Extremely Painful Experience In 17th week of pregnancy. Ligaments in the hips, tail bone and thighs are screaming with immense pain. What should I do? Not even able to stand or walk. Is it because of exertion. It usually happens with me after long hours standing or sitting. Please advise.

Ms. Kamalika BhattacharyaPhysiotherapist19yrs exp

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Pregnancy back pain typically happens where the pelvis meets your spine, at the sacroiliac joint. There are few things you can do to treat low back pain or make it rarer and milder: 1-exercise. Regular exercise strengthens muscles and boosts flexibility. That can ease the stress on your spine. Safe exercises for most pregnant women include walking, swimming, and stationary cycling. Your doctor or physical therapist can recommend exercises to strengthen your back and abdomen. 2-heat and cold. Applying heat and cold to your back may help. If your doctor agrees, start by putting cold compresses (such as a bag of ice or frozen vegetables wrapped in a towel) on the painful area for up to 20 minutes several times a day. After two or three days, switch to heat -- put a heating pad or hot water bottle on the painful area. Be careful not to apply heat to your abdomen during pregnancy. 3-improve your posture. Slouching strains your spine. So using proper posture when working, sitting, or sleeping is a good move. For example, sleeping on your side with a pillow between the knees will take stress off your back. When sitting at a desk, place a rolled-up towel behind your back for support; rest your feet on a stack of books or stool and sit up straight, with your shoulders back. Wearing a support belt may also help. Few more tips: if you need to pick something up from the ground, use your legs to squat rather than bend over. Don't wear high-heeled shoes. Don't sleep on your back. Wear support hose. If your back pain persists, you may want to consult your doctor to see what else you might try. Be sure to consult your doctor before taking pain medications. Best wishes. 

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