Pain in the sacral spine in women - causes and treatment

Pain after injury

A bruise of the sacral region occupies a leading position among injuries, since when it falls, it often takes the blow upon itself. Therefore, serious damage cannot be ruled out.

If the wedge-shaped bone located at the base of the ridge fails, the victim may experience quite severe pain due to muscle spasm.

The sacrum usually suffers from:

athletes;
builders;
patients walking on crutches;
overweight people.

Damage to the sacral bone is indicated by manifestations in the form of:

skin redness;
hematomas;
swelling;
throbbing pain;
restrictions on leg mobility.

When pressing on the affected area, the sensations intensify significantly.

Injury to the sphenoid bone results in:

fracture;
shift of the vertebral body;
fragmentation of the coccyx;
pinched nerves;
slaughter of the pelvic and abdominal organs;
bleeding;
paralysis of the legs.

To reduce the severity of discomfort, the patient tries to take the most comfortable position. Staying at rest for several days after a bruise helps ease the painful discomfort.

Causes and nature of pain

The cause of sacrodynia can be a displacement of the cross-iliac joint, which is either congenital or occurs as a result of injury. There are two types of displacement: displacement of the right pelvic bones and the left, and the symptoms for each side are different.

Read about the symptoms and treatment of lumbar vertebral displacement here.

When the left side is displaced, blood circulation in the left leg is disrupted, pain and swelling of the left leg, convulsions, disturbances in the functioning of the heart or lungs, weakened immunity, frequent constipation, and weight gain occur.

If the problem is a displacement of the right side of the cruciate iliac joint, then the following symptoms are observed: pain in the right leg, cramps, the stomach, liver and intestines suffer, frequent diarrhea is possible, and, conversely, weight loss.

If sacrodynia is the result of an injury, then after being at rest this symptom goes away within a couple of weeks. If the pain does not stop, you should consult a doctor. Read about which doctor to see if your back hurts here.

Aching or nagging pain in the sacrum may indicate displacement of the vertebrae, called spondylolisthesis.

Also, this symptom appears with malignant and benign tumors, or inflammatory processes in the pelvic organs. In men, such pain may be a sign of chronic prostatitis.

Pain that occurs simultaneously in both the sacrum and coccyx is most likely a consequence of injury. Depending on the severity of the bruise, the pain can be acute or aching and appears from time to time.

If you are bothered by a dull, aching pain in the sacrum and lower back, this may be a symptom of osteochondrosis or a lumbar intervertebral hernia.

In this case, the pain syndrome manifests itself when sitting for a long time or after physical activity. Also, pain simultaneously in both the sacrum and lower back indicates disturbances in the functioning of the intestines, thrombophlebitis and varicose veins.

Read about how and how to treat a bruised tailbone after a fall here.

Pain in the sacrum combined with pain in the lower back

The appearance of acute discomfort in any area of the ridge always has specific reasons.
When pain is localized in the lumbosacral spine, it is often caused by:

osteochondrosis;
intervertebral hernia;
anomalies of the L5 vertebra (sacralization);
thrombophlebitis of venous vessels of the pelvis;
formation of coprolites;
inflammation of the sigmoid colon.

Painful spasms in the sacrum and lower back are usually caused by degenerative lesions of the spinal discs. There is aching pain radiating to the lower extremities, tightness and tension in the back, decreased sensitivity. Since it is difficult to get out of bed and bend over, you have to put in a lot of effort.

Due to osteochondrosis, pain is provoked even by sneezing or coughing. The disorder forces you to squat, lie with your legs bent on one side, or stand on all fours, which allows you to get rid of unpleasant sensations.

Pain in the buttock that spreads to the leg and increases with prolonged standing or sitting, numbness and burning in the legs, as well as muscle spasms are called sciatica. The condition develops with osteochondrosis or hernial protrusion.

