Chronic Pain Management During Pregnancy

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    Blog posted on : 12-05-2022

    Chronic Pain Management During Pregnancy

    Chronic pain influences every other US citizen and is the most typical reason for disability. Women get more influenced by chronic pain conditions than men.  

    Chronic Pain Management tips for you.

    Physicians frequently face the hardships of handling chronic pain situations before, during, or after pregnancy. 

    Discomfort verges in healthy women without chronic pain and shows to enhance throughout pregnancy, peaking just before delivery. Animal instances have shown that naltrexone, an opioid antagonist, can thwart these results.

    Also, a pregnant woman should not suddenly stop taking pain medicine for chronic pain. Premature discontinuation of these medicines can cause injury to both the fetus and the mom. A health care professional must get conferred for a Chronic Pain Management.

    Low Back Pain Problems During Pregnancy

    Low back pain is a typical issue among pregnant women as it affects about half of pregnancies. Many gynecologists believe low back pain is a general spotting in pregnancy. 

    Several characteristics get linked with the effect of low back pain during pregnancy. Backbreaking work, an account of low back pain before pregnancy, and a prior record of pregnancy-related low back pain have been recognized as risk elements for the maturation of pregnancy-related low back pain. 

    During pregnancy, large pain episodes influence the abdominopelvic musculoskeletal system causing unnatural stress on the axial low back constituents. Pain management is very crucial at this stage.

    Joint Pain Problems During Pregnancy

    Healthy women can offer musculoskeletal modifications during pregnancy, such as joint pain. These signs usually introduce skepticism of inflammatory disorders like systemic lupus erythematosus (SLE) or rheumatoid arthritis. 

    However, materializing new-onset rheumatoid arthritis during pregnancy is infrequent, and some analyses even indicate that pregnancy is defensive against new-onset rheumatoid disease. 

    Females with preexisting inflammatory disorder often undergo modified disease exercise during pregnancy. It is anticipated that there is an expansion in disease activity in pregnant women with SLE, whereas, in pregnant women with rheumatoid arthritis, there is a reduction in disease activity.

    Therapies and Treatment for Pain Management During Pregnancy

    Chronic Pain management can be particularly challenging during pregnancy due to the potential threat of pain drugs to the fetus. The FDA categorizes all pain medicines into classes representing the danger to the fetus and if they should get employed by pregnant women. 

    If the medicine is frequently needed for chronic pain treatment, the advantages to the pregnant woman outweigh the danger to the fetus. Several alternative treatments are suggested and examined before medication with a probable threat to the fetus will get prescribed.

    Alternative treatments that help relieve chronic pain during pregnancy incorporate acupuncture, water treatment, massage, and physical therapies. Some other non-medication therapies that can facilitate chronic pain symptoms include hot and cold therapy, meditation, and yoga. 

    Pregnant chronic pain patients handle the acupunctures well. So, it is exceptionally beneficial in chronic back pain and does not seem to cause any harm to the fetus. It has also been negligibly more compelling in reducing chronic pain than physical or massage treatment. However, both of these therapies can contribute to pain relief.

    Water aerobics and water therapies are advantageous for pregnant women with chronic pain. It is a significant way to strengthen muscles and bones without placing added strain on weight-bearing joints such as the hips, ankles, and knees. Resistance activity in the water is an excellent way to help relieve the added stresses and pains of carrying the added weight of a fetus can yield.

    Yoga and Meditation Can Be Beneficial To Pregnant Women

    Yoga and meditation can also be beneficial therapies when dealing with chronic pain throughout pregnancy. Meditation will aid in comforting the body, which can reduce stress and irritation to the affected region of the body, and this can assist in lower the pain levels. 

    Yoga is centred around peace and stretching. Stretching the region of the body influenced by chronic pain can also aid in relieving the pain levels and inflammation encountered. It is critical to partake in yoga classes that get geared toward pregnant women, as some postures may cause more bitterness and discomfort to the pregnant woman.

    If alternative chronic pain treatment such as acupuncture is not enough, pregnant women suffering from chronic pain will frequently have to glance at taking medicine. The most typical pain medicine taken by pregnant women is acetaminophen (Tylenol). 

    It is considered to be safe for use throughout all phases of pregnancy and has not shown any cases of abnormalities or unfavorable pregnancy effects. Ibuprofen (Advil) has several mixed statistics on whether it is uncontroversial for usage during pregnancy. 

    It has also been demonstrated to be safe for short-term usage through the first and second trimesters of pregnancy; however, it is not advised through the third trimester due to the inflated risk of heart and lung injury to the fetus. Aspirin is a drug that should get avoided, as it can raise the danger of bleeding.

    Some drugs should get bypassed during pregnancy altogether, and it would include the bulk of medicines in the opioids family, such as morphine, hydrocodone, oxycodone, etc. These drugs can be risky because they are addictive, and the obsession with these drugs can get passed on to the fetus at birth. 

    If the mother takes these drugs and determines to quit, the withdrawal symptoms can also induce miscarriage earlier in pregnancy and stillbirth in the subsequent phases of pregnancy. Find more information about Chronic Pain Management at Advantage health Systems.

    Over-the-counter pain medications

    Some over-the-counter pain medications are deemed safe during pregnancy; however, others pose health hazards to the mother and baby.

    • Acetaminophen: At the standard dosage, it is typically deemed safe during all phases of pregnancy. However, it is essential to note that investigations show that the everyday use of acetaminophen for an extended period (28 days or longer) during the second trimester of pregnancy raises the likelihood of wheezing or asthma in the child.
    • Aspirin: It should not get used during pregnancy as it is connected to maternal and fetal bleeding and raises the threat of vascular disorder.
    • Nonsteroidal anti-inflammatory drugs (NSAIDs):  Ibuprofen or naproxen should only get taken with a doctor's permission. 


    Chronic Pain Management while pregnant can be difficult. It becomes even more complicated when determining whether to withhold the use of pain medication during pregnancy. 

    The legitimate matter of taking pain drugs during pregnancy gets based on possible disadvantages to the unborn child. However, untreated severe chronic pain does not help a healthy pregnancy either, as it can induce high blood pressure, anxiety, and depression. Advantage pain management is crucial to exercise at all stages of pregnancy.

    It is substantial to find a doctor and an obstetrician who will work closely to provide the finest care for the mother and the baby. Determining if pain remedies are safe to take during pregnancy is crucial; a health care provider should always get consulted.