint pain after giving birth is yet another persistent and acute pain that can make one feel old all of a sudden.

What Causes Post Delivery Joint Pain?

These are some reasons why mothers face joint pain after delivery.

  • The primary reason most mothers face acute joint pain post delivery is the weight gain that occurs during pregnancy. The baby’s weight keeps increasing throughout the pregnancy and the body tries its best to carry this weight around. The pain is a result of the body coming to terms with the completion of  delivery.
  • Certain mothers are more susceptible to joint pain post pregnancy due to problems such as chronic pain and arthritis. This further adds to joint pain.
  • If you have previously suffered injuries to the joint and tailbone, these can turn into extreme joint pain after delivery of the baby.
  • There are hormones secreted during pregnancy and delivery that are important for the safety of the mother and baby. These hormones cause the body ligaments to relax, allowing the mother to carry the baby’s weight around and undertake a successful delivery. Once the delivery is complete, the ligaments require some time to return to their original position. This, consequentially, results in joint pain.
  • If a woman does not exercise regularly during pregnancy or if she faces issues related to health or injuries that prevent her from exercising, the risk of experiencing joint pain after delivery is quite high.

How Long Does it Take to Recover From Joint Pain After Childbirth?

As with any kind of recovery, the recovery duration highly depends upon the health of a person. On a general level, joint related pains last for a bunch of weeks or so. In certain extreme cases, they have been known to last for four to six months as well. If a mother has had a good pregnancy along with a healthy delivery and can return to a proper eating habit and dietary recommendations, paired with a proper exercise structure, her chances of recovering from the pain are higher. With better care post delivery and addressing previous conditions of injuries and health, this time duration can be further reduced.

While nursing the baby, care needs to be taken to maintain a proper breastfeeding posture, not lifting the baby from a very low position, holding the baby comfortably, and holding the baby for shorter periods of time. Not taking care of these can aggravate joint pains and cause sacroiliac joint pain after pregnancy.

Home Remedies

There is no specific postpartum joint pain treatment process, as such. However, certain measures and remedies can help reduce pain.

  • Do light exercises on a regular basis. These do not have to be formal exercises, since the key is to keep your body active. This is elementary in controlling joint pain. Exercises that do not put pressure on the joints should be preferred, such as swimming. In any case, it is best to have a consultation with an expert before adhering to any exercise schedule.
  • One can resort to the classic hot and cold technique to take care of the pain. Making use of hot water bags, going for a hot water bath in a tub, and using ice packs to alleviate the pain in the joints can bring gradual relief. Do not use hot bags or ice packs directly on naked skin. Wrap them in a towel and then apply it to the affected area.
  • Nothing beats a fantastic body massage. Massage your joints yourself or hire an expert who can give you a great massage. You may use certain oils or ointments that are known to reduce joint pain.
  • There have been cases where certain women have found great relief from joint pain by resorting to techniques of acupuncture. These may be done right at home if you are well-versed with them. Else, it is always recommended to take your doctor’s or an expert’s advice.

All the pains and aches that occur after delivery are a part of the natural process that happen throughout pregnancy. The body has undergone a huge change in nine months, with extreme conditions throughout pregnancy. Once you give it good time to recover and balance relaxation and activity in the right manner, the pain will start subsiding and bring you relief. In case the pain worsens or you start observing changes in your body that you haven’t seen before, get in touch with your doctor to rule out any postpartum complications or get pain relief treatments.

Also Read: Postpartum Back Pain

Why do I have knee pain when I run after having a baby?


You’ve finally got the go ahead to start running after having a baby. Maybe your biggest worry before was leaking or pelvic pain? But after a few runs, you start having knee pain! This wasn’t in the handout.

No one mentioned this as another one of the post-partum things to happen to us women. But believe it or not, knee pain in women runners post-partum is a fairly common complaint. Contrary to belief, it’s not just due to us having some pregnancy weight to shed or hormonal changes.

Jo Perkins, Sports Medicine and Women’s Health Physiotherapist and founder of Mumma Physio and The Glow Method At Home, has put together possible causes for knee pain post-partum and top treatment tips to minimise your risk.

Possible causes for knee pain after having a baby

Muscle weakness and tightness

During pregnancy and delivery, the body goes through many changes. This can result in certain muscles getting weaker and others getting tighter. These include the muscles around our pelvis, like our gluteals, hip flexors, hamstrings, pelvic floor and deep abdominals. These changes can affect the position of your pelvis and potentially the mechanics of the joints in your knee, putting stress on structures that aren’t usually exposed to them when returning to running or more strenuous exercise.

Running mechanics/technique

Your running technique can influence the loads that go through your bones, joints and muscles, including the knee and pelvic floor. Evidence has shown that braking with the heel down in front of you, upright postures, long strides and pulling back with the leg, can increase the forces going through your knee by 6-8 times, potentially causing pain. This is often related to a backward tilt of your pelvis, weaker glute muscles and a stiff running posture which is often seen in women post-partum.

Ramping up the distance too quickly

After any time away from running, the body needs time to adjust to increasing volumes, particularly with the hormonal changes that accompany us post birth. Increasing the distance too quickly can put too much load on the bones resulting in stress reactions. Paula Radcliffe talks openly about sustaining a sacral stress fracture post baby as she built up her running volume too quickly, meaning she then had to stop completely for a long period.

Top tips for minimising knee pain

Adequate recovery

The body needs time to recover from the demands of pregnancy and delivery. This of course doesn’t mean you have to sit and do nothing. Start with pelvic floor work and progressive strength work as your symptoms allow. You can start your aerobic work with walking, then introduce the bike, cross trainer and swimming, for example, before returning to running.

Strength work

Get your body run ready with strengthening and mobility exercises to target those muscles that have got weaker and tighter. Getting the glutes strong with exercises like bridging, squats, lunges and deadlifts, for example, as well as single-leg stability work will help optimise your lowerlimb mechanics to minimise knee pain. Long stretches (1 minute) of tight hip flexors and hamstrings alongside this can be really helpful.

Technique checker

To help manage the amount of load through your knee (and pelvic floor) try and think about leaning forward and rotating through your trunk (not just your arms) so your body isn’t held stiff or gripping with your abdominals. Try and think about the weight going through your mid foot (opposed to toes or heel) and push through the foot propelling you forwards with a lean rather than pulling back with larger strides. This can be really helpful for those of you who leak while running too.

Build the distance slowly

Progressively returning to running and plyometric work is important in minimising knee pain by managing the amount of pressure put on the pelvic floor, muscles and joints. A graded programme progressing from squats to jumping to hopping makes for a sweaty aerobic workout and safe reintroduction to the ground reaction forces of running (which can be up to two times a runner’s bodyweight). Start with power walking, then a jog/walk progression, then gradually increase the time spent jogging. Even if you continued running through pregnancy, initial rest days between runs allow the body to adapt to the load.

Cross train

Mixing up training with non-impact exercise minimises the load going through your knees. Think about the bike, cross trainer or swimming or low impact workouts at home. Also consider different terrains to help manage the stress on your knees, such as grass running.

Supportive footwear

Making sure you have the correct supportive footwear can also assist in managing the loads though your limbs. It can be worth investing in an assessment to look at your foot type and the right trainer for you.

The good news is that following these tips also helps manage the load going through your recovering abdominals and pelvic floor, so you get more bang for your buck!

For more specific physio-led postnatal rehab and fitness programmes, including running-specific advice and workouts, go to www.theglowmethodathome.com. Use code GLOWTRY for one month free!

Check out further articles on the Run Mummy Run blog for advice, expert tips and inspiration for female runners. 

Tips To Help You Cope With Joint Pain after Delivery

Every expectant mother has so many expectations after delivery, about her new life and that of the baby. Post-delivery joint pains are the least of their expectations, especially for first-time mothers. It is therefore imperative to be aware of what one should expect after delivery. Most mothers in their early stages have reported going through this hoping that the pain will ease with time, but to their surprise, it only gets worse.

The body releases hormones during pregnancy, which causes the bones to be tender. Also, the entire process of delivery exerts a lot of pressure on a woman’s muscles and joints. These and other factors contribute to post-delivery joint pains. Hence, most mothers, especially in their early stages, complain of pain even when doing the simplest of activities. This pain may go on for up to nine months depending on every mother. The tips below will help you ease and get rid of post-delivery joint pains.

Back pains
Most mothers in their early stages have not yet established a consistent sleep pattern for their newborns. Therefore, they spend the better part of the night trying to rock their babies to sleep. Also, carrying the baby around does not make the situation any better. There are remedies that you can use to solve this problem.

Firstly, comfort is paramount. Avoid sitting in the same position for too long. Pillows should be your best friend if you are suffering from back pains. When breastfeeding, place some pillows behind your back and shoulders to help you support your child’s weight.

Try the same trick in bed and see how it works for you. You could also take up massage sessions during your free time. Singapore has reputable places that can offer massages. Check out a confinement center in Singapore and request for massage services. The center will take you through different types of therapies that are suitable for you. You can even get help from a confinement nanny to help give you massages in your own home. This will help your muscles relax and get you back in good shape. Another common remedy is the use of topical ointments. Have your doctor prescribe the one that suits you best.

Sacroiliac joint pain
This pain is experienced around the pelvic region. This is because, during pregnancy, women carry additional weight. As your body prepares for delivery, some hormones are released, and they relax your ligaments. The most severe effect of this kind of pain is on walking. The cure is in prevention. You can do this by having an action plan during pregnancy. Take part in pregnancy yoga; walk around for short distances especially in your first and second trimester and some other pregnancy-safe exercises. Try the same pillow trick at home and in your car especially when traveling for long distances. Keep ice packs very close too as they are known to work wonders for women suffering from this kind of pain.

Knee and ankle pain
Mothers usually complain of wobbly knees and sore ankles. This mainly depends on the position a woman was in during delivery. These pains are the easiest to treat, especially at home. Try massaging your knees and ankles using a cloth soaked with saline water frequently. Occasional foot rubs and dipping your feet in warm saline water will do you a lot of good. Another remedy that has worked for many mothers is adopting a gluten-free diet and taking up higher quality grains such as quinoa as well as a higher intake of fruits and vegetables. During your pregnancy and after delivery, increase your vitamin D and calcium supplements. Most mothers who have done this have given very positive results.

Postpartum joint discomfort can be a nightmare and even discourage some mothers from trying again. However, if you understand your pain and its cause, then it will be easy for you to alleviate it. In general, before trying all other things, you should visit your doctor so that he can provide a professional diagnosis of your pain.

Visit a confinement center in Singapore for a comprehensive postpartum package that will help you handle the discomforts. Do not ignore adequate sleep and rest. It is recommended for all mothers to take six weeks of rest after delivery. Come up with a routine that will work for both you and your child. This way you will not push yourself so hard even when you go back to work. A proper diet and drinking a lot of water will surely save you a great deal. Finally and most importantly, be patient. This pain does not go away overnight. As stated, it may last for nine months. Take it easy and enjoy your new bundle of joy.

You May Also Read this : How to Plan Your Confinement with Herbal Packages

Top Tips for Managing Knee Pain After Birth

Your day-to-day activities as a new mum such as climbing stairs, pushing your buggy, feeding/lifting/changing, entertaining and/or bathing your baby all put pressure on your knees, so it’s no wonder postnatal women suffer with knee pain.


Several postural changes occur during pregnancy, and sadly, things doesn’t just bounce back to normal once baby has arrived.  Motherhood is a pretty physical business, isn’t it?  I believe it’s one of the most demanding jobs in the world, and it places a tremendous amount of strain on your muscles and joints.  You’re also expected to just “grin and bear it” and “get on with it” pretty much as soon as you’ve given birth, and one if your body is still in recovery-mode, it’s no wonder something takes the strain.


Here are some of the common tasks new mums undertake each day, with a few notes on how to make knee pain associated with them, manageable:



If you’re sitting down to feed on a sofa for example, your knees are likely to be in a flexed position until baby has finished feeding.  Ever noticed that when you do get to stand up after a particularly long feeding session that your knees almost give way underneath you?  Or, they’re very painful, due to lack of circulation?  The solution: after you’ve finished feeding, pull up your pelvic floor muscles, bring baby towards your chest, stand up slowly and move around to wind your baby.