Reasons why the lower back and sacrum hurt

Most often, this part of the spine responds more

vy syndrome on:

blood flow disruptions leading to thrombophlebitis;
pinched nerves;
osteochondrosis of the lumbosacral region;
infectious inflammation;
presence of tumors;
spine injuries;
intestinal diseases;
radiculitis;
numerous ailments of the female reproductive system;
chronic stress;
urological pathologies;
spondylolisthesis (vertebral displacement);
arthrosis of the lumbosacral region;
pregnancy;
prostatitis.

Aching pain in the sacrum may indicate neoplasms in the pelvis and the presence of chronic prostatitis. It is also a good idea to check the condition of the spine, since intervertebral hernias and osteochondrosis manifest themselves as a dull aching pain syndrome if a person has been stationary for a long time or actively moved.

Post-traumatic pain appears immediately in the coccyx and sacrum. If the lower back and sacrum simultaneously remind you of their existence, you need to check the condition of the veins for varicose veins and thrombophlebitis and find out if there is intestinal inflammation and if feces have accumulated.

The reasons why the sacrum hurts on one side are associated with inflammation and injuries of the sacroiliac joint. Here the chain leading to pain is monitored. The pelvic bones are displaced, a lack of blood supply occurs, followed by lameness and cramps of the limbs.

Pain in the sacrum and coccyx

Negative changes in this area indicate an injury or arthrosis of the sacrococcygeal joint.
After injury, pain manifests itself immediately or several years later due to the formation of callus or salt deposits. In addition to stiffness of movement, a person suffers from pain:

dull and monotonous;
sharp and sudden.

Exacerbation of arthrosis is observed, for example, after hypothermia or when lifting excessive weights.

Pain due to gynecological pathology

Factors causing sacrodynia may be of a purely feminine nature.

Painful sensations are a consequence of:

retrocervical endometriosis;
posterior parametritis;
malignant neoplasm in the uterus;
abnormal position of the uterus;
weakening of the uterosacral ligaments.

Endometriosis is characterized by the spread of the endometrium to neighboring organs. Emptying the bladder or defecation, sexual intercourse or menstruation provokes excessive painful attacks that radiate to the groin area, rectum, vagina, lumbar region and sacrum.

Inflammation of the periuterine tissue (parametrium) becomes a complication of many disorders - endometritis, salpingoophoritis, appendicitis, miscarriage and others. The disease sometimes occurs after childbirth. Sacrodynia as a pathological symptom is most pronounced during exhausting physical exertion.

Pain in the sacral spine in women during a tumor process is unilateral. They are felt to the left or right of the sphenoid bone and are noted as the pathology progresses. At the initial stage, there are usually no symptoms.

If sacrodynia does not subside, intensifies at night and continues to bother you after taking anesthetics, a possible cause is a malignant neoplasm.

To confirm the diagnosis and begin treatment, a timely medical examination is required.

Nature and localization of pain

Pain in the sacral area can have a different character and be localized in different parts of the back. It all depends on the reason that caused the problem.

With various injuries and bruises, pain occurs and you have to look for a comfortable position to minimize discomfort. In this case, pain can be of varying intensity. Most often, they are provoked by a spasm of the muscles of the sacrolumbar region and pass within a few days if complete rest is ensured. In some cases, bed rest is needed.

With osteochondrosis, discomfort extends not only to the sacral region, but also to the lower back. A dull or aching pain is projected into the leg, a feeling of stiffness arises, and it becomes impossible to perform the simplest actions - bend over, turn the torso, fully straighten up when standing up. Coughing or sneezing, as well as a sharp or awkward turn, can provoke increased pain.

Few people know about such a thing as weight lifting hygiene. Meanwhile, sharp pain from a lumbago - sciatica - occurs quite often precisely because of its non-compliance. Lifting a large and heavy object with a jerk, improper distribution of axial load - these are the most common violations of such hygiene.

