Back Pain In Pregnancy Research Articles

Do exercises improve back pain in pregnancy?

Objective To assess the efficacy of an exercise program towards reducing back pain in pregnant women. Methods In this prospective control study, 145 low risk pregnant women who scored more than 20 for functional limitation assessment were recruited. The severity of back pain was assessed using the visual analoque scale (VAS) and the functional limitation was assessed using the Oswestry disability questionnaire (ODQ). All participants were informed of back care measures and provided with Paracetamol as an adjunct analgesia. The intervention group will have a session with a trained physiotherapist. Subsequently, all participants will be required to fill in a similar questionnaire regarding pain intensity and functional limitation assessment after 6 weeks post-intervention. Results There was a significant reduction in the VAS score and improvement in functional ODQ score in the intervention group. The median usage of Paracetamol as an analgesia to control back pain in the control group was 500 mg higher than the intervention group. There was a weak association of age, parity, duration of back pain, and body mass index with functional ODQ score at 6 week following intervention. Conclusion The back pain exercise reducing program was effective in reducing back pain intensity and analgesia usage with a significant improvement in functional ability.

Low Back Pain in Pregnancy–Investigations, Management, and the Role of Neuraxial Analgesia: A Narrative Review [2L

INTRODUCTION: Low back pain (LBP) is common in pregnancy affecting approximately 50% of pregnant women. Yet, there is much ambiguity with regard to the diagnostic work-up and management of pregnant women with LBP. This narrative review summarizes evidence surrounding investigations, management strategies and the considerations around performing neuraxial blocks for pregnant women with LBP to inform clinical practice. METHODS: MEDLINE, MEDLINE In-Process and Embase were searched from inception to November 2015. The search was limited to humans and restricted to the English language. All studies from case reports to randomized controlled trials describing diagnostic modalities, management strategies and use of neuraxial techniques during labor and delivery in pregnant women with LBP were identified. RESULTS: A total of 6803 records were identified through database-searching and 60 through citation-tracking, of which 77 studies were included. Of these, 32 described the use of diagnostic modalities, 56 described management strategies, and three reported the use of neuraxial techniques for labor and delivery. Magnetic resonance imaging is the safest diagnostic modality for LBP in pregnancy. Antenatal educational programs, exercise and steroid injections into the epidural space or sacroiliac joints may help with pain management. Worsening neurological deficits, vertebral fractures, and tumors may need surgical management. There is limited evidence on challenges of performing neuraxial blocks in the peripartum period but there is a potential for increased risk of neurological complications in parturients with pre-existing neurological deficits. CONCLUSION: This review summarizes the available evidence and provides a clinical algorithm for the diagnosis and management of pregnant women with LBP.

Pregnancy-Related Hormonal Influences on the Musculoskeletal System, Lumbo-Pelvic Structures and Peripheral Joints: Some Practical Considerations for Manual Therapists

The effects of maternal hormones upon the spine and pelvis, is not very well defined in the literature with evidence conflicting. Reports of hormonal effects (relaxin), appear to have mainly focused on the anterior cruciate, wrist ligaments, and anthropomorphic foot changes. Pregnancy hormonal influences upon peripheral joint capsulo-ligamentous structures, particular those of the lower limb, may also have indirect effects upon lumbo-pelvic structures by transferring ground reactive force (GRF) further up to kinetic chain. Objective: Review the current evidence base to increase awareness among clinicians managing maternal pain populations of how hormonal influences may affect the musculoskeletal system. Method: Literature published between 1982 and 2016 was reviewed through NCBI, Pubmed, Medline, and Ovid search engines. Additionally, a Google search of online media was conducted using the same terms. Conclusion: Hormonal changes occurring during pregnancy may affect the female musculoskeletal system in a number of ways, with potential later in life consequence. Pregnancy associated lower limb changes such as maternal reduction of the plantar arch, may indirectly contribute to lower back pain, by causing redistribution of ground reactive force (GRF) centripetally, thereby increasing axial load upon already hormonally-compromised lumbo-pelvic structures. Future research is warranted to validate and verify hormonal influences upon musculoskeletal pain and dysfunction in this population group. Despite the popularity of manual management (chiropractic/osteopathy) for pregnancy back pain management, the evidence base for this is sparse. Though a review of available literature indicated manual therapies are probably both safe and effective means of management further research is imperative support clinical practice.

Gebelerde Görülen Bel Ağrısı

Gebeliğe bağlı bel ağrısı, kadınlarda görülen yaygın bir durumdur. Çoğu kadın bel ağrısını gebeliğin kaçınılmaz bir sonucu olarak görmektedir. Bu dönemdeki ağrı insidansı %50-80 olarak rapor edilmiştir. Gebelerde mekanik, hormonal ve diğer birçok faktörden kaynaklanan bel ağrısı iş gücü kaybına sebep olmakta, ülke ve kişi ekonomisini olumsuz etkileyebilmektedir. Ağrıyı önlemeye ve azaltmaya yönelik eğitim, egzersiz, korse uygulamaları ve farmakolojik tedavi gibi birçok tedavi yöntemi vardır. Bu çalışmada, gebelerde görülen bel ağrısının tanı ve tedavisinde güncel yaklaşımların incelenmesi amaçlanmıştır.