When climbing stairs, try to place the whole of your foot on the step and use your glutes (your bum) to power yourself up to the next step.  Rather than using your over-worked/weakened knees to do the task, use your bum instead by pushing through the heel of your foot.



Wherever possible, change your baby in a standing/upright position at a changing table that’s at waist alwaysvaltrexonline. com height.  If your changing area is higher or lower than your waist, then you’re likely to over-stretch your shoulders/neck or pull your back.  Get out of the habit of changing your baby’s nappy kneeling down on the floor, because this puts pressure on your knee joints and when you stand back up again, this is often when you feel pain.



When bathing your baby, avoid kneeling for excessive periods and place a rolled up towel under your knee joints to help ease the activity.  Knee caps (your patella) aren’t really designed to be in a kneeling position for prolonged periods.  If it is possible for you to bath your newborn baby in a upright position where you’re standing, rather than kneeling, then this is obviously going to save your knees an awful lot of pain too.



To avoid knee pain when picking your baby up off the floor, reach down for your baby using a shallow, split-stance where one foot is slightly in front of the other.   I call this a “Curtsey” in my postnatal exercise classes.  Make sure you bring baby close to you, pick up your pelvic floor, and then slowly stand up with baby held on your chest.  Basically, I want you to think before you move from the floor to standing, especially when lifting your baby off the floor, because this will help protect your knees and your back.


The important thing to stress here is: if you’re experiencing pain that doesn’t go away, it’s time to seek some advice from a professionally trained expert.  Whilst some pain is normal, discomfort for extended periods of time after birth isn’t, and it needs sorting asap.

90,000 Pain in the back and knees after childbirth »Clinic of Dr. Ignatiev

Pain in the back and knees after childbirth is a strong and unpleasant sensation that may indicate diseases of the spine and joints. Such problems are dealt with by a vertebrologist or neurologist.

Women suffering from back and knee pain after childbirth should seek medical attention as soon as possible. This can be done at the Clinic of Dr. Ignatiev in the city of Kiev. Experienced vertebrologists will help each patient to cope with painful sensations as soon as possible.

Modern women are increasingly complaining of pain and discomfort in the back and joints. And pregnancy and childbirth only aggravate their condition. According to statistics, sixty percent of women have problems with the spine, which can only be detected during severe overload, such as childbirth. Fifteen percent of women in labor may experience pain in the back and knees during the last stages of pregnancy, as well as after childbirth. They are a consequence of the stress transferred and are not associated with other diseases.

Knee pain after childbirth Clinic of Dr. Ignatiev

Varieties of causes of back and knee pain after childbirth ↑

There are many reasons for pain in the spine and knees after childbirth. Let’s dwell on the most basic ones:

  • Severe muscle strain during labor – back and knees will hurt throughout the recovery period.
  • Dislocation of the joints of the spine and knees – during childbirth in a state of passion, a woman can involuntarily dislocate her joints, resulting in a pinched nerve.
  • Consequence of anesthesia – if a woman had contraindications to her, had a history of diseases of the joints and spine, anesthesia can aggravate their manifestations.
  • As a result of the accumulation of fluid in the body, joints hurt during breastfeeding, as excess fluid accumulates in the woman’s body.
  • Physical labor and exercise after childbirth – they lead to pain, since the ligaments and muscles, joints in general are very vulnerable for five to six months after childbirth.
  • Diseases of the musculoskeletal system.

Treatment of the back after childbirth and during pregnancy. Clinic of Doctor Ignatiev

Symptoms ↑

The main symptoms of these diseases and other causes are not only pain, but also discomfort in the back. The pain is in the nature of seizures, intensifying during standing up, as well as when lifting weights. By the evening, the pain may subside, as the sore joints are sufficiently stretched.If there is a dislocation or displacement of the knee joint or the joint of the spine, the pain is intense and acute.

For each of the listed diseases, similar symptoms are characteristic, therefore, before treatment, it is necessary to carry out a differentiated diagnosis. This will help to discard possible diagnoses that are similar in the clinical picture and stay on one correct one.

Treatment of back and knee pain after childbirth in the Clinic of Dr. Ignatiev in Kiev ↑

The main methods of treatment for back and joint problems are conservative methods and manual therapy techniques.In most cases, they, in combination with physiotherapy exercises or aerobics, give positive results. But this is provided that the patient consulted a doctor in a timely manner, without delaying the disease. Otherwise, she may need serious treatment, and even surgery.

X-rays must be taken before treatment to rule out fractures, and a number of blood and urine tests may be required. Patients suffering from similar pains can seek help from the Clinic of Dr. Ignatiev in Kiev to receive high-quality and effective treatment.Reception of specialists is carried out by appointment.

Most relevant topics: Sign up for a consultation at the Clinic of Dr. Ignatiev by phone: +38 (044) 227-32-51

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Why knees ache and hurt after childbirth

Today I want to discuss with you such an unpleasant surprise as joint pain, in particular – why knees hurt after childbirth.It would seem, what does the knees or wrists have to do with the birth of a long-awaited baby? And they hurt! Some earlier, some later, however, almost all mothers go through this. Let’s look at all the possible causes of these pains and ways to eliminate them. As always, I will be glad to your comments.

Causes of joint pain

During pregnancy, the belly grew gradually, along with the baby. Posture and load on the musculoskeletal system gradually changed.After the birth of a child, the body changes overnight. In addition, the ligaments are still relaxed, under the influence of hormones, the pelvic bones have parted, clearing the way for the baby, the abdominal muscles are stretched. As a result, the woman’s posture undergoes significant changes, the load on the knees increases.

Everything would be fine, however, few mothers can boast of good physical shape.

Carrying the baby mainly on one hand, and feeding in uncomfortable positions add additional fuel to the fire.

Negative changes in posture entail a whole cascade of problems. Some muscles are overloaded, some are spasmodic, some are weakened.

Neighboring muscles try to compensate for the excessive load, perform work unusual for them and also begin to hurt . ..

It turns out to be a vicious circle, from which it is not so easy to get out. However, everything is in our hands.

What else can hurt

Let’s look at everything in order.

Wrist pain

Taking a child in our arms, we strain them unusually, spread our fingers wide apart.It is unlikely that before giving birth, you had to hold such a heavy object in your hands every day, and even fix it in a certain position. Under such overload conditions, the arm ligaments can become inflamed. The risk group includes mothers, needlewomen, musicians, all those whose activities are related to fine motor skills.

Traditionally, all diseases of the musculoskeletal system are treated with rest. A young mother only dreams of peace, however, something can be done. For example, use a sling. He helped me a lot in his time.Thus, you will relieve your hands and at the same time provide the child’s need for mother’s intimacy.


A significant tilt of the head while feeding and / or an uncomfortable sleeping position may cause neck pain. Improper wearing of the sling will strain the shoulder girdle. For the same reasons, the shoulders and upper back may hurt after childbirth. Monitor the correct posture while feeding and carrying your baby, organize the most comfortable place for feeding and sleeping.


The back can be sensitive in the lower back, in the lower back.If you had problems with your back before pregnancy, it is possible that now they will again make themselves felt.

The fact is that the muscle corset is weakened after childbirth, the abdominal muscles are stretched, and this leads to overstrain in the lower back. They simply take over all the work of maintaining balance. Usually, the muscle corset, which covers our body in a circle (plus the pelvic floor), evenly participates in this difficult task. The first time after childbirth, the anterior wall (abdominal muscles) does not cope well with its function of maintaining posture.

Plus, the pelvic bones have not yet returned to their original position. It will take them a long time for this, sometimes up to three years.

Carrying the child in her arms, the woman leans back, increases the deflection in the lower back (hyperlordosis), puts the child on herself, trying to take the load off her arms. This pose causes a cascade of problems in the lower body.

In such a situation, active maintenance of correct posture, wearing a sling on two shoulders, and strengthening the muscle corset will help.The most effective exercises for this purpose can be found here, and at the same time the stomach will be tightened.

Posture changes

We go down below. Gluteal muscles, thigh muscles, calves, feet. The pain in them is caused by incorrect posture of the mother – there is a muscle imbalance.

Later, when the child begins to sit on the thigh, this pain can no longer lead to lumbar hyperlordosis, but the bending of the spine to the right or left. The woman, as it were, pushes her hip to the side, forming a “chair” for the child. Changing your hips frequently to carry your baby will make things a little easier.

All of the above problems lead to knee pain after childbirth. It’s like a pyramid of cubes. As soon as one cube moves a little, the whole pyramid collapses.

In any case, I recommend consulting a doctor in order to exclude a number of diseases that may debut after pregnancy and childbirth. The doctor may prescribe a treatment compatible with breastfeeding to relieve the inflammatory process, because it is he who manifests itself in pain.

Be sure to specify what physical exercises can be performed for you, to strengthen the muscle corset and improve posture. The rehabilitation therapist will answer this question in the best way.

Another cause of joint pain is a lack of calcium. This point also needs to be discussed with your doctor.

What to do, how to help yourself

As usual, you had to help yourself before giving birth, be physically active, and do gymnastics for pregnant women.

And what if none of this has happened before in your life?

Here are some tips to help you deal with this situation:

Good posture

Stand up straight, pull your shoulders back a little, do not lift them up.The chin is parallel to the ground, the crown of the head stretches upward, extending the entire spine. The abdomen, buttocks and pelvic floor are tense, keeping the body straight. The chest is turned up.

As you walk, remember the correct posture at every intersection and check if it matches the ideal.

Safe lifting

Carefully monitor your movements when lifting a child or heavy objects. Lowering behind the baby, keep your back straight, bend your knees and hip joints.When lifting, keep the child close to the body, keep the back straight. Make the most of your leg strength. The buttocks and abs should be actively tense. The knees, especially the female ones, do not like rotation. After childbirth, any twisting load can injure them. An example of such a load is turning the stroller. The body turns, and the feet stay in place. The knees do not like this treatment very much and can hurt.


Stretching exercises prevent muscle cramps, they lengthen your muscles, prepare them in the morning for daily worries, and help you relax in the evening.

You can do them right in bed. Stretching for the muscles of the legs and back can be done in the middle of the day while the baby is on the couch or even in her mother’s arms.

Muscle strengthening

Include muscle strengthening exercises in your daily routine. Many of them can be done with your child.

Start with this complex. To prevent knee pain, you can squat in a special way – so that the lower leg remains almost perpendicular to the floor. Squat down to parallel with the floor.To maintain balance, you can hold onto a doorknob or other secure support.

Add rotational movements for the shoulders, wrists, and ankle. Exercise until your muscles are pleasantly toned. Morning sickness from overworking is useless to us. I highly recommend getting a horizontal bar and a rubber expander at home. The horizontal bar, by the way, will soon be useful for the child.

So, here are some simple steps that can help a young mother. I would like to remind you that in such cases when:

  • Severe or worse pain
  • joins fever, swelling of the joint
  • knee movements are limited
  • minor pain bothers more than two weeks

Consult a doctor .


In conclusion, I would like to say that movement is the cornerstone of the health of the musculoskeletal system. Without movement, knees and other joints begin to ache.

We have only one knees, the price of their treatment is high. If they are not used, then you can simply lose … We need movement like air, water and food. Just as monotonous, monotonous eating can damage health, so monotony in daily physical activity leads to health problems.

Think about what movements you make during the day. If the variety of your movements is at least half the number of movements that a toddler makes, then everything is fine.

If not – take urgent measures to save your health – move more!

Thank you for sharing this article on social media. All the best!

Best regards, Elena Dyachenko


90,000 reasons to which doctor to contact in Irkutsk at the Expert Clinic

Knee pain can have many causes.Alexey Yuryevich Krasovsky, a traumatologist-orthopedist of the Expert Clinic, Irkutsk, told us about why it occurs, whether it is possible to cope with it on our own, what preventive measures exist and much more.

– Alexey Yuryevich, why do knees hurt? What are the most common causes of pain?