Nagging pain may accompany an intervertebral hernia of the sacral region. The condition worsens in the morning, a feeling of tightness appears and pain radiates to the legs. The pain becomes less pronounced or disappears altogether after walking and other physical activities.

Pain in the sacrum and coccyx occurs after injury. Often a woman does not even remember this moment. At this time, the sacrococcygeal joint undergoes significant changes, a callus forms and the mobility of the joint worsens. This is what causes pain.

In women, pain in the sacral spine can also be caused by gynecological problems. In this case, unpleasant symptoms will be felt in the lower abdomen or radiate to the legs (mainly one).

Pain due to spinal abnormalities

The patient may have pain in the area of the sphenoid bone due to congenital conditions accompanied by changes in the number or location of the vertebrae.

The list of pathologies includes:

sacralization;
lumbarization;
nonfusion of the L5 or S1 vertebral arches;
underdevelopment of the vertebrae in the anterior or posterior sections.

Often the patient is unaware of the presence of an anomaly. Painful spasms can suddenly manifest themselves when sharply bending to the side, falling, lifting heavy objects, while running or walking quickly.

Pain in the sacrum due to tumors

Discomfort in the area of the sphenoid bone during cancer is a concern only when the tumor begins to metastasize.
Initially, the pathology can be localized in:

lungs;
kidneys;
mammary gland;
stomach;
intestines;
prostate and other organs.

If the cause of sacrodynia is cancer, the patient often does not notice the initial stage due to the absence of symptoms.

In case of malignant tumors, there are complaints not only of constantly present and aching sacral pain, but also of its intensification at night. Long rest does not bring long-awaited relief.

Prevention

To prevent lower back discomfort caused by physiological factors, the following tips will help:

walking in the fresh air;
adequate sleep and rest;
inclusion of calcium-fortified foods in the diet;
wearing a prenatal bandage;
taking multivitamin complexes.

Lumbar pain during pregnancy is a common cause for concern. They can occur for various reasons, ranging from physiological changes in the body to diseases of the internal organs. But, in any case, the pain cannot be ignored; in case of severe discomfort, a doctor’s consultation is necessary.

Pain due to infectious diseases

Tuberculosis of the spine is one of the causes of pain in the sacral region. The disease is characterized by damage to the vertebrae (one or more than two) by mycobacterium tuberculosis. In 30% of cases, the pathological focus is found in the lower back, and 5% is an indicator of infection in the cervical region and sacrum.

Pain syndrome occurs due to:

destruction of bone structure;
compression of nerve endings by vertebrae.

If the pathology is localized in the sacral bone, the pain becomes stronger with load, radiating to the lower extremities.

There are also other spinal infections that cause discomfort in the sacrum. The differences between this symptom are its moderation, constant presence and intensification during physical activity.

During what diseases does it appear?

Most often, pain in the sacral area indicates that the patient has:

Osteochondrosis. This disease is characterized by painful, aching sensations radiating to the lower extremities, which intensify when the load on the spinal region increases. Characterized by stiffness in the back;
Old coccyx injury. When trying to change the position, the patient's discomfort increases, the pain is sharp, dull;
Hernias between the vertebrae. Pain sensations radiate to the lower extremities, as well as to the groin area. The pain intensifies in the first half of the day, weakening in the evening;
Pelvic displacement to the left. At the same time, the immune system is weakened, breathing is impaired, the functioning of the cardiac system becomes worse, body weight increases sharply, and severe constipation appears.
Pelvic displacement to the right. In women, the likelihood of progression of gynecological diseases increases, and along with this, stool disorder (diarrhea) develops;
Diseases of the sacroiliac joint. The pain syndrome is one-sided; in addition, the patient’s gait changes and lameness may appear;
Spondylolisthesis. Usually progresses after physical damage to the sacrum, the pain is aching in nature;
Disorders in the development of the spine. Usually the cause is intense physical activity, as well as sudden turns of the body;
Thrombophlebitis of the vessels of the pelvic organs;
Dilated sigmoid colon. The pain is stabbing in nature, the disease is accompanied by stool disorders;
Infectious diseases of the spine. Symptoms are mild, constant pain that does not disappear after rest. When moving, the pain intensifies;
Metabolic disorders. The nature of the flow is weak and dull.

