I have had recurrent (which does differ from chronic)low back pain for
thirteen years, and I also have two sons, ages 4 and 1.
In both pregnancies, I had episodes of the LBP and in each these
episodes were treated with a combination of medication (ibuprofen,
cyclobenzaprine {Skelaxin}), brief physical therapy, Thermacare
low-back heat wraps (after week 12) and a prescribed TENS unit.
Medication and the TENS unit were the most effective for me, but I
think that's because I wasn't very compliant with my very earnest
physical therapist's very earnest instructions.
The key bit is to find a medical doctor who is willing to explain the
risks and benefits to both you and your baby. To my knowledge, the
only commonly prescribed muscle relaxant that is absolutely
contraindicated in pregnancy is methocarbamol (Robaxin, Robaxisal,
Robaxacet). Otherwise, there is not much that absolutely cannot be
given to a pregnant woman. That said, you will not find any medication
(or therapy) which is listed as absolutely safe--things go very wrong
in a great many pregnancies and deliveries (there's a reason women
through the 1920's not infrequently wrote out their wills prior to
delivery) and every medication ever taken by a pregnant woman has
undoubtedly been blamed for a miscarriage or other poor pregnancy
outcome.
So...see your obstetrician, assess your own perspective on risks in
pregnancy, avoid the obvious (hot tubs and heat wraps with a side of
daiquiris in week 7 of the pregnancy, for instance) and take with a
grain of salt all the chiropractors/massage therapists/nutritionists
who will tell you that their adjustments/massage/herbal tea will
relieve your pain and is perfectly safe for the baby.
Incidentally, I found that in the third trimester of each pregancy, my
back pain actually was reduced--the baby squashing all of my key bits
up against my spine stabilised everything, which my obstetrician said
is not uncommon. Good luck. |