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SPD and birth trauma - update
There is one problem with pregnancy and complications, in pregnancy you are
cared for my a midwife and if necessary an obstetrician, after pregnancy your midwife cares for you and baby for 28 days and then it's back to regular health care with your GP. So this means I hadn't seen my GP since December until I saw him in July for the 6 week check. He knew that I had pain issues during the pregnancy, but had not examined them himself, nor taken a history. The plan was to see a physio at 6 weeks postpartum, which eventually happened at 9 weeks postpartum, her examination revealed weak muscles not working in the correct way around the hips and thus not controlling the pelvis meaning it was still painful, but it also revealed that my back was swollen around the sacro-iliac joints, as this was not the case before the birth this indicated that the pain in that area was damage being done during the birth and explains what I felt during delivery that this area was being pulled apart. The physio showed me some exercises to do, but unfortunately doing the exercises seemed to vastly increased the SPD pain, so we had to reduce them, by 3 months pp I had come to the conclusion that I needed more input, whether that be help with pain relief or what I hadn't decided, until that point I had just been taking over the counter cocodamol, ibuprofen would have been excellent, but I am intolerant to it. So off I went to the doctor, unfortunately the first time I went to see him he hadn't received a letter from the physio and I didn't feel he grasped what the impact on me was, but he prescribed a stronger dose of cocodamol, which has helped a little, but not enough to enable me to do the exercises. For some reason I felt afraid to go back to the doctor as I felt he wouldn't understand etc. and wouldn't be able to do anything, but I realised that I had to and that I had to really work on communicating clearly what my problems were and this wasn't just an annoying pain, but a debilitating one. DH is on annual leave this week, so I was able to go alone and was able to very clearly communicate what was going on and he had also received the letter from the physio. Unfortunately he is unable to prescribe any stronger pain relief due to the breastfeeding, there is stuff that is ok one off, say if you had an accident or an operation, but continual use can cause problems. We decided that we would try a different NSAID, that I have previously tolerated when given IM, that has been a bit of a saga as there is a manufacturing problem at the moment and we've been unable to get the correct dose, so the doctor had to fax through a prescription to the pharmacy so they could give me the higher dose and even that wasn't in stock. So I've had to cut a capsule in half to take a trial dose and see if I can tolerate it, I'm definitely having side effects, but I think it will take another few hours and possibly another dose to see if they are just bad side effects or really me not being able to tolerate it. He has also referred me to a rheumatologist, which surprised me, but then I think they deal with soft tissue so it makes sense in some ways, but I would have thought his initial idea would have been an orthopedic bod. This may take a while, we will have to wait and see. Also, the physio has referred me for hydrotherapy, she thinks there may be exercises I can do in water that would not cause so much pain, but be helpful, so I'm prepared to give it a try. The problem is, she doesn't want to continue seeing me during that time, but wants me to continue attempting the exercises, but it's getting longer and longer since she showed me them and I'm nervous I am doing them wrong, so I've managed to convince her to give me 1 more appointment and I'll have to try and explain that I feel I need to see her fortnightly or something to keep an eye on things. I've also started a postnatal exercise in water class, I don't think it is helping with the specific problem but it is good fun and I am sure it will help me in other ways, the first time I found that standing in the water for half an hour was too much weight bearing, so now I'm doing the exercises balancing on a long thin float between my legs, which occasionally has hilarious results when I suddenly topple over. I've also started a pilates class, which is similar, not helping specifically, but helping generally, I am surprised by quite how many of the exercises I can't do though :-(. So that's it, that is where I am at, sorry it's so long, but I thought it was time to give a clear update, rather than just odd allusions to ongoing problems. Anne |
#2
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Thanks for the update, Anne! I'm glad you're feeling motivated
to shake what you need out of the medical system. Checking in with the physio regularly sounds like a really good idea to me. It's easy to get into bad habits with exercise, and I can imagine if the exercises were meant to be healing that doing them wrong could at the very least slow down the healing. -- Emily DS1 5/02 DS2 9/05 |
#3
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Hugs Anne. I hope things begin to improve.
-- Jamie Earth Angels: Taylor Marlys, 1/3/03 -- My Big Girl, who started preschool, and loved it! Addison Grace, 9/30/04 -- My Little Walker, who wants nothing more than to go explore the world! Check out the family! -- www.MyFamily.com, User ID: Clarkguest1, Password: Guest Become a member for free - go to Add Member to set up your own User ID and Password |
#4
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I hope it gets better soon. The water class sounds like a good place to
start. Water exercise is so gentle and non-weight bearing - it's one of the forms of exercise my mother with osteoarthritis can do. I'm sure it will get easier and easier as you go, but I know how frustrating it is to feel incapable when it comes to exercise. Good luck. -- Amy Mum to Carlos born sleeping 20/11/02, & Ana born screaming 30/06/04 http://www.freewebs.com/carlos2002/ http://www.babiesonline.com/babies/a/ana%5Fj%5F2004/ My blog: http://spaces.msn.com/members/querer-hijo-querer-hija/ |
#5
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"Anne Rogers" wrote in message ... So that's it, that is where I am at, sorry it's so long, but I thought it was time to give a clear update, rather than just odd allusions to ongoing problems. Anne, I'm sorry you are still dealing with so much pain. I hope something is starting to help, and you are able to find more answers. -- Joy Rose 1-99 Iris 2-01 Spencer 3-03 # 4 Sept/Oct 2005 |
#6
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((Anne)) -- I hope the new course of treatment brings improvements!
-- C, mama to 2.75 year old nursling |
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