What causes severe back pain during pregnancy?
Patient: Dear Doctor,I am writing it for my sister who is pregnant and her due date is January 2011. I am enclosing her details below for your kind reference;Name: Archana ThomasAge: 27Gender: FemaleSince the first month of pregnancy onwards she is suffering from severe back pain and still it’s the same. She consulted the doctor who advised her to take rest for few months and also as per the doctor’s instruction she is taking the below medications: 1  (N P-100)   progesterone softgelatin capsuls 100mg  2  Rolant-dsr  3 ecospirn 75  4 (duphaston)  dydrogesterone tablet B PBut we are worried about taking lot of medicines in this early stage of pregnancy. What the doctor telling is that the back pain can lead to abortion and that’s why she suggested her to take rest.Can you please assist us on this? Thanks,Ambili Thomas.Email ID:  YYYY@YYYY Doctor: Hi,   Thanks for the query under HCM forum.   I understand your concern.    Back ache in pregnancy can be due to-    - Gravitational changes in pregnancy leading to over strain on back muscles. ( strengthening of the back muscles with pregnancy Yoga is the answer. )    - weakness of bones- due to calcium, vitamin D deficiency.( needs supplements )   - Pain in joints of pelvis ( pain management )   -Due to decent of baby in pelvis         - Vaginal / pelvic infection ( Deep vaginal swab test & specific antibiotics)   - Urinary infection( needs investigations & treatment.   - Due to hormone deficiency with possibility of abortion.. this is more possible in early months of pregnancy, when placenta is yet to form/ after development of placenta when it's weak.  NOw, as your sister is approaching her delivery, no point in hurrying now. Please investigate for it, if the pain persists after delivery.   Thanks.