– The causes of pain can be degenerative-dystrophic changes in the knee joint, trauma, arthrosis, arthritis. Pain can be associated with both systemic rheumatic diseases and instability of the lumbosacral spine, the so-called reflected pain.This is a violation of the statodynamic function of the muscle attached to the upper third of the inner surface of the tibia. People think that they have pain in the knee joint, but in fact it is just tension in the adductor group of the thigh muscles and the muscles of the attachment point to the inner surface of the upper third of the lower leg. The so-called tendinitis of the tendon “crow’s feet”.

– In what cases should you consult a doctor for pain in the knee, and in what cases can you endure?

– If the pain appeared and disappeared within a few hours without any treatment, then this may be associated with any neurological symptomatology or physical exertion.That is, these are muscle pains or in the area of ​​attachment of muscles, tendons and ligaments. They usually go away on their own within two to three days.

If, for example, the knees hurt and swell, that is, there is swelling in the area of ​​the knee joint, then you need to look for some kind of pathology. And the edema does not have to be large, it can be insignificant. In this case, an appeal to a specialist is required to prescribe an examination.

– Which doctor should I see if my knee hurts?

– In the absence of such a specialist as an orthopedic traumatologist, it is necessary to contact a surgeon.If there is no surgeon, then a general practitioner or general practitioner.

– What is the diagnosis for knee pain?

– If the knee hurts, then the main thing is the clinical picture (examination and taking anamnesis). The doctor finds out when the pains appeared, with what the patient associates their appearance.

An experienced orthopedic traumatologist makes a diagnosis based on the clinical picture with, let’s say, 70-80% certainty. And additional research methods are confirming according to the principles of evidence-based medicine.For example, for cases of inspection of insurance companies or examination of the quality of care.

If the knee hurts, the patient may also be prescribed diagnostic methods such as MRI or CT. Magnetic resonance imaging is performed if the soft tissue component (cartilage, ligaments, joint capsule, meniscus) is examined. And if we want to see the bone structure and clarify the spatial location of some pathological formation or process, then a computed tomography or X-ray is done.

– What treatment is prescribed for knee pain?

– First you need to make a diagnosis in order to understand what kind of pathology is a manifestation of knee pain. If the knees hurt for reasons related to trauma, then first of all, this is immobilization (immobilization) with the help of a splint, orthosis or plaster cast, and analgesics.

As for arthritis, it can be infectious and non-infectious, purulent and non-purulent. Because these are different pathologies, then the treatment, respectively, is different.If it is arthritis that is not associated with any infectious agent, then anti-inflammatory therapy is performed. And this treatment is usually handled by both a general practitioner and a rheumatologist.

Knee arthroscopy

In the case when the disease is associated with a purulent inflammatory process, then it is necessary to contact purulent surgeons. If purulent arthritis is started in time to heal with the help of arthroscopic technology, then we get very good results, completely washing all corners of the joint with saline.After such treatment, a person is less susceptible to disability. And, as a rule, it recovers quite well.

In case of arthrosis, intra-articular injections of glucocorticoids and, in some cases, plasmolifting, PRP-therapy (enriched platelet plasma therapy) are used. The doctor can also try to eliminate conflicts in the joint and maintain range of motion by removing the intra-articular chondromic bodies, injuries. That is, it performs the so-called debridement of the joint, and thereby creates smooth movement in the joint, prolonging its life.With arthroscopic treatment, intra-articular injection of chondroprotectors is mandatory in the postoperative period. If patients live where there is no opportunity to receive intra-articular injections, then they receive chondroprotectors intramuscularly or take orally.

Despite the above measures taken in case of arthrosis, their effectiveness may be insufficient. In such cases, the question is raised about performing total joint replacement, i.e. when the joint is replaced with an endoprosthesis.

Well, the main thing is the motor regime, the use of exercise therapy and rehabilitation. This makes it possible to support the joints.

However, in any case, a complete examination is necessary. For this, the clinical picture and additional research methods, which I have listed above, are used.

– Alexey Yuryevich, what will happen if you do not heal your knees or treat them yourself, using some folk remedies?

– This will lead to a sharp decrease in the quality of human life, violation of the statodynamic function of the limb.And then to diseases of the adjacent joints (hip, ankle), to the defeat of the lumbosacral spine. In the future, an increase in the number of health problems is possible. If you do not consult a doctor in time, then ignoring the situation can lead to the replacement of the joint with an artificial one.

– Can knee pain be avoided? Tell us about prevention methods.

– Firstly, it is an active lifestyle. If a person did not move for a long time, and then gave a load, this is very bad for the joints.It is imperative that you need a constant supporting, let’s say, range of motion, and certain physical activity.

Second, using the right footwear. Very often, knee pain is associated with wearing the wrong shoes. These are sneakers, moccasins, ballet flats, etc. That is, shoes that lack the criteria for healthy shoes. What concerns them? This is without fail a classic heel (2-3 cm), a solid block, rigid in the middle, and the use of an instep support.Earlier, back in the Soviet Union, these criteria were met, and all shoes that were produced in factories were clearly standardized. If you take apart a sample of shoes that were made in those days, then you can find a metal plate in the last. It was an instep support that supported the arch of the foot and contributed to the fact that there was shock absorption (reduction in impact force) when walking and running.

To make an appointment with a traumatologist-orthopedist at the “Clinic Expert” Irkutsk can be here
More information about the services of a traumatologist at the “Clinic Expert” Irkutsk can be read here and here

The editors recommend:
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For information:

Krasovsky Alexey Yurievich

In 1995 he graduated from the medical faculty of the Irkutsk State Medical University (ISMU).

1995 – 1996 – internship at the Department of Traumatology and Orthopedics, ISMU.

1996–98 – Clinical residency in the specialty “Traumatology and Orthopedics”.

More than 15 years engaged in arthroscopy of joints.

For 12 years he was the chief traumatologist of Irkutsk.

For 2 years he was the chief freelance traumatologist-orthopedist of the Ministry of Health of the Irkutsk region.

At the present time – a traumatologist-orthopedist of the highest category “Clinic Expert” Irkutsk.

Reception takes place at the address: st. Kozhova, 9a.

90,000 Postpartum period | Pampers

The puerperium begins when the baby is born and lasts about six to eight weeks. The postpartum period is divided into two main stages: the early postpartum period, which lasts the first two to four hours after the birth of the child, and the late postpartum period following it.The fourth trimester (as the first three months of a child’s life is sometimes called) and the postpartum period from which it begins is a very important time in the life of a mother and baby. Mom will have to adapt to a new way of life, her body will have to take on new challenges. At the same time, a mother can experience a whole range of emotions – from euphoria to sadness.

From this article you will find out how the postpartum period goes, what to expect. We will talk about postpartum depression, how long after childbirth you can have sex and when your period returns after childbirth.We will also share tips on how to take care of yourself and what symptoms to look for in your health.

What is the postpartum period

The postpartum period is the stage that lasts about six to eight weeks after childbirth. The postpartum period does not imply that during this period the mother will fully recover after childbirth – some of the consequences of pregnancy and childbirth persist much longer.

The postpartum period is a time of getting used to and adapting to the new role of the mother, to new concerns.Adapting your couple to parenting. Physical adaptation while your body recovers from pregnancy and childbirth. And finally, emotional adaptation, experience and acceptance of all the changes that have occurred.

Knowing what you can face in the postpartum time, the peculiarities of this period, can prepare you for it. Feel free to ask questions about the postpartum period and share your concerns with your doctor so that you can get qualified help if necessary.

Physical changes

During the first weeks and months after childbirth, the body undergoes many changes as it recovers and adjusts new functions.Below are the physiological manifestations that a mother may encounter in the early and late postpartum period.

The first few days after giving birth

And now your baby is finally born, and this is happiness. You feed him, take care of him and at the same time begin to recover from pregnancy and childbirth.

This is what you may encounter in the first days after childbirth:

  • Vaginal discharge. Blood and tissue lining the uterus during pregnancy usually comes out in the first few days and weeks after birth (sometimes longer).This discharge is called lochia. The first discharge is usually bright red, gradually lightening, becoming brown or yellow. You may notice that the discharge increases during breastfeeding. This is due to the contraction of the uterus during feeding.

  • Spasms. Within ten days after giving birth, you may feel a pulling pain in the lower abdomen. The uterus contracts to return to its original size. Pain relievers can be taken if these pains are very uncomfortable, but if you are breastfeeding, consult your doctor.

  • Pain in the perineum. If the birth was vaginal, the area between the vagina and the anus is stretched so that the baby can be born. If there is a rupture or an incision (episiotomy) during labor, you will be stitched. During the healing period, this area may hurt and swell. Depending on the severity of the tear or pain, your doctor may recommend remedies to relieve the discomfort. It usually helps to apply a cold compress or sit in warm water, and use a comfortable cushion for sitting.Your doctor may recommend an anesthetic spray or cream.

  • Pain when urinating. During a vaginal birth, the baby’s head puts a lot of pressure on the bladder and urethra. In the postpartum period, you may experience pain when urinating, or you may have an urge to go small and go nowhere. This unpleasant condition worries women usually in the first 3-5 days after childbirth. Try pouring warm water over your vaginal area while urinating to help relieve pain.If the pain intensifies and bothers for a long time, it is imperative to consult a doctor – such a condition may be a sign of an inflammatory process that has begun.

  • Swollen legs . Try keeping your feet raised on a pillow or footrest (multiple packs of diapers can be used as a support).

  • Constipation. You may postpone going to the toilet a lot mainly because of the pain.At the same time, the causes of constipation can be the muscles of the abdominal and perineum relaxed after childbirth, as well as changes in the hormonal background. If you experience constipation, try to move more, eat fiber-rich foods (fruits, vegetables), and take a laxative as recommended by your doctor. And don’t forget to drink plenty of water.

  • Breast engorgement. Within a few days after giving birth, the breasts may feel heavy and “full”, and sensitivity may increase.Once you start breastfeeding, the discomfort will go away. If you feed your baby with formula, the breast will stop swelling seven to ten days after giving birth. If you are not going to breastfeed, pain relievers can help alleviate the discomfort in the first days after childbirth (be sure to get permission from your doctor). Wear a comfortable bra and loose-fitting clothing, and try applying cool compresses to your breasts. Apply the baby to the breast more often – timely emptying of the mammary glands will help get rid of painful sensations.

The first few months after childbirth

Pregnancy and childbirth is a big “adventure” for the female body, and it will take time to recover. In the process, you may discover new symptoms and changes in the body. And this is not surprising, because you carried and gave birth to a child!

Here’s what you may encounter in the first months after giving birth:

  • Fatigue. It is normal to feel very tired in the first months after giving birth.You have experienced a lot, both emotionally and physically. Every day you are faced with a new experience. Frequent feedings, lack of sleep – there are enough reasons for fatigue. To reduce fatigue and reduce stress, try to sleep when the child is sleeping, ask for help from loved ones, and do not be zealous with guests. Eat healthy foods rich in protein and iron, and keep your business to a minimum. For example, it will be right and useful for the baby’s mother if someone takes over the washing and cooking (or, if possible, you can order food).A new mom needs peace of mind and the ability to focus on herself and her baby.

  • Heavy sweating. You may sweat a lot during the puerperium, especially at night. This will go away, but for now, you may be more comfortable sleeping on a soft towel to absorb sweat. If you are concerned about the intensity with which you sweat, talk to your doctor.

  • Your belly looks different. It’s common to look pregnant after childbirth.The stretched abdominal muscles gradually return to their previous state. Sometimes the abdominal muscles separate, this is called diastasis. After a while, they will gradually return to normal.

  • Streamers . Stretch marks may appear on the body during pregnancy. It is unlikely that they will disappear completely, but over time they will fade and become less noticeable.

  • Your hair may start to fall out. In most women, some time after giving birth (usually 3-4 months), hair begins to fall out.This is a natural, temporary process and is not a cause for concern. Gradually, your hormone levels will return to normal and your hair will return to the same level as before. We have written a separate article on hair loss after childbirth.

