In a pregnant woman, the growing baby in the abdomen in the following months adds an additional burden to the waist and adversely affects the structure of the waist. However, since this growth is slow, the waist and back muscles and supporting tissues adapt and balance the weight gain. Risk-free and light exercises to be done in the first months of pregnancy provide great advantages to the expectant mother in the following months.
However, if there is a herniated disc with pregnancy, magnetic resonance (MR) imaging can be performed, since X-rays and computed tomography cannot be performed due to x-rays that may be harmful to the baby. Especially in the first three months, no medication can be given to the patient. During this period, the pregnant patient with severe back and leg pain should first be taken to absolute hard bed rest. After the first three months, light massages and heat applications at home on the patient’s waist can provide comfort, albeit partially, and by taking measures to prevent the hernia from progressing further, it is ensured that the critical nine months are overcome. If a pregnant woman has a herniated disc and absolutely needs surgery, then this procedure should be performed with spinal or epidural anesthesia.
During delivery, the neurosurgeon doctor and the obstetrician and gynecologist following the patient evaluate the latest situation together and come to a decision between normal delivery and cesarean section. Regardless of the form of birth (cesarean section or normal birth), since the abdominal muscles will be relaxed after birth; During the puerperium, the patient should be included in exercise programs that strengthen the abdominal muscles. After the birth, the patient is reconsidered, and diagnosis and treatment methods are applied under normal conditions and the final result is then obtained.
