Where is the frontal joint? Discrepancy and rupture of the pubic joint

The bearing of a child is fraught with enormous difficulties that the female body must endure. Most obvious changes do not have to be sought for explanations, but sometimes some changes in the body of a future mother cause concern. One of these exciting factors, in need of special attention, is the lumbar articulation. Where is the pubic symphysis, what are the reasons for the possible appearance of pain in his area and how to deal with it, every pregnant woman should know.

Pubic Symphysis

Longevity, also known as the pubic symphysis, is the two bones of the hip joint, connected by a fibrous-cartilaginous tissue along the median line. It is located in front of the bladder above the external genitalia and is attached to the pelvic bones by elastic ligaments.

The body of a woman in the prenatal period is subject to cardinal changes affecting her hormonal balance. The result of the impact of hormones such as progesterone and relaxin, is the softening of all ligaments. Lone articulation, where the cartilaginous tissue is located, also becomes less static. Often this leads to unnatural painful mobility of the pubic symphysis.

During pregnancy, the goal of these hormones is to increase the flexibility of the joints and bone structure, which facilitates the facilitated course of labor. Meanwhile, dysfunction of the pubic symphysis is rare in patients and requires immediate action.

The discrepancy of the pubic articulation

The appearance of a space between the bony bones is called discrepancy. Such a diagnosis is to be ascertained on the basis of the complaints described by the pregnant woman. Among the symptoms are often manifested:

- pain in the pubic region, which can be responded with unpleasant aching sensations at the bottom, "pulling" the leg and groin;

- sudden pain during stressful movements (turning from side to side, climbing stairs, etc.);

- there is a peculiar cracking of the joints during the movement of the thigh;

- painful pressure on the pubic bone.

To obtain more accurate diagnostic data, you must undergo ultrasound of the joint and MRI. The latter will help determine the degree and width of the discrepancy, which can reach one of three levels:

• 1 - the width is 5-9 mm;
• 2 - the width is 10-20 mm;
• 3 - width over 20 mm.

Causes of pubic symphysis

Lone articulation during pregnancy is threatened due to impaired metabolism and a lack of vitamin D. For example, hormones produced by the parathyroid gland are involved in the regulation of phosphorus-calcium metabolism in the body. In the case of a shortage of calcium intake, required for the full development and growth of the fetus, the body begins to draw the necessary substance from the mother's stores. The main source of calcium for the future baby will be my mother's teeth and bones. Gastrointestinal diseases and diabetes mellitus can also serve as the causes of calcium deficiency. In turn, vitamin D significantly affects the absorption by the body of incoming calcium.

The discrepancy of the pubic joint begins to develop long before the birth of the child. However, the effect of hormones and the weight of the fetus contribute to the manifestation of the above symptoms only in the II or III trimester. Often, the emerging signs of pathology are not given due attention and attributed to their osteochondrosis, radiculitis, the threat of termination of pregnancy.

Timely diagnosis is extremely important. It will help in time to take necessary measures of treatment, prevent negative consequences by natural delivery or resort to caesarean section.

Treatment of discrepancy

Usually, when there is a discrepancy in the bones of the bones, no intervention is required. After successful delivery, the flexibility, elasticity and integrity of the pubic symphysis are subject to recovery in a natural way.

Recommendations from obstetrician-gynecologists for reducing excessive burden on joints and ligaments include:

- wearing a bandage;

- performing gymnastic exercises;

- the appointment of the necessary therapeutic drugs (magnesium, calcium, vitamins, especially group B).

The parturient should inform obstetricians about the presence of this pathology before the onset of labor.

The discrepancy, which has passed to a more serious degree, is fraught with a rupture of the lonnoe articulation. To avoid further spreading of the bones, doctors are also strongly recommended to limit movement activity, preferring bed rest.

Breaking of pubic symphysis

If the discrepancy of the bones is observed mainly during gestation, a discontinuity is possible during the birth process. Among the types of rifts, there are violent and spontaneous ones. The latter arise during spontaneous labor. The cause of the appearance of violent ruptures is often called the use of additional efforts in the extraction of the fetus, the manual separation of the afterbirth. In addition, the introduction of the hand into the uterine cavity in most cases is the decisive factor in the probable rupture of the pubic joint.

Treatment for pubic symphysis

When a rupture occurs, the patient needs a strict bed rest. The region of the hip joint is subject to tight bandaging. Optimum for this purpose use a wide linen bandage. On the back of the bed, you should install the scales and attach the blocks to the pelvis. The ends of the bandage should be tied on wooden slats, which are tied with cords. Through the blocks and pass the data cords, and to their ends it is necessary to hang the load, starting with a pair of kilograms and increasing gradually to 10 kg.

Due to early recognition of the rupture, the restoration of the pubic joint takes place in 2-3 weeks. In case of delayed treatment, the bandage is applied for at least 1 month. Often for this purpose, bandages are used from a canvas that resembles a hammock. Its edges are attached to longitudinal traces. Pelvic bones begin to converge due to the patient's own weight. The timing of recovery when staying in a hammock is the same.

The musculoskeletal functions of the pelvis are fully renewed with a delayed therapeutic approach. With a more backward definition of the rupture, the inflammatory process of the cartilaginous tissues contributes to difficult fusion and prolonged rehabilitation.