In women, the sacrum may hurt with the development of the following diseases:

malignant neoplasms located in the uterine area. The pain is localized on one side or in the center;
external endometriosis. During menstruation, the pain syndrome worsens;
posterior parametritis. Painful sensations increase with physical activity.

In men, such a symptom may indicate an inflammatory process in the prostate gland, in which case the pain is localized in the center.

Sometimes pain in the sacral area occurs with: colitis, oncology of the prostate gland, uterus or mammary gland, osteoporosis, osteomalacia, tuberculosis, chronic prostatitis, myeloma, lymphoma.

Sacral pain in men

Certain diseases cause pain in the sacral and lumbar spine in men. This refers to inflammation of the prostate gland or the presence of a cancerous tumor.

In chronic prostatitis, the right or left side of the sacrum is painful. Sometimes sacrodynia involves the entire sphenoid bone.

At the same time, the man complains about:

problems with emptying the bladder;
burning sensation in the urethra and perineal area;
increased fatigue.

If cancer forms in the prostate gland, metastases often spread to the pelvic bones. Accordingly, the patient suffers from pain in the lower back, sacrum, coccyx, lower extremities, and so on.

Initially, it is difficult to determine the development of a prostate tumor. Pain in the lumbosacral region is a signal of cancer progression.

Why does the sacrum hurt?

Traumatic injuries

Pain in the sacrum after injury is often caused by hematomas and soft tissue bruises.
When a bruise occurs, the pain is moderate and disappears within a few days. The swelling is small, movements are slightly limited, the condition is satisfactory. With a hematoma over the sacrum, a painful tumor-like formation is detected, which either gradually resolves over 2-3 weeks or turns into a cavity with liquid contents. Fractures of the sacrum are extremely rare; as a rule, they are combined with multiple fractures of the pelvic bones. They occur after a high-energy injury: a car accident, a fall from a height, etc. The pain syndrome is very intense, movements are severely limited, and the condition is serious. Bruises may be detected in the area of the sacrum and pelvic bones, and pathological mobility is possible.

Spinal diseases

The cause of pain in the sacral area is often diseases of the lower parts of the spinal column. The pain can be local and spread to the lower back and buttocks. With degenerative-inflammatory processes, muscle overstrain, painful sensations are aching or pulling, intensifying after exercise, when the weather changes. When nearby nerve structures are compressed, the pain becomes shooting, radiates to the legs, and significantly limits mobility.

Pain syndrome is observed in the following pathologies of the spine:

Degenerative
: intervertebral hernia, disc protrusion, osteochondrosis, spondyloarthrosis.
Developmental anomalies
: lumbarization, sacralization.
Spinal curvatures
: scoliosis, kyphoscoliosis, pathological kyphosis and lordosis, flat back.
Inflammatory
: spondylitis.
Oncological
: primary tumors and metastatic lesions of the lower spine and spinal cord.
Polyetiological
: spondylolisthesis.

In addition, pain syndrome is detected in all types of osteoporosis, including juvenile, senile, postmenopausal and idiopathic. Pain in osteoporosis is usually minor, intensifying after exercise and prolonged exposure to an uncomfortable position. An increase in the intensity and duration of pain with a decrease in bone tissue strength may indicate the presence of a pathological fracture.

Sacral pain

Neurological pathologies

Burning, shooting pains that radiate to the legs or buttocks, combined with disorders of sensitivity and movement, are characteristic of such neurological disorders as:

lumbosacral plexitis;
cauda equina syndrome;
radicular syndrome.