  • Weight loss. In the postpartum period, you can quickly lose up to 10 kg without additional effort. Weight gained during pregnancy is not just about fat storage. This includes the weight of the placenta, the baby itself, amniotic fluid, extra blood and fluids produced in the body to carry the baby.Therefore, immediately after giving birth, you will “fall off” slightly. And then try to play sports (not very intensely) and eat right. Then, in a couple of months, you will most likely be able to return to your original weight. We have written a separate article on how to lose weight after childbirth, in which you will find useful tips. Refrain from dieting – your body now needs adequate nutrition to recover. Be more patient and gentle to yourself. If you are breastfeeding, it is especially important for you to avoid sudden weight loss, as this will negatively affect the amount of breast milk.Your doctor will be able to advise you on how many kilograms you can lose without harm to your health and how to do it gradually.

  • Urinary incontinence. If your panties periodically get wet, this is also normal. Many mothers complain about urine leakage after childbirth. Vaginal labor and a large baby are risk factors for incontinence. In many cases, this symptom goes away on its own within three months. Do Kegel exercises to help tone your muscles.If the situation does not improve, be sure to see a doctor.

  • Fecal and intestinal gas incontinence. Often mothers are faced with such a delicate problem after childbirth. This may be due to muscle and nerve damage in the rectal area. If you experience these symptoms, try to overcome the embarrassment and be sure to see a doctor. The doctor may prescribe physical therapy and medications.

  • Hemorrhoids. If you have had varicose veins of the vulva or hemorrhoids during pregnancy, they may worsen after childbirth. They can also appear for the first time after childbirth due to the heavy workload during childbirth. Your doctor may recommend appropriate treatments, such as using special suppositories with pain relieving ingredients or applying cold compresses. Try to avoid constipation, eat a diet high in fiber, and maintain optimal physical activity throughout the day.Over time, painful, swollen veins should shrink or disappear completely.

My body is changing – how to accept it

During pregnancy, the body goes through many transformations, the changes continue in the postpartum period. Try to be gentle and condescending towards yourself. It took time to carry the baby, and it will take time to recover too.

A healthy diet, moderate physical activity, and personal time are very important elements for a mother’s successful recovery.Recovery and return to the previous physical form will take quite a long time, and this is completely natural. Be condescending to yourself, do not rush yourself, you have enough worries and responsibility!

Living with a newborn: the habituation period

With the birth of a baby, your lifestyle can change dramatically and dramatically. The new reality can delight and inspire you, but you can also yearn for the old life. You will most likely experience both. Accepting that your life will now be redesigned is an important step in adapting to parenting.Life with a baby is not only joyful moments, but also stress and fatigue. Therefore, it is very important to take care of your body and state of mind.

Ask for help and, if possible, share the concerns with your partner. For example, a friend might happily bring you a cooked lunch, or a partner might get up at night and bottle feed your baby so you can sleep and rest.

Share your feelings with friends and family members, tell how you feel.A conversation with a close understanding person can already “unload” you.

If there are times when you feel that you are about to fall on the baby, put the baby in his crib and leave the room. Inhale, exhale, distract yourself for a couple of minutes. Never shake the child due to irritation, etc.

Consider what will help you not feel exhausted and will reduce stress during the postpartum period. Perhaps this is the help of a partner or family. Check with antenatal clinics or social networks for mothers to see if there are any support groups in your area.

Exercise in the postpartum period

You will most likely feel tired on a regular basis and will have very little time for yourself. But try not to forget that exercise helps replenish energy and get back in shape.

Aim to exercise for about 150 minutes a week at moderate intensity. If you’ve had a vaginal birth, you can usually start exercising as soon as you feel ready for the stress.If you have had a caesarean section, you will need to wait four to six weeks.

Before starting a workout, be sure to get a doctor’s approval. Note that it may take some time before you can return to the same intensity exercise that you were able to do before pregnancy. Brisk walks, swimming and special workouts for newly born babies are good choices for physical activity.

Do not set yourself the task of reaching a certain mark on the scales or getting into “pre-pregnant” jeans.Think of sports as a way to take care of your health and get the energy you need to take care of your baby.

In the postpartum period, it is especially important to strengthen the muscles of the back and abdomen, since they are the ones that suffer the most during pregnancy. If your doctor has given you the green light to train, you can try these exercises:

Using the instructions below and illustrations, do each exercise 20 times.

Important: During all exercises, use your abs and breathe without delay.Try not to arch your back, and in those positions where you need to lie on your back, try doing the exercise so that your back remains fully pressed to the floor.

A. On all fours. Get on all fours with your arms and legs at right angles. Take a deep breath, and as you exhale, tighten your abdominal muscles. This is how you work them out. You will need to use your abs in all of these exercises.
B. Sliding legs. Lying on your back, bend your knees slightly, press your feet to the floor and tighten your abs.Take a deep breath and straighten one leg, sliding your foot on the floor. Exhale and return the leg to the starting position. Repeat with the other leg.
C. Bicycle. Assume the same position as in the previous exercise. Bending your leg at the knee, lift it so that the knee is above the hip. Then straighten your other leg. Make a movement as if you were riding a bicycle: straighten your bent leg and bend the one that was extended.
D. Touching the floor with the heels. Lying on your back, lift both legs at a 90 ° angle so your calves are parallel to the floor.Lower one leg to the floor so that the heel touches the floor and the knee remains bent. Repeat with the other leg.
E. Stretching the legs. Lying on your back, lift both legs at a 90 ° angle so your calves are parallel to the floor. Extend one leg straight so that your foot is 30-60 cm above the floor. Return your leg to its original position and repeat the exercise with the other leg.

Return to work

Each woman has different factors that influence how long after giving birth she plans to return to work: financial situation, conditions of maternity leave and various family circumstances.Even if you planned when you would go to work during pregnancy, the situation may change after giving birth. If you can take your time, give yourself enough time to make a decision that is comfortable for you.

If both mom and dad return to work, you need to decide who will stay with the baby. You can ask for help from someone from the family, hire a nanny or send your baby to kindergarten. Give yourself time to find the solution that’s right for you.

Depressed postpartum

It is normal to feel sad postpartum.80% admit they are depressed after giving birth.

If you are sad and depressed, this does not mean that you are a bad mom or that you do not appreciate what is given to you. It just means that your body is adapting. Try to remind yourself of this when you feel uncomfortable.

Heart-to-heart conversations with loved ones, relaxation (as much as possible) and personal time when you are doing something for yourself help dispel the melancholy.

Usually such attacks of sadness disappear in a couple of days.But if they linger or the sensations become more intense, see a specialist, as this may indicate postpartum depression.

Sex in the postpartum period

Sooner or later, you may wonder: how long after giving birth can you have sex again? You may also be worried about your decreased attraction to your partner.

Some doctors recommend waiting six weeks after giving birth before resuming sex. If you feel ready for intimacy earlier, consult your doctor.You and your partner may find that your sexual appetite has changed. Fatigue may be the reason, you may worry that sex will be painful. Sex drive is weakened in many women who have recently given birth. Take your time and be sincere with your partner. Try to find a time when you can retire and no one and nothing will disturb you.

Decide which method of contraception you will use. Even if you are planning to have another baby, according to the recommendations of experts, it is better to wait 12 months after the last birth for the body to fully recover between pregnancies.Talk to your doctor about which method of contraception is best for you.

When your period returns after childbirth

After childbirth, you will have vaginal discharge – lochia. Don’t confuse them with your period.

If you are breastfeeding, your period may return a few months after giving birth (on average, six months). But most moms don’t come back until they wean the baby.

If you are formula feeding your baby, your period may return six to eight weeks after giving birth.At first, they may differ from what you are used to in terms of duration, soreness (may be less painful). Gradually, the cycle is normalized.

Keep in mind that your ovaries can release eggs even if your period hasn’t started yet. This means that you can get pregnant without your period. If you are not planning a second pregnancy, talk to your doctor about which contraception is right for you.

Visiting the doctor after giving birth

The doctor will ask you to see him two to six weeks after giving birth.You will see your pediatrician on a monthly basis in the first three months of your baby’s life. After a caesarean section, your doctor may order an examination two weeks after birth to check how the stitches are healing.

At the first examination after childbirth, the doctor may ask you to weigh yourself, most likely, they will measure the pressure, examine the chest and abdomen, and conduct a vaginal examination. If you have had diabetes during pregnancy, your doctor may also order a blood test.

Before you go to the doctor, prepare a list of all your questions so you won’t forget anything.At the first examination, the doctor will tell you whether further observation is required, whether you need to pass any tests or undergo examinations.

Check with your doctor if you need to be vaccinated. For example, a flu shot or DPT (tetanus, pertussis and diphtheria vaccine).

Diseases in the postpartum period

Below we describe the diseases that sometimes occur in women after childbirth. If you notice symptoms of these diseases or other ailments in yourself, be sure to see a doctor.

  • Postpartum depression. It happens that mothers of babies experience a very strong feeling of depression that does not go away after a few weeks. If so, it could be a sign of postpartum depression. It can manifest itself in a feeling of despair, increased anxiety, crying for no reason. Also, it can be difficult for a mother with postpartum depression to concentrate, wake up on time, or, conversely, fall asleep, even when the baby is already sound asleep. Postpartum depression usually appears in the first three weeks after childbirth, but symptoms can occur up to a year after the baby is born.If you are experiencing symptoms of depression, do not delay contact a specialist. The condition can be alleviated with psychotherapy or medication, or both.

  • Postpartum endometritis. Endometritis is an inflammation of the inner surface of the uterus (endometrium) that occurs in the early postpartum period as a result of infection. Postpartum endometritis is rare, but the risk is higher after a caesarean section. To prevent the development of infection after a cesarean section, the mother is usually given antibiotics.Be attentive to yourself and, if a few days after giving birth you have a fever, you feel nauseous and there is pain in the abdomen, immediately consult a doctor. The doctor will be able to diagnose and prescribe treatment (in case of infection, this will be a course of antibiotics).

  • Postpartum hemorrhage. Bleeding occurs the day after delivery or within 12 weeks. In the first 24 hours, it occurs due to weak contractions of the uterus. Other possible reasons are the delay of parts of the placenta in the uterus, pathology of hemostasis, trauma to the soft tissues of the birth canal.Bleeding in the first 24 hours after childbirth occurs in 4-6% of cases. Your doctor will be able to provide you with the help you need, such as drugs or massage of the uterus to stimulate contractions. If there is a lot of blood loss, your doctor may order a transfusion. If at any time after giving birth you start bleeding, see your doctor.

  • Postpartum thyroiditis. Postpartum thyroiditis occurs on the background of autoimmune inflammation of the thyroid gland.Simply put – until the moment of childbirth, immunity is suppressed, this is necessary to maintain your pregnancy. And after the birth of a child, immunity returns to its original state, it begins to work in full force. With autoimmune thyroiditis, its increased activity is observed, the victim of which becomes the thyroid gland. Thyroid function usually stabilizes over time, but in some cases this can lead to a chronic condition called Hashimoto’s disease. Symptoms of thyroid disease, such as fatigue and weight fluctuations, are easily confused with the normal “symptoms” of the postpartum period or the fatigue of the mother of the newborn.But if you are feeling worried and symptoms persist over time, tell your doctor about it. The doctor will be able to determine the cause of the ailment, rule out or confirm problems with the thyroid gland.

  • Gestational diabetes mellitus. If you experience gestational diabetes during pregnancy, you will need to see your doctor after childbirth. You will most likely need to have a glucose tolerance test 4–8 weeks after giving birth. To reduce the health risks associated with gestational diabetes, your doctor may recommend weight management and proper diet.

When to Call Your Doctor

If you experience any of the following symptoms during the postpartum period, call your doctor right away:

  • temperature above 38 °

  • nausea or vomiting

  • pain during urination

  • heavy bleeding (for example, if you change two pads with maximum absorbency in an hour)

  • severe abdominal pain

  • edema on the legs

  • chest pain

  • painful lumps in the chest

  • pain or signs of infection (redness, discharge) at the site where the stitches were placed

  • Vaginal discharge, strong odor

  • feelings of despair and longing (especially if the mood does not change after ten days)


You don’t have to deal with problems alone.The postpartum period is not a time for heroism. Ask for help from your partner, family members, and friends. If you do not want to see friends or relatives, you do not have the strength to do so, refuse meetings, limit home visits.

