Do you know?
After the mother has given birth to a child,
Large belly after childbirth,
Is it because of fat accumulation?
NO!NO!
It turned out that the mother was severely dissociated from the rectus abdominis.
More than two years after the patient gave birth,
Has been accompanied by low back pain,
Is it a disease that does not sit well in the confinement belt?
It turns out that the mother is pubic joint separation,
Rectus abdominis is mildly separated.
So what to do when you encounter these problems?
In recent years, the postpartum rehabilitation project carried out by the Pelvic Floor Center of our hospital has achieved remarkable results, bringing the gospel to the women of Yangcheng and effectively solving problems for patients.
Case 1: Postpartum belly,
Ms. Wang is 32 years old this year, the twins caesarean section more than 3 months after childbirth, always feel the abdomen is loose, weak, when lying flat, obviously feel the abdomen depression, stand when the stomach fat accumulation protrudes outwards, abdomen hypertrophy, making the figure look more bloated, uncoordinated.
Due to various reasons, 42 days after the birth of the postpartum did not timely postpartum re-examination, after admission, the doctor recommended to do a postpartum review after consultation, after measuring the rectus abdominis separation: 8cm, 8cm, 7cm, after treatment in our postpartum rehabilitation center after a course of treatment (10 times) retest rectus abdominis separation: 3cm, 4cm, 2cm, symptoms significantly improved, and then the third course of treatment after the rectus abdominis separation: 1.5cm, 1.5cm, 1cm, after three courses of treatment, at this time has reached a cure! Ms. Wang herself can also clearly feel that the abdominal muscles have become tighter, and there is no such depression when lying flat.
In fact, the entire process of women from pregnancy to postpartum will cause the separation of the rectus abdominis, and the normal rectus abdominis separation is within 2cm, which can be repaired by itself, but if it exceeds 2cm, it needs to be repaired through formal treatment.
Case 2: Pubic joint isolation
Rectus abdominis is mildly separated
Ms. Mao gave birth to a child in October 2019, more than two years after childbirth, has been accompanied by low back pain, after visiting the orthopedic department of our hospital, excluded bone, nerve and muscle problems, and was recommended to postpartum rehabilitation consultation by the gynecological clinic. Through consultation, it was learned that ms. Mao had pubic pain, low back pain, and even coccyx pain in the third trimester of pregnancy, and the duck step (figure eight step), which was slightly relieved after childbirth, but it would be aggravated after sitting for a long time, which seriously affected work and life. Through pelvic floor function screening and physical examination, it was found that Ms. Mao's postpartum repair was poor, which was manifested in the separation of the pubic bone, mild separation of the rectus abdominis, and vaginal relaxation, and the rehabilitation treatment plan was determined after communication.
In the first rehabilitation treatment, after the biological therapy feedback device electrical stimulation, supplemented by manual reduction, at that time Ms. Mao felt muscle relaxation, there was a sense of transparency and relief, after treatment, Ms. Mao's self-feeling is better than once, and the pain in the lower back is relieved. Another physical examination at the end of one course found that the pubic symphysis and rectus abdominis muscles were closed to a physiological level, and the pain in the lower back was significantly reduced.
What is Rectus abdominis?
During pregnancy and during childbirth, the enlarged uterus elongates the abdominal muscles, separating the two rectus abdominis from the position of the abdominal white line, a phenomenon that usually results from pregnancy and gradually recovers after 4-12 weeks after childbirth. However, in some women, the abdominal muscles may be over-stretched during pregnancy, resulting in the inability to repair automatically after childbirth, a situation called "rectus abdominis detachment".
About the Author
Zhang Jinglang, Deputy Chief Physician, Deputy Director of the Department of Pain, Department of Anesthesiology, Department of Anesthesiology, Second Affiliated Hospital of Zhejiang University, Department of Pain of Shandong Provincial Hospital, Anesthesia of Psychiatric Patients of Nanjing Brain Hospital, Cancer Pain Ward of Eastern Theater General Hospital (formerly General Hospital of Nanjing Military Region), Department of Pain Of Daejeon Hospital Affiliated to Catholic University of Korea, Pelvic Floor Center of Raniador Hospital, Israel.
Expertise:
1. Pelvic floor disease and pelvic floor pain diagnosis and treatment. 2. Systematically grasp the rational use of cancer pain, independently carry out the implantation of intrathecal analgesic device for advanced cancer pain; 3. Good at the diagnosis and treatment of neck, shoulder, waist and leg pain, frozen shoulder, knee joint pain, trigeminal neuralgia, postherpetic neuralgia, head and neck pain, etc.;
Clinic Hours:
Every Monday afternoon Pelvic Floor Centre Specialist Clinic, every Tuesday morning Constipation Joint Clinic, every Thursday morning MDT for Andrology Diseases, and every Friday morning Chronic Pelvic Floor Pain Joint Clinic.
END
Part of the image source network, if there is infringement contact deleted
Source: Yang Fan
Editor: Jiang Xiaoxiao
Review: Tang Jia