Sacroiliitis

Inflammation of the sacroiliac joint is most often unilateral, but can also be bilateral, observed in many diseases, manifested by pain on the side of the sacrum. The characteristics of the pain syndrome are determined by the type of pathology:

Purulent
. Rapidly growing sharp pain, aggravated by straightening the limb. Combined with forced body position, chills, hyperthermia, severe intoxication.
For tuberculosis
. The pain is vague, without clear localization. Palpation of the joint is moderately painful. Stiffness and local hyperthermia are observed. Over time, swelling often forms on the thigh.
For brucellosis
. The pain is short-term, minor or moderate, intensifies with movement. Persistent pain syndrome is less common.
For rheumatic diseases
. Identified in ankylosing spondylitis and psoriatic arthritis. The painful sensations are not intense, intensify at rest, weaken with exercise, and are supplemented by morning stiffness.

Women's diseases

Pain in the projection of the sacrum is observed in gynecological and obstetric pathologies. Most often mild, dull, aching, accompanied by pain in the lower abdomen. In chronic processes, they persist for a long time and are often combined with chronic pelvic pain syndrome in women. Found in the following diseases and conditions:

During pregnancy
: spontaneous abortion, low location of the placenta.
During childbirth
: pathological preliminary period of labor, discoordinated labor.
Violations of the position of the uterus
: hyperanteflexia, retroflexion.
Congenital anomalies
: duplication of the uterus, uterine aplasia, one-horned and two-horned uterus, “baby” uterus.
Inflammatory
: oophoritis, metritis, metroendometritis.
Associated with menstruation
: dysmenorrhea.
Tumors and tumor-like formations
: paraovarian cyst, uterine fibroid, cervical cancer, uterine body cancer.
After gynecological operations
: abortion, curettage, plastic surgery.

Other pelvic diseases

Regular or radiating pain in the sacrum is also detected in diseases of other pelvic organs:

Urological
: interstitial cystitis, bladder cancer.
Andrological
: prostatitis, prostate cancer.
Proctological
: rectal cancer.
Others
: adhesive disease, pelvic varicose veins.

Along with pain in the sacral region in chronic andrological pathologies, chronic pelvic pain syndrome in men is often diagnosed.

Other diseases

Sometimes the following diseases cause pain in the sacrum:

Myalgia and myositis
. Pain occurs against the background of overload, acute infectious diseases.
Coxarthrosis.
Painful sensations can be provoked by non-physiological load on the spine.
Mental disorders
. Psychosomatic pain is observed in hysteria, neurasthenia, and depression. They do not fit into the picture of a specific disease and are often unusual in nature.

Sacral pain during menstruation

Sacrodynia worries a woman against the background of menstrual flow. The presence of deviation is explained by:

contraction of the myometrial muscles and enlargement of the uterus;
hormonal changes;
fluid stagnation;
inflammatory diseases of the genital organs;
the presence of neoplasms (cysts, fibroids, cancer).

Pain in the sacrum is sometimes provoked by an abnormal position of the uterus, radiating to the thigh and lumbar area. May pull on the lower abdomen and calf muscles. The woman feels nauseous and feels discomfort in her intestines.

When menstrual flow begins to smell unpleasant, accompanied by soreness at the base of the ridge, this may indicate pathology.

Sudden intense sacral pain before the onset of menstruation, discomfort in the abdomen and lower extremities signal the need to be examined by a doctor. Such manifestations do not exclude the presence of the disease.

Treatment

Pre-hospital assistance

For bruises and hematomas, rest should be ensured. Suspicion of a sacral fracture is an indication for immediate hospitalization. The patient must be placed on a backboard and given an anesthetic. For non-traumatic pathologies of the spine and neurological disorders, warming, anti-inflammatory and local anesthetics are effective.

For dysmenorrhea, analgesics are allowed. If you suspect other gynecological pathologies, especially those that suddenly arise and are accompanied by increasing pain, self-medication can be dangerous. An urgent examination by a gynecologist is required.