If you keep in touch with your midwife or doula, they can be of great help after giving birth by answering questions and giving advice.

If you’ve taken a childbirth class, talking to your classmates can be a relief as well, as they’re probably going through a similar experience at the same time as you.You can also check with your local health center or antenatal clinic if there are local support groups for new mothers.


  • How long is the postpartum period?

    The first six weeks after childbirth are considered the postpartum period.

  • Do your periods change after pregnancy?

    The menstrual cycle may be shortened or lengthened, and painful sensations may become less pronounced. Over time, your menstrual cycle will stabilize.

  • How long after childbirth can postpartum depression occur?

    Depression usually appears in the first three weeks after childbirth. But it happens that symptoms appear later – within a year from the moment the child is born.

  • What are the symptoms of postpartum depression?

    Postpartum depression symptoms:

    • Regular crying
    • No energy
    • Overeating
    • Increased anxiety
    • Lack of interest in the child
    • Feelings of guilt or worthlessness
    • Insomnia
    • Severe fatigue

Six weeks postpartum can be a challenging time for mom and the whole family.Try to tune in to calmness and patience, you need time to adapt. Use the available help to the extent that you need and feel comfortable. Do not rush to arrange a baby show if you are not yet ready for this.

How This Article Was Written
The information in this article is based on expert advice from trusted medical and government sources such as the American Pediatric Association and the American College of Obstetricians and Gynecologists.A complete list of links to sources used to write this article can be found at the end of the article. The information on this page does not replace professional medical advice. Always see your doctor for diagnosis and treatment.

What is osteoarthritis and how to deal with it

(information for people with arthrosis)


Osteoarthritis is a very common joint disease that affects about 80% of our population at the age of 50-60, but sometimes it manifests itself earlier, at the age of 30.In osteoarthritis, the articular cartilage is primarily affected. As you know, the joint is formed by the articular surfaces of the bones, covered with cartilaginous tissue. With various movements, the cartilage acts as a shock absorber, reducing the pressure on the articulating surfaces of the bones and ensuring their smooth sliding relative to each other. Cartilage consists of connective tissue fibers loosely located in the matrix. The matrix is ​​a jelly-like substance formed by special compounds – glycosaminoglycans.Due to the matrix, the cartilage is nourished and damaged fibers are restored. This structure makes the cartilage look like a sponge – in a calm state, it absorbs fluid, and when loaded, squeezes it into the articular cavity, providing, as it were, “lubrication” of the joint.

During life, cartilage flexibly reacts to stereotypical, thousands of times repetitive shocks during certain types of work or running, jumping, etc. This constant load leads to aging and destruction of some of the fibers, which in a healthy joint is replenished by the synthesis of the same amount of new fibers.Osteoarthritis develops when the balance between the formation of new building material for the restoration of cartilage tissue and destruction is disturbed. There is a kind of less valuable cartilage structure that can absorb less water. Cartilage becomes drier, brittle, and in response to stress, its fibers are easily split. As the arthrosis progresses, the layer of cartilage covering the articular surfaces becomes thinner, up to complete destruction.

Along with the cartilage, the bone tissue underneath also changes.Bony outgrowths are formed along the edges of the joint, as if compensating for the loss of cartilage by increasing the articular surfaces. This is the cause of joint deformities in arthrosis. The people call this condition “salt deposition”, which is simply an illiterate name for arthritic disease.


It seems that there is no single reason leading to the development of this disease.A number of factors are important, one way or another weakening cartilage, the harmful effects of which are summed up throughout life and ultimately lead to the development of arthrosis. The onset of the disease in this situation can be characterized as an unfavorable combination of circumstances, and these circumstances are different for each person. Nevertheless, a number of factors can be identified, the presence of which increases the risk of developing arthrosis.

1. AGING – With age, the cartilage becomes less elastic and loses its resistance to stress.This does not mean that all people develop arthrosis in old age. But in the presence of other predisposing factors, the risk of getting sick increases with age.

2. CONNECTED FEATURES – At present, connective tissue dysplasia syndrome is widespread. This is a congenital weakness of the connective tissue, manifested by increased joint mobility, early development of osteochondrosis, flat feet. If a certain motor regime is not followed, this condition can lead to the development of arthrosis at a young age.

Another fairly common congenital anomaly is a complete or incomplete dislocation of the hip joint (this is why preventive examinations of newborns are carried out immediately after birth), which, if it is incorrectly adjusted or incorrectly treated, leads with age to a severe form of osteoarthritis of the hip joint.

3. GENETIC PREPOSITION – It has been proven that the predisposition to nodular arthrosis with damage to many joints is inherited.Women whose mother suffered from this form of arthrosis has an increased risk of getting sick.

4. INJURIES – Severe simultaneous injuries accompanied by contusion, fracture, dislocation, damage to the ligamentous apparatus of the joint, or repeated microtraumatization of the joint can contribute to the development of arthrosis. Microtraumatization is the reason for the development of arthrosis in workers of a number of professions and professional athletes. An example is the development of arthrosis of the knee joint in miners, football players; arthrosis of the elbow and shoulder joints in working with a jackhammer; arthrosis of small joints of the hands in secretaries – typists, weavers; arthrosis of the ankle joints in ballerinas; arthrosis of the joints of the hands in boxers, etc.etc.

5. CONCURRENT DISEASES – Any metabolic disorders, endocrine disorders contribute to the development of arthrosis. Osteoarthritis often develops in obese people, in patients with diabetes mellitus, thyroid diseases, in women in menopause. Various circulatory disorders in the extremities, such as varicose veins, atherosclerosis, also contribute to the development of arthrosis.


The first symptom that compels you to see a doctor is joint pain.The intensity of pain can be different – from pronounced, limiting the mobility of the joint, to moderate, arising only with certain movements.

Severe pain is usually caused by reactive inflammation of the joint (called synovitis) or inflammation of the tissues surrounding the joint (muscles, tendons, bursae). Inflammation in the joint occurs due to the fact that pieces of destroyed cartilage enter the articular cavity and irritate the synovial membrane of the joint.Inflammatory pain is quite pronounced, increases with any movement in the joint, and also occurs at rest in the second half of the night. With inflammation of the tissues surrounding the joint (tendons, bursae), the pain intensifies when performing certain movements, there are painful points in the joint area, “starting” pains are characteristic (after a period of rest it is difficult to start moving). With proper treatment, inflammation in the joint or surrounding tissues can be stopped, which is accompanied by a subsiding of the pain syndrome, the disappearance of night pains, and an improvement in joint mobility.

In the absence of inflammation, in the initial stages of arthrosis, the pain syndrome is insignificant. Pain occurs only with pronounced loads on the joint, such as prolonged fixation of the joint in one position (sitting in an uncomfortable position), prolonged walking or running, and carrying heavy bags. These pains disappear after a short rest with relaxation of the joints. In advanced stages of arthrosis, the pain syndrome is almost constant.


In principle, arthrosis can develop in any joints.Several forms of arthrosis are distinguished depending on which joint lesion predominates. In the first form, the small joints of the hands and feet are mainly affected. Tight nodules form on the fingers, the so-called Heberden’s nodules. These nodules are bony outgrowths along the edges of the joints. In the stage of formation, they can be painful, the skin over them can turn red. Then the inflammation subsides, painless deformities of the joints persist, and the function of the hand remains satisfactory. In the form of osteoarthritis with a predominant lesion of the joints of the 1st fingers of the hands, the function of the hand deteriorates markedly already in the early stages of arthrosis.The next form is osteoarthritis of the supporting joints. The supporting joints include the knee and hip joints. Arthrosis of the knee joints is called gonarthrosis. Arthrosis of the hip joints – coxarthrosis. And, finally, there is a form of osteoarthritis with damage to many joints at once, then they talk about polyosteoarthritis.


A rheumatologist can suspect osteoarthritis on the basis of complaints, medical history, and patient examination.X-rays of the most disturbing joints are needed to confirm the diagnosis. The images show changes characteristic of arthrosis: in the early stages, the outline of the bones that form the joint is emphasized, then the joint space narrows, bone growths are formed along the edges of the joint. Depending on the severity of changes on radiographs, 4 stages of arthrosis are distinguished – from the first, with minimal changes, to the fourth, when the structure of the joint is almost completely disturbed. Of the additional research methods, thermographic (thermal imaging) and ultrasound (ultrasound) examination of the joints can help to detect inflammation in the joints or surrounding tissues, which cannot be seen on an x-ray.

The prognosis for patients with osteoarthritis can be considered good and even good, and this is not false optimism. The opinion that this disease is constantly progressive in nature is unfounded. Complete disability due to osteoarthritis is rare, and most patients experience joint problems only occasionally. When they say that arthrosis is incurable, it means that those changes that have already formed in the joint cannot be reversed.But, as a rule, at the first visit to the doctor, these changes are insignificant, and by observing a certain motor regime, recommendations for rehabilitation, further progression of arthrosis can be prevented. It should also be remembered that in this disease, periods of exacerbation associated with reactive inflammation of the joint are replaced by periods of rest, when the joint is practically not disturbed or complaints are minimal.


The appearance of the first symptoms of arthrosis should not be a reason for panic, but rather a signal from the body about the need to slightly change the prevailing motor stereotypes.

First, you need to try to limit movements associated with increased stress on the articular cartilage. With arthrosis of the hip, knee, ankle joints, it is necessary to reduce such types of physical activity as running, jumping, lifting and carrying weights, squatting, brisk walking, especially over rough terrain, climbing a mountain, walking stairs.

With all these activities, a force that significantly exceeds the body weight acts on the affected joints, which is harmful to the already changed cartilage.You should also avoid fixed positions, such as prolonged sitting or standing in one position, squatting or bent position when working in the garden. Such postures impair blood flow to sore joints, as a result of which the nutrition of the cartilage also deteriorates. If the joints of the hands are affected, it is necessary to limit the transfer of heavy objects, manual push-ups of heavy things, typing on a tight typewriter, playing musical instruments, etc.

In any case, it is necessary to develop a rhythm of physical activity so that periods of load alternate with periods of rest, during which the joint must be unloaded.The approximate rhythm is 15-20 minutes. load, 5-10 min. rest. You need to relieve the joints of the legs while lying or sitting. In the same positions, you can perform several movements in the joints (flexion, extension, bicycle) to restore blood circulation after exercise.

Secondly, despite the presence of a number of restrictions, it is necessary to lead an active lifestyle by increasing motor activity, which does not have a negative effect on the cartilage. You need to force yourself to do special exercises every day, some of which are listed below.A common feature of these exercises is that when they are performed, the load on the articular cartilage is minimal, and the muscles surrounding the joint work to a greater extent. This allows you to form a good muscle corset around the joint, maintain normal mobility and sufficient blood circulation in the limb. In addition, these exercises strengthen the cartilage itself, which needs movement for normal nutrition. Regularly engaging in these exercises should turn from an unpleasant duty to a rewarding habit, which is the best way to maintain normal joint function.You need to do at least 30-40 minutes a day, it is better to divide this time into several times a day for 10-15 minutes. A noticeable effect occurs already in 2-3 months – pain syndrome decreases, vitality rises, hidden reserves of the body are released.


It is always best to start practicing under the guidance of a rehabilitation specialist (exercise therapy doctor), preferably in health groups specialized for a given localization of arthrosis.After the end of the group lessons, you need to continue to study at home, using the acquired skills. The main principle is the frequent repetition of exercises during the day for several minutes. Exercises should be performed slowly, smoothly, gradually increasing the amplitude. At the same time, it is better to focus on the sore joint, think about how blood flows to the joint during movements, brings with it nutrients, which, when relaxed, nourish the limbs into the cartilage, and during movement are squeezed into the joint cavity, providing good “lubrication” to the joint.


