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C-Section and Long-Term Back Pain - Exploring the Link

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Back pain after a cesarean delivery is very common. However, sometimes it can last for more than a few days. Continue reading to know more.

Medically reviewed by

Dr. Bhende Anupama Ashokrao

Published At April 10, 2024
Reviewed AtApril 12, 2024

Introduction

It is very normal to experience back pain after delivery, whether it is normal or cesarean delivery. However, often, many pregnant mothers have a question in their mind: will they get severe back pain that lasts for long after their C-section? The major difference between a normal delivery and a C-section is the involvement of incisions, as a C-section is an invasive procedure. So, it is common to have more discomfort in the long term than in the normal. But, whether the C-section leads to long-term back pain or not will be revealed in this article. This article will also look at what studies say about this topic. Continue reading to know more.

Can C-Section Cause Long-Term Back Pain?

C-sections can indeed lead to both short-term and long-term back pain for several reasons. Initially, hormonal changes during pregnancy, including the release of Relaxin, can cause ligaments and joints to become excessively loose, making the spine vulnerable to sprains during movements. Additionally, weight gain during pregnancy, coupled with the persistence of extra weight post-delivery, puts added pressure on the spine, exacerbating back pain.

Activities such as carrying, bathing, and changing the baby, which require frequent bending, can strain the back muscles, especially when they are already weakened due to hormonal changes. Moreover, spinal blocks or epidurals administered before C-sections can induce muscle spasms around the spine, contributing to back discomfort. The incision made during the procedure can weaken abdominal muscles, further predisposing individuals to back pain.

Furthermore, the formation of scar tissue around the incision site can restrict movement and impair muscle function, leading to weakness in core muscles and exacerbating back pain. While short-term back pain is expected after a C-section, persistent pain beyond three months post-surgery is considered chronic and may require specialized treatment. It is crucial not to ignore back pain following a C-section, as masking it with painkillers can potentially worsen underlying issues, potentially leading to early spinal degeneration.

Are There Ways to Prevent Back Pain After C-Section?

There are some measures with which back pain after a C-section can be prevented. All these measures are discussed below.

  • Mindfulness of Movements Is Crucial: Individuals should refrain from bending over when lifting or picking up their baby. Maintaining proper posture by keeping the back straight and bending with the knees helps minimize strain.

  • Support while Breastfeeding Is Essential: Ensuring that the back stays straight during breastfeeding reduces pressure on the spine and neck. Finding a comfortable spot for feedings can alleviate existing pain and prevent new discomfort.

  • Relaxation through Heat Therapy: Taking a hot bath can alleviate muscle tension and spasms in the back. Moist heat promotes blood circulation, reducing inflammation and back pain. However, individuals should wait for clearance from their healthcare provider before indulging in a bath post-surgery.

  • Engaging in Gentle Exercises Is Beneficial: With approval from the healthcare provider, individuals can participate in activities like Pilates or yoga to strengthen abdominal muscles and release tension in the back. Light walks can also improve blood circulation, easing inflammation and spasms.

  • Rest Is Crucial: Allowing ample rest helps prevent worsening back pain. Minimizing activity, especially if experiencing discomfort, and taking naps whenever possible supports the body's repair process, which is crucial for post-surgery recovery.

  • Consider Massage Therapy: Professional postpartum massages or massages provided by a partner can relieve muscle tension, improve blood circulation, and promote relaxation.

  • Safe Pain Management Is Key: Consulting the doctor regarding safe pain medications, especially for breastfeeding mothers, is essential. Acetaminophen and Ibuprofen are typically safe options, but adherence to recommended dosages is vital.

Incorporating natural remedies such as hot baths, simple exercises, and hydration can further alleviate back pain after a C-section. Prioritizing well-being and seeking personalized advice from healthcare professionals is essential for effectively managing post-C-section back pain.

Do Anesthesia During Cesarean Section Leads to Long-Term Back Pain?

Anesthesia, especially spinal anesthesia during cesarean sections, has been looked into to see if it causes long-lasting back pain after surgery. Several studies have checked this to understand why it happens and what increases the risk of having back pain that sticks around after a C-section.

One study looked at cases between 2018 and 2020 to see if people had back pain that lasted after a C-section done with either spinal or general anesthesia. Surprisingly, they found that the type of anesthesia used, whether spinal or general, was not linked to having more back pain later on. Instead, they found that the baby's weight after C-section was the main thing connected to having long-lasting back pain, especially three to six months after giving birth. They also saw that things like how old the person was and what type of anesthesia they had did not really affect if they had had back pain for a long time.

What Causes Intense Back Pain After Spinal Anesthesia for C-Section?

When a decision is made for a woman to have a cesarean delivery, the anesthesia is prepared for administration. Typically, this is administered using a spinal needle inserted into the lower back, usually near the first lumbar vertebra. Consequently, the intensity of back pain experienced after spinal anesthesia for a c-section, once the anesthesia wears off, can be quite severe. Similarly, headaches and neck pain resulting from fluid leakage are often experienced as spasms extending from the head to the neck.

Using spinal anesthesia is preferred because it works quickly and does not cause many problems. But with more C-section surgeries done with spinal anesthesia, doctors are trying to figure out if it leads to more long-lasting back pain.

This study suggests that having back pain that sticks around after a C-section might be because of many things, and the type of anesthesia might not be the main reason. Instead, the weight of the baby might play a bigger role. However, more research is needed to fully understand why some people have back pain that stays after a C-section. Understanding this better can help doctors take better care of patients and reduce how much back pain affects people's lives.

Conclusion

To conclude, back pain after a C-section can last for a few days to one month, depending on the individual’s condition. There are various factors to consider that decide the duration of back pain after a C-section. This surgery is a major surgery and impacts heavily on the woman's body. However, with proper planning and post-operative care, the pain can be minimized, and faster recovery can be achieved

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Dr. Bhende Anupama Ashokrao
Dr. Bhende Anupama Ashokrao

Obstetrics and Gynecology

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