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Health

Back pain in women

, medical expert
Last reviewed: 06.07.2025
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The difference in male and female physiology leads to the fact that pain in the back area is caused by a number of specific reasons that are unique to the fair sex.

One of them is the habit of wearing high-heeled shoes, and constantly. Of course, a woman in such shoes looks more graceful and slender, however, the price of beauty is exorbitant. When the heel height is more than seven centimeters (this is on average), almost the entire weight load falls on the toe of the foot and only an eighth or tenth of it, depending on the height of the heel, remains on the heel. The spine, in order to maintain balance, needs to bend at the waist. Daily overloads associated with wearing high-heeled shoes cause not only foot deformation, but also changes in the hip joint and spine, up to hernias, which manifest themselves as back pain. In this case, the lumbar region suffers the most.

Complaints of neck and back pain can be caused by an ordinary large handbag. Doctors say that on average such a daily burden in one hand often exceeds five kilograms, and recommend distributing the load more evenly and not carrying things for all occasions.

Back pain can be caused by osteoporosis, which women are more susceptible to than men. And after menopause, any woman falls into the risk group for this disease. It should also be taken into account that the tendency to osteoporosis is inherited, so if your closest older relatives suffered from this disease, then you will most likely not escape it.

Macromastia (large bust size) causes its owners to have a shift in the body's center of gravity and overload the muscles of the lower back, which manifests itself as back pain, most often in the lumbar region, and sometimes in the cervical region (the bra straps press on the shoulders).

Pregnancy is a period when the body experiences various types of overload, including the spine. The load increases due to the growth of the abdomen, as well as the production of a special hormone that prepares the body for childbirth and relaxes the muscles, which leads to back pain. The lumbar spine suffers the most. The situation is aggravated by excess weight gained by a woman during pregnancy.

Physiological back pain after pregnancy is caused by the fact that the body of even those women who are in good physical shape still undergoes some changes during this period. The growing uterus displaces organs, stretches muscles and moves bones apart. Significant stretching of the abdominal muscles leads to the fact that the lumbar muscles become shorter, the kidneys often shift or turn. Before and during labor, the femur and pubic bones diverge, as well as the sacrococcygeal joint, allowing the baby to come out freely. In addition, during labor, women have to push, and if this is done incorrectly, then many women in labor stretch the ligaments of the back.

This is a natural and harmless process, however, everything should fall into place, causing back pain after childbirth. Even contractions of the muscular layer of the uterus are accompanied by pain not only in the lower abdomen, but also radiating to the lower back. Someone recovers faster during the first day, for someone this process takes weeks and months. The far from perfect posture of the expectant mother will aggravate the situation and delay recovery.

Back and lower back pain after childbirth can be caused by minor injuries (displacement of joints, sprained ligaments), which insufficiently prepared women (which is the majority) could not avoid. Caring for a child: lifting, putting, changing, bathing, carrying in your arms, taking a stroller for a walk, and in addition, household chores add strain to the back muscles, and it hurts even more.

Back pain after childbirth does not always go away on its own, especially since pregnancy and childbirth could provoke an exacerbation of some diseases of internal organs, which the woman might not even suspect. Therefore, if the pain bothers for a long time or is very strong, then it is imperative to visit a medical institution and undergo an examination.

Back pain after a cesarean section is felt by almost everyone who has undergone this procedure. Firstly, the woman is given local anesthesia, numbing the lower part of the body (epidural anesthesia). After this, most women in labor feel discomfort at the site of catheter insertion for no more than two weeks, but some - for a longer time. Secondly, a cesarean section is an abdominal operation, the pain after which occurs when the suture is formed and radiates to the back with sudden movements, turns, bends. Tissue healing occurs unevenly, shortening of the abdominal muscles may be observed, the woman slouches, since the suture does not allow her to take a normal position. Basically, all pain after surgical delivery radiates from the healing suture. In addition, no one has canceled maternal concerns after a cesarean section, and also - the reduced load on the spine requires time to get used to the new position. But if your back hurts for a long time and/or severely, you still need to inform your doctor about it.

Back pain after hysterectomy, especially with appendages, can develop due to hormonal shift. Surgical menopause occurs suddenly and causes a sharp decrease in calcium content in the blood and bone tissue, which ends with the development of osteoporosis. To alleviate the symptoms of sudden menopause, patients are prescribed hormonal therapy.

In the late postoperative period, adhesions or prolapse (drooping) of the vagina develop, which may be accompanied by pain in the lower abdomen radiating to the back.

Back pain after menstruation, unlike the pain that preceded this event, as well as menstrual pain, indicates that it is time to visit a gynecologist. This may be inflammatory processes in the ovaries (oophoritis), in the fallopian tubes (adnexitis), a cyst or other neoplasm on the ovary, endometriosis. These conditions require treatment, since in advanced cases they can lead to peritonitis, infertility and other undesirable consequences.

Such signs can also be observed with an atypical location of the uterus, if it is located close to nerve endings.

Back pain after menstruation may be psychogenic (reaction to stress, depression, excessive suspiciousness). Moreover, the latter conditions are more common in female patients.

After embryo transfer, back and lower abdominal pain, which can be easily eliminated with antispasmodics or analgesics, are considered normal. Such symptoms may be signs of ovarian hyperstimulation syndrome. Most patients experience it in a mild form, however, after IVF, a woman should be under the supervision of a doctor and inform him of any changes in her condition.

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