1. Walking on level ground at a moderate pace is a good way to maintain muscle tone. Try to walk for 20-30 minutes daily. The main thing is not to rush, because when walking fast, the load on the joints begins to exceed the body weight by 1.5-2 times. Shopping with heavy bags also does not improve fitness.

2.Swimming is the optimal sport for diseases of the musculoskeletal system. In water, the maximum range of motion in the joints is possible without weight loading, which is optimal for the articular cartilage. If you don’t know how to swim, you can do aqua gym classes.

3. Exercises on simulators more effectively allow you to form a muscle corset. The same goes for the bike trainer. It is important to correctly fit the exercise bike to the figure (the leg should be straight in the lower position), and to ensure that the exercise bike is firmly attached to the floor.

4. Cycling, in addition to the beneficial effect on the joints, brings a positive emotional charge. Avoid riding on uneven terrain (bouncing movements are harmful to joints), as well as falling off a bicycle. If you have difficulty maintaining balance, weakness, vision problems, or you are not very confident in the saddle, then it is better to exercise at home on a stationary bike. It is also important to choose the right bike. You need to choose between the sporty and semi-sporty type, since they are lighter and faster than road ones.Since sports bicycles have the handlebars down, and road bikes are usually horizontal or raised, it is more convenient for a sports bike to raise the handlebars up. Most of the problems arise when the saddle height is incorrectly set. It should be set so that when the pedal is fully depressed in the lower position, the leg is fully extended. If the knee is bent in this pedal position, then joint and muscle pain occurs. Equally important is the distance to the handlebars – the elbows should be slightly bent.The cyclist, unlike the pedestrian, puts stress on other muscles. Therefore, for a start, a 15-20 minute drive is enough, later, depending on the possibilities, the duration of the trip can be extended to 30-40 minutes.

5. In winter, skiing is useful, as the weight load is reduced due to sliding.

1. MASSAGE – improves overall health, relieves painful muscle spasm, improves blood circulation, transmission of nerve impulses, thereby improving the nutrition of the articular cartilage.Massage should be done by an experienced specialist in the absence of exacerbation of arthrosis. The area above the joint is treated with minimal intensity. The spine is more intensively processed, from where the nerves supplying the joint and the adjacent muscles exit. In the absence of contraindications, massage is repeated 2 times a year.

2. PHYSIOTHERAPY – also helps to improve cartilage nutrition. Shown are soft methods of influence, such as magnetotherapy, laser therapy, electrophoresis with Dimexide and brine, EHF-therapy, laser therapy.In the absence of contraindications, physiotherapy courses are repeated 2 times a year.

3. SPA TREATMENT – allows for complex rehabilitation, including the positive effects of therapeutic mud, baths, saunas, physiotherapy, massage, exercise therapy. An important role is played by a change of scenery, removal of stressful influences, being in the fresh air. It should be remembered that spa treatment can only be carried out without an exacerbation of the disease.

4. ORTHOPEDIC CORRECTION MEANS are special devices that allow to reduce the load on the joint. These include orthopedic shoes, which must be worn if there is a shortening of the limb; instep supports, prescribed for flat feet; knee pads that can reduce knee laxity, thereby reducing trauma to the cartilage when walking. Instead of knee pads, you can use an elastic bandage.

Drug treatment for arthrosis is prescribed during the period of exacerbation of the disease and is aimed at relieving inflammation in the joint or the tissues surrounding the joint.For this purpose, anti-inflammatory drugs are prescribed, such as Diclofenac, Ibuprofen, Indomethacin, etc. It should be remembered about the possibility of a negative effect of these drugs on the gastrointestinal tract, so they must be taken after meals, in short courses – 10-15 days. There are modern drugs of this group, which irritate the stomach to a much lesser extent, such as Tinoctil, Artrotek, Movalis. It is imperative to combine the intake of anti-inflammatory drugs with local treatment.In pharmacies there is a large selection of ointments with anti-inflammatory properties, such as Indomethacin, Butadion, and others. Of the more modern ones, Fastum-gel, Diclofenac-gel, Dolgit-cream, Erazon, Revmagel have proven themselves well. The ointment is applied to clean skin over the joint 2-3 times a day. Compresses with Dimexide have a very good anti-inflammatory effect. Dimexide is sold in pharmacies, diluted with boiled water 2-3 times. In the resulting solution, you can add novocaine or analgin and hydrocortisone (the latter is contraindicated in hypertension and venous diseases).Compresses are placed over the area of ​​sore joints for 40 minutes before bedtime. There are 20-30 procedures per course. Do not try to relieve an aggravated joint by yourself. Experience shows that better and faster results can be achieved with an early visit to a doctor, preferably a specialist (rheumatologist or arthrologist).

Intra-articular drug administration:
It is prescribed by a doctor for faster and more effective removal of inflammation in the joint. Kenalog, Diprospan, Celeston, Depo-medrol, Flosteron are used as drugs.Many patients experience significant improvement after the first intra-articular injection, and further require this procedure, even with a little discomfort. I repeat that this procedure does not cure arthrosis, but allows to stop inflammation, and with frequent unreasonable prescriptions, it is harmful to the joint.

Chondroprotectors are drugs that improve the structure of cartilage. Taking these drugs is not aimed at relieving inflammation in the joint, but helps to slow the progression of arthrosis, strengthen the cartilage tissue.Chondroprotectors can be taken orally, intramuscularly, intraarticularly. The first include drugs “Don”, “Structum” or food additives containing Chondroitin sulfate or Glycosaminoglycans, which are the building blocks of cartilage. The course of treatment with any of these drugs should be 6-8 weeks.

Chondroprotectors, injected intramuscularly, include rumalon, alflutop, mucartrin, arteparon, etc. The course of treatment requires 20-25 injections, administered every other day.

Alflutop, traumeel, target can be administered intra-articularly. Such manipulations are carried out by an experienced doctor, in the absence of inflammation in the joint. The course usually requires 6-10 injections.

For a good effect, courses of treatment with chondroprotectors must be repeated 2 times a year for several years.

Fulfillment of all the above recommendations will allow you to maintain satisfactory joint function for a long time.

Questions to the rheumatologist | MC Health


Hello! I am 29 years old. Sometimes on the ring finger of my left hand, then on my little finger there is a sharp burning sensation, as if it had burned. But then I saw that the vein on the finger was swollen and seemed to be pulsing. Then in this area the finger turned blue as if under the skin there was a hemorrhage. It worries me because I definitely did not receive any injuries. What can this be connected with? Can this be a signal for any disease? Which doctor should I go to? Thank you in advance for your answer.


Hello, Lyudmila, MRI of this area can help to establish a diagnosis in your case. Depending on its results, the specialization of a doctor who can help you is determined. Best regards, Svetlana Anatolyevna Tripolka


Good afternoon. In the analyzes of antinuclear antibodies (ANA-screen) – positive. Double-stranded DNA (ANA screen) -50.0

Does this mean SLE.


Hello Andrey, no, it doesn’t mean.An isolated change in laboratory parameters alone can never be the equivalent of a diagnosis. The whole range of clinical, anamnestic, laboratory and instrumental changes is evaluated. Best regards, Svetlana Anatolyevna Tripolka


Good afternoon! Half a year ago in the gym, without warming up the muscles, doing the squat exercise with a barbell, I pulled the groin muscle on the right side, which hurt me for several days. About a month and a half ago, literally a couple of days, there were slight pains in the lower back, which were accompanied when walking by a slight pain in the area of ​​the right buttock (shooting pain), after an intramuscular injection of an anesthetic everything went away … Two weeks ago, while on duty (I work in the police), according to the plan -the interception had to stand for 5 hours in one place in body armor, after which the legs were buzzing … and literally a couple of days later there was pain in the right groin, the pain appeared suddenly when the thigh of the leg was deployed in the farthest position, the pain was not great, the next two days I had a lot of physical exertion on my legs, namely constant walking (on business), after that the pain began to intensify, at one certain moment after a long sitting I could hardly get up, the pain was already felt not only when the leg was spread, but also simply with any movement in the area of ​​the hip joint, somehow I crawled to the pharmacy, where I was advised the ketorol ointment, which literally within one minute took off all the pain, albeit not for long – for two hours, then the pain began to appear again, although it was already small, I had to smear it with this ointment before visiting the attending physician of the police department of the Central Internal Affairs Directorate, to which I was assigned, every 6 hours (as per the instructions).In the clinic, the neurologist to whom I first turned, considering that I might have a pinched sciatic nerve, he refuted my guesses, concluding that I had coxarthrosis of the hip joint and referred me to a rheumatologist, who, in turn, made his diagnosis – tendon inflammation … and sent me for an ultrasound. As it turned out, an ultrasound scan can be done only after a month and a half (there are huge queues in our clinic of the Central Internal Affairs Directorate), I decided to contact my therapist, who, in turn, considered that I had a pinched sciatic nerve and recommended to check first of all the spine (lumbosacral region) , with X-rays we seem to be in order in queues, but I decided to do an MRI of the spine (lumbosacral spine) for a fee at the Institute of Neurology of the Russian Academy of Medical Sciences.Having done an MRI, I was told that, thank God, I have no pathologies with the spine and, accordingly, no pinches either … The doctor who made the conclusion on the MRI after listening to me (background) said that it was not a joint but a tendon that I damaged half a year ago. While at the Institute of Neurology of the Russian Academy of Medical Sciences, I nevertheless decided to seek advice from a neurosurgeon (Ph.D.), who, having listened to me completely, still decided that I had coxarthrosis and recommended a course of treatment, namely 1. Trental 400 (1 tab.2 times a day for 1 month), 2. Alflutop (1 vial intramuscularly No. 10-15), 3. Arta (2 tab. 2 times a day for 1 month) then (1 tab. 2 times a day for 2 months), 4. Milgamma (2 ml. Intramuscularly 1 time per day for 20 days), 5. Physiotherapy – magnetotherapy, 6. Massage, exercise therapy. After all that has been said, I decided to shovel the Internet and, judging by my symptoms, it turns out that I may not have coxarthrosis, but tendinosis of the tendon of the long adductor muscle. What can you say about this, and if this is a tendon, how can you check it?


Hello, Alexander.It is impossible to answer your question in absentia. I advise you to consult a specialist in sports medicine (there is such a medical specialization), I hope they will be able to help you professionally. Best regards, Svetlana Anatolyevna Tripolka.


Good afternoon. Please tell me how my husband’s intake of sulfasalazine might affect our planned pregnancy. Does this medicine only affect sperm motility or does it affect the future fetus? How long should you wait before conception if you cancel the drug.


Hello Elena. Sulfasalazine affects the quantity and quality of sperm. Its influence on the future fruit has not been proven. During pregnancy (the first 6 months), taking the drug is permissible under strict indications. Based on this, when planning a pregnancy, it is advisable to cancel the drug so that it can occur. There are no clear terms (for how long before the planned pregnancy) until the spermogram indicators are normalized. Then, according to indications, you can continue taking it for up to 24 weeks, after which the drug must be canceled until breastfeeding is stopped.Best regards, Svetlana A. Tripolka


hello! Please tell me how you feel about a raw food diet and refusal of meat in case of rheumatoid arthritis / I am 49 years old / is it contraindicated? thanks


Hello Elena! The influence of a raw food diet and refusal of meat on the course of rheumatoid arthritis has not been studied, I also have no personal experience of such an influence. You can share your experience. Best regards, Svetlana Anatolyevna Tripolka.


Hello! I have rheumatoid (reactive) arthritis. The doctor prescribed me salazopyrine, as well as other medications, but earlier I had an allergy to salazopyrine. Is it possible to replace salazopyrine with some kind of analogue (for example, sulfasalazine) to prevent allergies? Thank you Zararie for your answer.


Hello, Love! There is no point in replacing sulfasalazine with salazopyrine. It is necessary to select another basic drug, which can be carried out by a rheumatologist based on examination data, anamnesis, an assessment of laboratory activity and X-ray manifestations of the disease.Best regards, Svetlana A. Tripolka


Hello. I’m 21 years old

at the age of 14 had rheumatism of large joints (a side effect of taking antibiotics), the knee joints hurt most of all, and especially badly when going down the stairs. They pierced the pinicelin and something else, everything seemed to have passed. After that, the knees were rarely bothered. mainly a reaction to the weather or after a long walk / run.

about a week ago began to disturb the knee joints, especially going down stairs and squatting.

