Lacomme syndrome

This name probably does not mean much to you. Yet Lacomme syndrome is quite common amongst pregnant women. Indeed, it affects at least 1 in 5. But what exactly is it? What are the symptoms? And how can it be treated, or at least relieved? Once again, Maman et Bébé Nature tells you everything!

How is Lacomme syndrome defined?

Occurring during the third trimester of pregnancy, Lacomme syndrome is also known as "abdominal-pelvic osteo-musculo-articular syndrome". It is often grouped under the category of "minor discomforts of pregnancy". However, it manifests as intense ligament pain in the pelvic bones.

More specifically in the sacroiliac joints, which are responsible for transferring loads between the spine and the lower limbs. Lacomme syndrome can also be felt at the level of the pubic symphysis — in clearer terms, at the anterior joint of the pelvis, between the hip bones.

In other words, women who suffer from this condition most often describe pain in the pelvis — though most frequently in the pubic area. That said, what are the associated risks?

Why do women develop Lacomme syndrome?

It is important to keep in mind that during pregnancy the body is under enormous pressure and numerous stresses — on many levels. And in the pelvis, which is a central area of the body, these tensions are all the more present. The body changes.

Indeed, due to relaxin — a hormone produced during pregnancy — the ligaments loosen significantly. The combination of these two factors can lead to pain in the pelvic region and the pelvis as a whole. This is how a woman can become susceptible to Lacomme syndrome. Let us look at whether this condition carries any particular risks.

Are there any risks?

Well, rest assured that whilst Lacomme syndrome can be genuinely painful, and sometimes debilitating for the women who experience it, it is nonetheless benign. And it is not inevitable — you may never experience it at all. It is worth noting, however, that symptoms tend to appear in a fairly sudden and abrupt manner, or sometimes in a deceptive way.

When does it occur?

It most commonly arises between the 24th and 36th week of amenorrhoea. It is worth noting, however, that it can begin earlier. The pain typically occurs during walking. It can be so intense that it may sometimes confine the pregnant woman to bed rest. In extreme and rare cases, Lacomme syndrome becomes severely debilitating — with some expectant mothers only being able to move around with crutches. Rest assured, though, there are a few tricks to help relieve it.

How can the symptoms of Lacomme syndrome be relieved?

If you are suffering from Lacomme syndrome, your gynaecologist or midwife will of course be able to prescribe something to ease your discomfort. But here we prefer to tell you about the natural approaches that can help. So if you are affected, you can in particular:

• First and foremost, rest. It is recommended to lie down as much as possible, or at least until the pain subsides. Do note that lying on your side with a pillow between your legs will provide significant relief from ligament pain.
• Slow down your activities as much as possible. Opt for gentle forms of exercise, such as swimming for example. The aim is to avoid anything that puts strain on the pelvic muscles.
• Do exercises that will bring you relief. You can, for instance, sit in the "butterfly position" — which involves sitting on the floor with your back straight, your legs folded in front of you, and the soles of your feet pressed together. Let your knees drop towards the floor as much as possible and bring your heels as close to your perineum as you can. This posture is very effective for opening the pelvis and relieving pain.
• Finally, you can see a physiotherapist for relief. And for the more adventurous, acupuncture has proven very effective for ligament pain.