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Can Epidural Injection Cause Chronic Back Pain?

Pregnancy and motherhood is a wonderful experience, and sometimes it may come with some discomfort and pains.

Sometimes after an epidural analgesic injection, mothers may feel and experience soreness and pain where the injection was done, and because of that, some mothers may think that it's the epidural injection that caused the beginning of their chronic (long term) back pain.

To clarify this, there is recent supporting research that showed that the use of epidural analgesia during delivery is not linked or related to chronic back pain. The research compared mothers who

  • received epidural analgesic injection versus
  • receiving other forms of pain management or relief solutions

What the study explained was there is a possibility or link that because epidural analgesic was given, it decreased the sensation/sensory feedback of the back, resulting in the mothers being in poor/awkward back positions for a prolonged period of time, and this was the main cause of back pain and strains post delivery.

There is a minor chance for mothers to experience micro-trauma to the back structures upon insertion of epidural needle, but this is very rare and the discomforts or pains are very short term.

It is likely that mothers experience acute and chronic back pain moreso due to

  • pregnancy-related changes (ie women's health) and/or/with
  • poor ergonomics, posture and lifestyle habits

what happens if i develop back pain during pregnancy and i still have pain after delivery?

If you hadn't delivered yet, we'd recommend you speak and consult with your gynae.

We're more than happy to get our senior women's health physiotherapist, Ms Rabia Shah, who has extensive experience and skills to treat specifically pain affecting women due to pregnancy or post-delivery pains. She will assess and treat your back pain very gently but effectively with zero risks to your child and yourself. You may be taught specific exercises and stretches to resolve the pain and strengthen muscles (including postural muscles) to support your core and back to relieve the pain too.

Your gynae may prescribe you some pain-killers as well

If you have already delivered, congrats! Same thing, also see your gynae and seek their opinion. You will definitely benefit from post-natal physiotherapy, which will include the above treatment with additional:

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At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session. 

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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