I work in a semi-basement room with rather thick walls, so it is cold enough when the heating is turned off. I have been working there since winter (it’s hot at that time), so I assume that when working in such a room with coolness and humidity after turning off the heating, it is because of this that my knees began to bother

Is this assumption correct? maybe to some extent the lack of calcium makes itself felt?

in the week I want to take a rheumatic test for calcium, is that enough?


Hello Daria, It is unlikely that this kind of symptoms can be associated with the level of calcium in the blood.It is necessary to be examined by a rheumatologist. The causes of joint pain can be many, ranging from manifestations of rheumatic heart disease and ending with a variety of dysplasias. It is possible to make a diagnosis and figure it out only with an in-person consultation. Best regards, Svetlana Anatolyevna Tripolka


Hello, I’m 26 years old, once I noticed that when going up and down stairs a slight pain appears in my knees, a few months later, ringing clicks appeared in my left knee with the same movement.All this despite the fact that when walking, nothing unpleasant is felt. What could it be? Thank you …


Hello, Natalya, it’s hard to judge in absentia. This is fortune telling on the coffee grounds. Contact a rheumatologist or arthrologist. Best regards, Svetlana Anatolyevna Tripolka


Hello, a few months ago my leg was swollen, the swelling does not go away, sometimes it decreases, then it increases. An ultrasound of the lower vessels of the lower extremities passed, they said that everything was in order with the vessels, there were problems with the outflow of lymph.please tell me how you can remove the swelling?


Hello, Yulia! Your problem should be addressed to a vascular surgeon. Best regards, Svetlana Anatolyevna Tripolka


Good afternoon! I am 23 years old. For several years my knee hurt. Recently, I can’t bend my knee to the end, it hurts, it crunches and seems to creak (when you bend the creak occurs or the crunch is very quiet, does it feel like something inside is rubbing against something? at night if she is constantly bent or straightened.I went for an ultrasound scan, they wrote that there was a physiological amount of excess fluid in the joint cavity. The fibrous capsule of the joint is neither thickened nor compacted. The synovium is not differentiated. Hyaline cartilage: thickness in the area of ​​the patellofemoral support 2.6 mm, in the area of ​​the medial condyle BK-1.9 mm, above the lateral condyle 2.0 mm. The echogenicity of the cartilage is slightly increased, the structure is homogeneous, the contour is clear and even. Subchondral layer with a smooth, indistinct contour. The joint gap is not narrowed, Mennisk is normal, in the popliteal fossa without features.Conclusion – signs of structural changes in the cartilage of the knee joints. I made an appointment with a rheumatologist, I will go to the appointment in a month. The ultrasound doctor said that something needs to be injected so that the cartilage does not completely decrease. Please tell me what needs to be done, what tests need to be passed. Why could this happen, after all, I have never been involved in sports especially. And what to do so that this does not lead to arthrosis and how to preserve the cartilage? After all, I am only 23 years old, and what will happen in the future !!!


Hello Anna.You need to conduct an MRI of the knee joints to clarify the integrity of the intra-articular formations and an X-ray examination to clarify the degree of arthrosis. Based on the data received, make a decision on the tactics of treatment. Best regards, Svetlana Anatolyevna Tripolka


Hello! Since October 2012, the feet have been sore, no one can make a diagnosis. Tests completed:

sugar – 4.7 mmol / l, Hb – 116 g / l, RW – negative, HIV – negative, urine acid – 5.9 mg / dl (repeat.- 299 umol / L), rheumatoid factor – negative, antistreptolysin-O – negative, C-reactive protein – 54 mg / ml (repeat – 54.4mg / L), COE – 40 mm / h (repeat – 50 mm / h, antibodies to cyclic citrulline peptide (anti-CCP) –


Hello, Irina. I cannot diagnose in absentia, contact our center, I will try to help you. Best regards, Svetlana Anatolyevna Tripolka


good days. Call me Yulia for 21 ric, last day I was diagnosed with reactive arthritis in the corner of my leg.They dabbled with droppers from dexamethasan, that pill of sulfasalazin, when I started drinking, it became more beautiful, my leg didn’t work, but the axis of the day was less than a little pampering the snow, I didn’t mind a little bit of a bad story, be it Maybe I’m afraid I’m afraid of dexamethasone, but I’m afraid it’s not good for me, for the one who hasn’t given birth yet, please me, be a weasel.


Hello, Julia, in your situation at the moment there are no indications for the use of hormone therapy, since, according to your words, there is no disease activity.To relieve pain, use non-steroidal anti-inflammatory drugs, which a rheumatologist can help you choose. For the future, I do not advise using dexamethasone, there are new glucocorticoid drugs with fewer side effects, such as methylprednisolone. Best regards, Svetlana Anatolyevna Tripolka.


Hello! I have rheumatoid arthritis, I am giving a method injection, the instructions in the contraindications section say alcoholism, please tell me how to understand this? Is it possible to use, for example, a glass of wine or champagne once a week or is it categorically prohibited? And what will happen if you do not follow the instructions? Thanks for earlier


Hello, Svetlana.Alcoholism (in contrast to the occasional use of the amount of alcoholic beverages described by you) is a disease, a type of substance abuse, characterized by a painful addiction to alcohol, physical and psychological dependence on its use. I hope this is not the case in your situation. It is advisable to refrain from drinking alcohol while taking methotrexate. Of course, there will be no tragic consequences from occasionally rare receptions, but the load on the liver will increase. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello. Two and a half months ago (January 9), after a load in the gym, pain began in the knee joints (both) at the same time. There was swelling in the knees, but there were no external manifestations. Within a month, all joints began to ache without any external changes, only a crunch appeared. Complete blood count and biochemical blood are normal. Ultrasound of internal organs is normal. X-ray joints – no pathologies. Antibodies M to chlamydia – negative.Antibodies J to chlamydia – positive (7.6 with an acceptable level of 1.2).

(Unfortunately, the results of all analyzes and a description of the disease process do not fit into the set number of question marks). In the course of treatment with antibiotics, non-steroidal anti-inflammatory and other medicines, the condition did not improve, it even became worse: the skin, muscles, eyes began to burn without any external changes. Body temperature does not exceed 37. Consulted by a neurologist, psychiatrist, etc.doctors, no pathologies were identified. At the moment, the diagnosis has been made – Reiter’s disease, subacute course. Can you tell me if this is the correct diagnosis and why 35 days of treatment did not bring any positive results?


Hello, Oleg. The description of the disease does not fit into the set number of characters, and the “” magic solution “” “to your disease, nevertheless, you expect to receive an online consultation. It is possible to diagnose and prescribe treatment only after direct examination of the patient.Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello. I’m 25 years old. For more than a year now I have been worried about joint pain. It all started with the big toe of the left foot. There was a terrible pain, redness, swelling. It was first treated like gout. A few months later, the rest of the toes began to hurt. The foot was slightly deformed and the ankle bone began to hurt very badly. A few months later, the joint of the right hand and the right knee became ill.All this time she drank diclofenac, ibuprofen, movalis, glucosamine. There was not much relief. Having passed all possible blood tests and not only (PCR, ELISA-toxoplasma, mycomlasma, ureplasma, chlamydia – everything is negative, rheumatic tests-neg, HLA-B-27-passed three times – all neg, X-ray did not show abnormalities, MRI of sacroiliac no abnormalities were detected) of all deviations, only CRP-6.28 mg / l at a rate of less than 5, ESR-20mm / hour at a rate of 15. Ultrasound result: signs of pandenitis combined with tenosynovitis of the tendons of the left foot, multiple erosions and a pronounced periosteal reaction …The doctor diagnosed reactive arthritis and prescribed 3 months. drink sulfasalazine according to the scheme. I drank it, but there was no result, all the same swelling, pain, a bump on my arm and leg. And what else should be the cause of reactive arthritis, but they did not find any traces of infection in me, although I was tested several times in several places. Is this really reactive arthritis? Why is he then? How to treat it further? Thanks.


Hello, Marina. It is not possible to answer your questions in absentia.It may be reactive arthritis, or it may not. Laboratory examinations are carried out for the most common pathogens, but not all. For example, viruses, shigella, yersinia, etc. can be the cause of reactive arthritis. I cannot prescribe treatment by correspondence consultation. Contact our center, we will try to help you. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello. From the age of 18, crunching in the joints – knees, wrists, spine, feet, neck.Now 22 years old, there is pain when bending the knees, knees ache in the weather, sometimes it hurts to walk. Please tell me what kind of disease it can be?


Hello, Kira, I cannot diagnose in absentia. There may be arthralgia against the background of osteochondrosis, there may be a debut of rheumatoid arthritis. In any case, this is fortune telling on the coffee grounds. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello. I have rheumatoid arthritis since I was 5 years old, and I have been prescribed methotrexate 15 mg per week.In pharmacies, I did not find methotrexate and bought methotab, the pharmacies said that it was the same thing. Is it correct that I drink methotrex, in the same dosage as methotrexate was prescribed and is it normal to have mild nausea and dizziness on the day of taking the medicine?


Maria, methotab and methotrexate are one and the same. Nausea and dizziness are possible, try 10 mg in the evening and 5 mg in the morning. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello.I was prescribed methotrexate (not for the first time) at a dose of 15 mg. I found in pharmacies and bought only methotab. I was told that this is the same thing. Am I doing the right thing that I take methotab and is it normal for mild nausea and dizziness on the day of taking? (I drink folate every other day)


Maria, methotab and methotrexate are one and the same. Nausea and dizziness are possible, try 10 mg in the evening and 5 mg in the morning. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello! I am 45 years old.I was diagnosed by MRI: Left-sided aseptic sacroilitis, lipoid dystrophy of the sacrum and iliac bone marrow, scoleosis. Tell me in more detail whether this disease is dangerous and how to treat it? What kind of exercises, what kind of sport is it possible, my doctor does not say anything specifically. Thank you so much for your help!


Hello Marina! It is necessary to clarify the origin of sacroiliitis. To do this, first of all, you need to be examined for urogenital infection, since it is she who most often causes such changes.It is also necessary to exclude the debut of ankylosing spondylitis and the spondyloarthritic form of psoriatic arthritis. Each of these conditions is treated differently. Contact our center and we will try to help you. Best regards, Svetlana A. Tripolka


Hello, I am worried about the stiffness of the joints of the fingers in the morning, after waking up, for about 20 minutes. Then everything comes back to normal. No temperature, rheumatic factor


Hello, Svetlana, what is the essence of your question? Best regards, Svetlana Anatolyevna Tripolka.


I am 25 years old, 11 have psoriasis. Since the end of summer, my legs just started to hurt. I came to the doctor, immediately – “psor.arthritis”. The legs did not swell, there were no deformities of the limbs, there was no “morning stiffness”. Rheumatic tests ruled out rheumatism, and there was no gout either. Psoriasis is almost perfect. Since September, sometimes it just hurts my legs and arms (not much). Extremities ache in different places (and in the fingers and toes) and at different times – there is no disposition to certain conditions in the pain.Sometimes the joints of the feet crunch. I can walk and run as much as I want. My back does not hurt, I can withstand physical activity normally. The rheumatologist took pictures of the hands, lower back – the norm, he advised me to be tested for chlamydia, the result is positive, a course of antibiotics, again tests – no chlamydia. A week has passed and my legs are aching again. Not as much as before. The last 3 days began to tingle and under (between) the shoulder blades, in the shoulder. Maybe this is not psor. Arthritis (I would not like to become disabled)? How can I do the right thing or do nothing (it will pass by itself)?


Hello Sergey, Based on the data described by you, the diagnosis of psoriatic arthritis raises great doubts.To make this diagnosis, it is necessary to identify completely clear and characteristic of this type of arthritis visual changes in the joints, as well as radiological signs characteristic of psoriatic arthritis. According to you, you do not have these manifestations. Leg pain is not the equivalent of a diagnosis. Of course, in the early stages of arthritis, only they can be its first symptom. I can more clearly answer your questions after the inspection and analysis of your changes. Respectfully yours, Svetlana Anatolyevna Tripolka.