Conservative therapy

The plan of conservative measures is determined by the nature of the pathology. The list of treatment methods used includes:

Protective mode
. Recommended for injuries, diseases of the spine and nervous tissue. May include bed rest, load limitation, and the use of orthopedic devices.
NSAIDs
. Indicated for rheumatic pathology, chronic pain caused by damage to the musculoskeletal system. Prescribed in the form of tablets, injections and topical medications.
Chondroprotectors
. Used for degenerative diseases to restore cartilage tissue.
Physiotherapy
. Physiotherapeutic measures are carried out for pain in the sacrum that is not associated with volumetric processes. Electrophoresis, heat therapy, magnetotherapy, and laser therapy are used. For many pathologies, the treatment regimen includes massage, exercise therapy, and acupuncture.
Chemotherapy, radiation therapy.
Necessary for oncological lesions. They can be carried out as an independent treatment or as an addition to surgery.

Surgery

The tactics of surgical treatment depend on the localization of the pathological process:

Spinal diseases
: nucleoplasty, microdiscectomy, discectomy, facetectomy, laminectomy, sequestrectomy, tumor removal.
Women's diseases
: removal of paraovarian cyst, hysterectomy, panhysterectomy, supravaginal amputation of the uterus, amputation of the cervix, instrumental removal of the ovum, etc.
Urological and andrological pathologies
: tumor removal, bladder resection, cystectomy, prostatectomy, cryoablation and FUS ablation of the prostate gland.

In the postoperative period, restoration measures are carried out. For some pathologies, reconstructive interventions are subsequently performed.

Pain in the sacrum during pregnancy

Sacrodynia during pregnancy is a consequence of several factors.

In particular, the mentioned disorder in the area of the sphenoid bone is caused by:

change in the deflection of the spinal column;
occipital variant of cephalic presentation of the fetus;
intrauterine activity of the child.

As the fetus grows, to maintain balance, the pregnant woman bends in the lower back, which negatively affects the sacral vertebrae. It matters what position the baby is in and how actively he moves.

If negative symptoms occur, in addition to sacrodynia, a woman should immediately contact her doctor at the clinic.

What can't you do?

If the sacrum hurts during pregnancy, it is forbidden to drink various analgesics or use pain-relieving ointments without a doctor’s prescription. This can harm the health of the unborn baby, since most medicinal components are prohibited during pregnancy.

It is also prohibited to lift and carry heavy objects, engage in heavy physical labor, sit and sleep on surfaces that are too soft, or stand or sit for long periods of time. All these simple recommendations help prevent complications that arise from pain in the sacrum. Read more about how much weight pregnant women can lift →

Diagnosis of pain in the sacral area

To find out the factors that provoked the disorder, you need to make an appointment with some specialists (for example, a neurologist, traumatologist, endocrinologist, oncologist). Women are examined by a gynecologist, and men by a urologist.

Treatment tactics are developed through the analysis of existing signs and the study of anamnesis.

If pain is present in the sacrum, determining the cause requires:

radiography;
CT or MRI;
Ultrasound;
blood tests;
urine research.

If the examination shows the absence of any diseases, sacrodynia may need to be studied from a psychosomatic point of view.

Causes

The reasons that cause pain in the sacrum in the expectant mother can be physiological and pathological. We list the main ones:

the growing uterus puts excessive pressure on the pelvic bones and sacrum;
incorrect position of the baby in the uterus;
lack of calcium and magnesium in the body;
diseases of the rectum;
training contractions;
inflammatory processes in the sacral area;
history of injuries and surgeries on the sacrum;
genitourinary diseases;
threat of miscarriage or premature birth;
stress factors.

Discomfort and pain in the lower back should be discussed with an obstetrician-gynecologist. It is important to determine the cause of the condition and select the appropriate treatment if it is a pathology.

How to treat pain in the sacrum?

