[19F] Pregnant with hip and back pain

Patient Description

A 19-year-old female at 40 weeks and 4 days into her first pregnancy reports experiencing hip pain throughout the pregnancy, which has recently worsened. The pain is described as sharp and achy, radiating from the top of the hips down into the upper legs, and is exacerbated by movement. The patient also notes a lower backache and slight abdominal pain when standing. Despite the pain, there have been no contractions or changes in vaginal discharge, no vaginal bleeding or fluid leakage, and no loss of fetal movements. The patient's medical history is unremarkable with no known allergies or chronic illnesses. Current medications include prenatal vitamins and Tylenol for pain management.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Pregnancy-Related Hip Pain: Pregnancy can put a lot of stress on a woman's body, and hip pain is a common symptom, especially in the third trimester. This can be due to the extra weight and pressure on the pelvis and lower back. The body also releases a hormone called relaxin during pregnancy, which loosens the joints and ligaments in the pelvic area to prepare for childbirth. This can lead to discomfort and instability in the hips.

    • Treatment typically involves rest, gentle exercises, and pain relief measures such as warm baths or a heating pad.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from the lower back down to the legs, is irritated or compressed. Pregnancy can increase the risk of sciatica due to the additional weight and pressure on the lower back and pelvis. Symptoms can include pain, tingling, or numbness in the lower back, hips, and legs.

    • Treatment usually involves physical therapy, exercises, and pain relief measures. In severe cases, medication or surgery may be necessary.
  • Preterm Labor: While you've reported no contractions, it's important to be aware that lower back pain and abdominal pain can be signs of preterm labor. However, without regular contractions or changes in vaginal discharge, this seems less likely.

    • If you suspect you may be going into labor, it's important to seek immediate medical attention.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Rest as much as possible and avoid activities that worsen your pain.
  2. Apply a warm compress or heating pad to the painful areas.
  3. Perform gentle exercises or stretches, as recommended by a healthcare professional.
  4. Continue taking your prenatal vitamins and Tylenol as directed by your healthcare provider.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't improve with rest or over-the-counter pain relievers.
  • Regular contractions (a tightening sensation in your abdomen that comes and goes at regular intervals).
  • Any changes in vaginal discharge, such as an increase in quantity, or a change in color or consistency.
  • Any vaginal bleeding.
  • A decrease in your baby's movements.

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What causes hip pain during pregnancy?

Hip pain during pregnancy is often caused by the extra weight and pressure on the pelvis and lower back, as well as the hormone relaxin, which loosens joints and ligaments in preparation for childbirth.


How can I differentiate between normal pregnancy pain and signs of preterm labor?

Normal pregnancy pain is often consistent and related to movement, while signs of preterm labor include regular contractions, changes in vaginal discharge, and severe pain that doesn't improve with rest.


What are some effective ways to manage hip and lower back pain during pregnancy?

Effective ways to manage hip and lower back pain during pregnancy include resting, using a warm compress or heating pad, performing gentle exercises or stretches, and taking Tylenol as directed by a healthcare provider.


When should I seek medical attention for pain during pregnancy?

You should seek medical attention if you experience severe pain that doesn't improve with rest, regular contractions, changes in vaginal discharge, vaginal bleeding, or a decrease in fetal movements.


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