Hello! If possible, please comment on the analyzes of my son (21 years old): REUMAPROBES: SRB-33.6, rheumatic factor-neg., Antistreptolysin O-220, cold antibodies 1: 8, total immune complexes-78, large-molecular fractions-26 , medium-molecular-40, small-molecular-34, cytotoxic AG-2.84, cytotoxic AT-0.35. total protein – dash. GENERAL BLOOD ANALYSIS (on the same day): erythrocytes-5.16, hemoglobin-165, color index-0.96, platelets-280, leukocytes-6.0, stab-1, segmented-26, lymphocytes-56, monocytes -11, eosinophils-4, basophils-2, ESR-3.Bacterial culture from pharynx and nasal staphylococcus aureus. DIAGNOSES: chronic decompensated tonsillitis, chronic granulosis, pharyngitis in the acute stage, chronic thyroiditis, euthyroidism. Heart complaints, no joints. Please tell me if you need to refer to rheumatology or these analyzes are typical for these diagnoses. I would be very grateful for your advice!


Hello Angela, Your son has increased CRP, which can be typical for both chronic tonsillitis and its complications from the heart.It is necessary to clarify the state of the cardiovascular system, conduct an examination (auscultation of the heart to detect murmurs), as well as an ECG and ECHO-CS study. Not always complications from the heart, developed against the background of chronic tonsillitis, immediately manifest themselves in complaints. Sometimes they are asymptomatic. You need to consult a rheumatologist to exclude heart complications that may develop against the background of chronic tonsillitis. Best regards, Svetlana Anatolyevna Tripolka.


Hello, I have arthrosis in both legs, some cartilage has come off in my left knee, fluid is collecting in both cups.help: what to do, how to treat, where to find a specialist?


Hello, Svetlana! To clarify the integrity of “” some cartilage “, etc. You will need to have an X-ray and an MRI scan of your knee joints. In our center there is an opportunity to help you. Please make an appointment with a rheumatologist and we will try to understand your problem. Best regards, Svetlana Anatolyevna Tripolka.



1.Is the value 459 (uric acid) decisive for the diagnosis of gout? The nature of the disease has completely changed, NSAIDs have ceased to help, on the contrary, they provoke pain and swelling. Cortisone and NSAIDs relieve inflammation a little, at the end of the course everything starts all over again. A recent clinical blood test shows (values ​​in excess of the standard are given):

Cholesterol-6; LDL-4.15; Uric acid-479; Urea-9.60; Creatinine-135; CPK-544; C-reactive protein-59; Rheumatoid factor-120; Hemoglobin-120; Leukocytes-11.6; ESR-57; Segmented-78; Lymphocytes-10; Leukocytes-3

This is an oil painting … Do you think this is proof of rheumatism? arthritis or reactive arthritis? Is antibacterial treatment necessary in this case? I would like to hear your personal opinion. Thank you, Best regards, Grigory.


Hello, Gregory! An increase in uric acid is not decisive for the diagnosis of gout, it is the nature of the articular syndrome that is decisive. The laboratory data given by you may be typical for several types of arthritis, including those listed by you.For an accurate diagnosis and treatment recommendations, it is necessary to conduct an examination, collect anamnesis and evaluate radiological changes in the joints. Contact our center, we will try to help you. Best regards, Svetlana Anatolyevna Tripolka.


Hello, I am 31 years old and for a long time I have been bothered by pain in the joints of my legs, especially the gouty bone on my foot. It grows and hurts. Can your specialists help me, and if so, how: promptly or with a laser (I heard this too) or are there other real methods of treatment.Thanks in advance for your attention.


Hello, Ekaterina Vladimirovna, the question of the nature of the treatment can be resolved after examination and laboratory and X-ray examination. Our center has such opportunities, please contact us. Best regards, Svetlana Anatolyevna Tripolka.


Good afternoon. For the second time in a month, my 6 year old son has a temperature rise to 37.8 without visible symptoms. The last time the son complained of pain in his legs.Rheumatic tests were done. The results are as follows:

Antistreptolysin-O (ASL-O) -27 IU / ml

C reactive protein (CRP) -12.82 mg / l

Rheumatoid factor -11.5 IU / ml

Does my 6-year-old son have rheumatism? In June, only an ultrasound of the heart and a cardiogram (with and without exercise) were done, everything was within normal limits. Which doctor should I contact with our problem?

Thank you for your attention))


Dear Natalia. Leg pain is not the equivalent of rheumatism, even when combined with fever.An increase in temperature can be due to a variety of reasons, ranging from a banal SARS. Against the background of an increase in temperature, intoxication often develops, a symptom of which can be pain in joints and muscles. First of all, you need to contact a pediatrician who will help you deal with the reason for the rise in temperature. Best regards, Svetlana Anatolyevna Tripolka.


Hello! My baby is 1g6month. We have been sick for six months already, the child has undergone an operation (part of the intestine was cut off), the doctors said that we have one of the autoimmune diseases, which one is not clear, treatment with a hormonal drug has already begun, so it makes no sense to take tests, because.Because they will be unreliable, now the child is fevering for half a day, we no longer know what to do, it turns out that the treatment does not help, ESR began to grow again, help, please, take a little time and read the case history: https: // vikapro. blogspot.com/


Hello Elena, Unfortunately, I cannot help you in your situation, since children’s doctors are involved in treating children, and I have a specialization in adult rheumatology. The course of pediatric pathology, and even more so autoimmune, has its own specificity, and its diagnosis and treatment is a separate specialization in pediatrics.Best regards, Svetlana A. Tripolka


Hello! My mother is 75 years old. Knee pain. the right leg, which extends to the calf muscle. Has been worrying for more than two months. Tell. please, where to go to make the correct diagnosis and prescribe the right treatment. In the district polyclinic, they turned to a therapist and a surgeon. The diagnosis was made – gonoarthrosis of the right knee joint. They pierced the medication. rubbed the ointment.but it helps weakly. if possible, please answer. will wait.


Hello, Natalia! You can contact a rheumatologist at our center, I think we can help your mother. Best regards, Svetlana Anatolyevna Tripolka.


Has taken tests for rheumatic tests. My name is Tatiana, I am 28 years old. She suffered from rheumatism, and has not bothered for 5 years. But there was a pregnancy, the fetus had many defects, incl. heart disease. We plan to try again, but I’m worried that everything happened because of rheumatism.

* Antistreptolysin-O (ASL-O) 124 IU / ml Adults: up to 200.0

* C-reactive? protein (CRP)


Hello, Tatiana, what is your question, you have not formulated it. Respectfully yours, Svetlana Anatolyevna Tripolka.


What can a blood test say C-reactive protein-18.0, and RF-negative.


Hello Olga! Again a question-answer from the series “Fortune-telling on the coffee grounds”, such an analysis can say a lot, or maybe nothing.You need to start a conversation not with an analysis, but with clinical symptoms: complaints, anamnesis, examination. Analyzes by themselves do not say anything in particular. Best regards, Svetlana Anatolyevna Tripolka.

Symphysitis ›Diseases› DoctorPiter.ru

Symphysitis is an inflammatory process in the pubic joint. Normally, this joint – the symphysis – is motionless, however, in some situations it can become inflamed, swollen, and even acquire mobility.This condition occurs during pregnancy and after childbirth.


The main symptom of symphysitis is pain in the pubic area and in the thigh area. The pain can be disturbing at rest, when walking, with pressure. Pain also occurs when climbing stairs. A characteristic symptom of the disease is pain in the pubic area when trying to raise a straight leg from a lying position. Symphysitis sufferers often also complain of pain in the sacrum.

The gait of a woman suffering from symphysitis becomes duck, while the hips are slightly turned outward, the knees are bent.

Body temperature with symphysitis is most often normal, but it can also be subfebrile.


A woman’s pelvis consists of two pelvic bones on the sides and a sacrum in the back. Behind the bones are connected by two sacroiliac joints, and in front, the pelvic bones are connected by the pubic joint – the symphysis. The symphysis itself is formed by a fibrocartilaginous disc, and in the middle there is an articular cavity filled with articular fluid.This is not a full-fledged joint, it has limited mobility.

Usually, pain in the symphysis area begins to bother a woman in the third trimester of pregnancy. The exact cause of this condition is still unknown, but doctors suggest that symphysitis develops due to a lack of calcium in the body, as well as due to hormonal changes in the woman’s body. Under the influence of the hormone relaxin, which is secreted by the ovaries and placenta, the articular cartilage swells and the joints become more mobile.This is a natural state before childbirth, which provides the baby with a more comfortable passage through the birth canal. However, sometimes the joints become too soft and the ligaments too stretchy. In the case when the pubic articulation swells and becomes more mobile than necessary, symphysitis develops.

Some doctors believe that symphysitis develops only in women with problems of the musculoskeletal system.

Quite often, with symphysitis, a woman cannot give birth herself, she needs a cesarean section.

Symphysitis can bother a woman after childbirth. In this case, it is a consequence of difficult childbirth or physiological changes that occurred during pregnancy. There are three degrees of divergence of the pubic articulation:

  • with a discrepancy of the first degree, in which the pubic bones diverge by 5-9 mm, the patients usually do not present complaints;
  • with a divergence of the second degree, when the bones diverge by 10-20 mm, women complain of pain in the symphysis and sacrum;
  • when the third degree diverges, the bones diverge by more than 20 mm, and the pain is so severe that the woman cannot walk, roll over on her side, or move her legs.

Symphysitis can also develop as a result of infection in the symphysis area, for example, during operations on the pelvic organs.


Pregnant women cannot be x-rayed, so the gynecologist often makes a diagnosis based on the patient’s complaints and the results of an ultrasound scan (ultrasound). However, in 40% of cases, ultrasound does not show any changes.

X-rays are done after childbirth. In the case of symphysitis, the radiograph shows the divergence of the pubic bones.Computed tomography (CT) and scintigraphy are also informative.

With infectious symphysitis, a percutaneous biopsy is required, followed by inoculation of the test material on a nutrient medium.


With symphysitis, pregnant women are advised to wear a special bandage. In some cases, with very severe pain, doctors prescribe anti-inflammatory drugs. Also, vitamin complexes and calcium preparations are prescribed.

If symphysitis develops as a result of childbirth, a bandage is also prescribed.In addition, it is recommended to apply cold to the sore spot. With inflammation, antibacterial agents are prescribed.

With infectious symphysitis, antibacterial agents are also prescribed, taking into account the pathogen.


For symphysitis, it is necessary: ​​

  • limit climbing stairs;
  • do not sit for more than one hour;
  • do not sit cross-legged;
  • in a standing position, distribute the weight on both legs evenly;
  • take calcium supplements and foods containing calcium;
  • control weight gain, as excess weight increases pain.

In addition, you need to get more rest and limit your physical activity.

Doctors recommend doing a set of exercises to strengthen the muscles of the pelvis, lower back and hips. These exercises need to be done several times a day, especially if the pain gets worse.

  1. Lying on your back, bend your knees and pull your feet as close to your buttocks as possible. Slowly spread your knees to the side, and then slowly return them to their original position. Repeat 6-10 times.
  2. The starting position for the next exercise is the same as for the previous one, only the feet need to be slightly set aside from the buttocks. Slowly lift your pelvis up, and then slowly return to the starting position. In the later stages, it will not work to raise the pelvis high, but this is not required. At this time, it is enough just to tear it off the floor and slowly return it back. Repeat the exercise 6-10 times.
  3. Get on your knees, rest your hands on the floor, relax your back.But at the same time, make sure that your back, pelvis, neck and head are at the same level. Arch your back up, while lowering your neck and head down. The muscles of the abdomen and thighs should be tense at the same time. Repeat this exercise 3 times.


To reduce the likelihood of developing symphysitis during pregnancy, you need to exercise, lead a healthy lifestyle and eat right before pregnancy.