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Dr. Andrew Rynne

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Suggest treatment for severe back pain post a cesarean section

Answered by
Dr.
Dr. Mahaveer Patil

Orthopaedic Surgeon

Practicing since :2002

Answered : 1209 Questions

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Posted on Sat, 27 Aug 2016 in Back Pain
Question: My wife delivered a baby 3 months ago and it was a c section with epidural. Reason for c section was prolonged labour from morning 7 AM to night 11:00 PM and there was no dilation. Epidural was taken at around 7 PM evening and labour was induced to see if there can be any progress in the dilation. Since there was no progress further, c section was done at 11:00 PM with the same Epidural which was given and the Epidural catheter was removed next day evening.



Now she is complaining about the back pain where the epidural was given. She had no complaints of back pain 8 weeks postpartum, pain started after 8 weeks. She has tightness and severe pain in the area where epidural was given. Pain intensity is same throughout the day and there is no pain in legs, only in the back. While performing 'pelvic tilt' exercise, pain is felt more, where as while performing 'pelvic bridge' pain is not there.

So, my question is, is this pain linked to epidural? if so what has to be done to treat this?
doctor
Answered by Dr. Mahaveer Patil 1 hour later
Brief Answer:
nothing to worry about

Detailed Answer:
Hi xxxxxxxxxxxxxxxxxxxxxxxxx

Welcome to HEALTHCARE MAGIC..
How was your day?

Hope this message finds you in good health.
I have gone through your query in detail and understand your concern.

I generally see many cases like this at my clinic.and there is a general misconception that this pain is due to the epidural injection.

To some extent, this is correct,because while giving the injection,the covering over the spinal cord is punctured, many a times, the needle hits the surrounding ligaments and bones, as this is a blind procedure.

in post partum phase,due to lactation and breast feeding,lots of calcium from her body is lost causing more weakness of spine and aggravating pain.

morover,if while breast feeding, she is sitting for long period,it will cause stress on her spine.

i will suggest a few things to her.

1. let her use lumbosacral belt for spinal support
2. take calcium tablets for 6 months minimum.
3. ask her to feed the baby in lying down position

hot fomentation,local gel will be enoough for pain relief.

if at all, the symptoms increase, get a spine xray done

she should eventually get back to normal in coming few days.Nothing to worry about, as long as i am there to help you.     
I hope your question has been answered.
Feel free to consult me anytime for follow-up queries. Take care,God bless.
Wish you a healthy life : )
If you do not have any clarifications,you can close the discussion.
     
Kind Regards..
Dr Mahaveer Patil, (MBBS,MS,Mch)
Consulting Orthopaedic and Trauma Surgeon

-     If you were satisfied and happy with my answer ,PLEASE RATE THIS ANSWER AND LEAVE YOUR SINCERE FEEDBACK .

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Mahaveer Patil 17 minutes later
Hi Dr Mahaveer,

Thanks for your quick and positive response on my question. Also, your experience in treating these kind of issues gives more confidence to me.

You mentioned in your answer that "To some extent, this is correct,because while giving the injection,the covering over the spinal cord is punctured, many a times, the needle hits the surrounding ligaments and bones, as this is a blind procedure."

Will this be recovered automatically after sometime?

Thanks,
Subhash
doctor
Answered by Dr. Mahaveer Patil 1 hour later
Brief Answer:
query answered

Detailed Answer:
Hi xxxxxxxxxxxxxx
Welcome back

yes, it will definitely recover on its own..

the minor injuries that i mentioned which occur during giving epidural anesthesia to ligaments and bones in the spine, heal up spontaneously.

but she will experience some amount of on/off minor pain during this initial one year when the climate changes occur.

make sure she takes a calcium rich diet - milk,fruits, raagi, dry fruits, and calcium tablets , till 2 months after she stops breast feeding.

later on she can continue doing back yoga exercises to maintain a healthy spine.
She will be fine for the rest of her life.. Nothing to worry

I hope your question has been answered.
If you have any follow-up queries,feel free to consult me anytime.

If you do not have any clarifications,you can close the discussion. Wish you a good health.Have a great day : )

Take care,God bless.      
YOUR RATING FOR THIS ANSWER MATTERS A LOT AND WILL BE HIGHLY APPRECIATED.

Above answer was peer-reviewed by : Dr. Priyanka G Raj
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