Back and Pelvic Pain among Pregnant Women

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Back and Pelvic Pain among Pregnant Women

Back and Pelvic Pain among Pregnant Women

Author Meopin - 25 January 2019
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 Low back and pelvic pain is an important issue, which concerns 632 million people in the world and causes important physical impairments. 50% of pregnant women experience low back pain (LBP). This is often due to a relaxation of their posterior sacroiliac joints ligamentous system caused by a hormone relaxant increasing during the pregnancy. The pain might occur during the beginning of the pregnancy or after the birth. Additionally, pain in the posterior part of the pelvis might occur alone or in association with the LBP.

                Osteopathic medicine, can be a good option as treatment for relieving the back and pelvic pain symptoms during pregnancy or after child birth, and this in association with the gynaecologist.  However when a pregnant woman or after giving birth presents the back and pelvic pain in the posterior part of her pelvis or in lower back, physicians and osteopaths also have to keep in mind the complexity defining the pain from musculoskeletal system, when diagnosing the origin of the pain for providing the best effective and personalized treatment to the woman receiving health care. 

            There is need for pregnant women and the ones that have given birth to consult an osteopath DO in case of pain in low back or posterior part of the pelvis for removing the pain and allowing to the woman to have a good pregnancy progression without pain. 

 

 

References

Kanakaris, N. K., Roberts, C. S., & Giannoudis, P.V. (2011). Pregnancy-related pelvic girdle pain: an update. BMC Med, 9(15). https://doi.org/10.1186/1741-7015-9-15 

Rossettini, G., Carlino, E., & Testa, M. (2018). Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC musculoskeletal disorders19(1), 27. https://doi.org/10.1186/s12891-018-1943-8.

Schwerla, F., Rother, K., Rother, D., Ruetz, M., & Resch, K. L. (2015). Osteopathic manipulative therapy in women with postpartum low back pain and disability: A pragmatic randomized controlled trial. Journal of American Medical Association, 115(7)416-425. https://doi.org/10.7556/jaoa.2015.087

Vermani, E., Mittal, R., & Weeks, A. (2010). Pelvic girdle pain and low back pain in pregnancy: a review. Pain Practice, 10(1), 60-71. https://doi:10.1111/j.1533-2500.2009.00327.x 

Vleeming, A., Albert, H. B., Ostgaard, H. C., Sturesson, B., & Stuge, B. (2008). European n guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal, 17(6), 794-819. https://doi:10.1007/s00586-008-0602-4.

Vos, T., Flaxman, A. D., Naghavi, M., et al. (2012), Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 [published correction appears in Lancet. 2013; 381(9867):628.]. Lancet,380(9859), 2163-2196. https://doi.org/10.1016/S0140-6736 (12)61729-2.

Dr Sergio Marcucci, Osteopath DO, MSc, Doctor of Health Sciences

 

 

 

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Meopin

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