Diagnostic data will help with the choice of treatment method.
Therapy for sacrodynia involves the use of:

medications with an anesthetic effect;
physiotherapeutic procedures;
massage, manual therapy;
set of exercises.

To stop painful spasms, tablets, injections (i.m., i.v.) and ointments with an anti-inflammatory effect are prescribed. The use of patches with a therapeutic effect (Voltaren, Versatis) and the Lyapko applicator is not excluded.

Thanks to physiotherapeutic techniques, it is possible to get rid of swelling and inflammation, restore mobility in the lower back and buttock muscles. Visiting a chiropractor and massage therapist helps reduce the severity of pain, ease muscle tension and normalize blood flow.

Exercise therapy is contraindicated during exacerbation of the disease, and you should start the main training after doing stretching exercises:

Lying on your back, you should bend your lower limbs and pull them towards you.
Without changing your position, you need to alternately straighten your leg and pull the other one towards your chest.
Taking emphasis on your palms and knees, you must first arch your back, pressing your chin to your chest, and then bend over, throwing your head back.

During the warm-up, you should not rush or strain too much.
Exercises should be done in the morning and evening 10 times. If the pain is quite strong, therapeutic blockades are placed by administering Lidocaine or Novocaine.

The use of folk remedies often helps to cure the disorder. For example, you can take baths with mustard or treat the problem area with a honey-vinegar compress. The only condition is coordination of the procedures with the doctor.

Is there a danger

If the ailments present in the sacral region are weak, nagging, without additional symptoms, this is normal. If you have an elevated temperature, bleeding or worsening symptoms, you should immediately seek medical help.

When the pain is severe, this may be a sign of:

ectopic pregnancy - localization of pain on one side;
inflammatory processes in the rectum - associated with rumbling in the abdomen, bloating, diarrhea or constipation;
kidney stones – accompanied by pain when urinating;
infections in the genitourinary system - characterized by an increase in temperature and a change in the color of urine;
problems with the spine - may radiate to the legs;
threat of miscarriage - increasing cramping pain.

During pregnancy, the body suppresses the protective functions of the immune system to avoid rejection of the fetus. This can lead to exacerbation of chronic diseases or the emergence of new diseases.

The following pathologies occur:

Inflammatory processes in the kidneys. Various infectious diseases, in particular pyelonephritis, can provoke nagging pain in the lower back, radiating to the left or right side, as well as to the sacrum and lower abdomen. Inflammation is accompanied by high fever, the presence of blood clots in the urine and pain during urination. Antibacterial therapy is prescribed under the strict supervision of a doctor.
Diseases of the musculoskeletal system. Osteochondrosis often makes itself felt, the cause of which arose even before conception. When the symptom is sharp and radiates to the leg, this indicates problems with the hip joints. May experience: numbness, tingling and decreased sensitivity of the lower extremities. When walking, the troubles will intensify, and while lying on your back, they will go away.
Intestinal diseases. Various bacterial intestinal infections can cause miscarriage. They are indicated by constipation, diarrhea, nausea, pain in the abdomen on the right or left, bloating, the presence of mucus and pus in the stool.
Frozen pregnancy, premature birth. In both cases, stretching in the lower abdomen, vaginal discharge, and nagging, progressive pain in the lower back are observed. Such signs are a reason to immediately consult a doctor.

False contractions differ from real contractions in the following ways:

The duration is significantly shorter.
Low intensity.
There is no progression.
The frequency is low.
It goes away after changing body position or when walking.

The opposite signs indicate the onset of labor.

Also dangerous diseases that can cause pain in the sacrum include:

anal neuralgia,
colitis,
proctalgia,
endometritis,
cystitis,
osteoporosis,
placental complications,
miscarriage and so on.

If a woman experiences pain with accompanying symptoms listed above, contacting a medical facility should be done immediately. But what to do with moderate symptoms without pronounced signs of pathology?