A Rare Cause of Low Back Pain in Pregnancy: Pregnancy Associated Osteoporosis

Pregnancy associated osteoporosis is a rare entity seen at the third trimester of first pregnancy or early postpartum period. It does not recur frequently in the subsequent pregnancies; however, it might lead to various complications unless it is treated. In this paper, we presented a woman diagnosed with pregnancy-associated osteoporosis with back pain at the 6th month of the pregnancy in order to discuss the points to be taken into consideration in the diagnosis/differential diagnosis and treatment options of pregnancy associated osteoporosis.

Low Back Pain in Pregnancy

AbstractLow back pain in pregnancy is a common complaint. Psychologically, it has a negative effect on the patient, adversely affecting the quality of life.Presenting either as pelvic girdle or as lumbar pain, accurate and early diagnosis is essential for adequate management of patients with low back pain in pregnancy. The mainstay of management is conservative. There is no established protocol and the treatment has to be tailored for each patient.

Is acupuncture an effective treatment for pelvic and lower back pain in pregnancy?

Is acupuncture an effective treatment for pelvic and lower back pain in pregnancy?

Spinal posture and pelvic position during pregnancy: a prospective rasterstereographic pilot study.

Despite the high prevalence of low back pain during pregnancy there is still a lack in the understanding of its aetiology. Changes of the spinal posture due to the anatomical changes of the pregnant body seem to be in part responsible for the back pain. In this pilot study we assessed the potential to accurately measure the spinal posture and pelvic position during pregnancy without any harmful radiation using a spine and surface topography system. Thirteen pregnant women were examined during the second and third trimester of their pregnancy, and postpartum. Twenty female, non-pregnant volunteers comprised the control group. The spinal posture and pelvic position were measured with a radiation-free spine and surface topography system. We found a significant increase in thoracic kyphosis during the course of pregnancy, but no increased lumbar lordosis. The lateral deviation of the spine also decreased significantly. However, we did not measure significant changes of the pelvic position during or after pregnancy. The results of our study show that pregnancy has an effect on the spinal posture, and that spine and surface topography can be used to measure these changes three-dimensionally and without any harmful radiation. In future studies this technique could allow to further evaluate the relationship between posture and low back pain during pregnancy, helping to understand the aetiology of low back pain in pregnancy as well as to identify methods for its prevention and treatment.

Acupuncture forbidden points for low back pain in pregnancy: A literature review synthesis

There has long been a controversy whether forbidden points truly exist, or if they have any bearing in contemporary practice. This study used literature review synthesis method to examine the application of acupuncture at the “forbidden points” for low back pain and pelvic pain in pregnancy. This study addresses the potential implications of needling the forbidden points during pregnancy.

Infiltrating gluteal fibrosarcoma presenting as back pain in pregnancy

International Journal of Gynecology & ObstetricsVolume 123, Issue 2 p. 163-164 Brief communications Infiltrating gluteal fibrosarcoma presenting as back pain in pregnancy Tommy R. Buchanan, Tommy R. Buchanan Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, USASearch for more papers by this authorSarah H. Kim, Sarah H. Kim Drexel University College of Medicine, Philadelphia, USASearch for more papers by this authorNigel Pereira, Corresponding Author Nigel Pereira [email protected] Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, USACorresponding author at: Department of Obstetrics and Gynecology, 245 North 15th Street, MS 495, 16th Floor, New College Building, Philadelphia, PA 19102, USA. Tel.: + 1 215 762 8292; fax: + 1 215 762 1470.Search for more papers by this author Tommy R. Buchanan, Tommy R. Buchanan Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, USASearch for more papers by this authorSarah H. Kim, Sarah H. Kim Drexel University College of Medicine, Philadelphia, USASearch for more papers by this authorNigel Pereira, Corresponding Author Nigel Pereira [email protected] Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, USACorresponding author at: Department of Obstetrics and Gynecology, 245 North 15th Street, MS 495, 16th Floor, New College Building, Philadelphia, PA 19102, USA. Tel.: + 1 215 762 8292; fax: + 1 215 762 1470.Search for more papers by this author First published: 31 July 2013 https://doi.org/10.1016/j.ijgo.2013.05.016Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume123, Issue2November 2013Pages 163-164 RelatedInformation

TENS Shown Effective for Low Back Pain in Pregnancy

TENS Shown Effective for Low Back Pain in Pregnancy

The Role of Exercise in the Management of Pelvic Girdle and Low Back Pain in Pregnancy

The Role of Exercise in the Management of Pelvic Girdle and Low Back Pain in Pregnancy

Low back pain in pregnancy

Low back pain in pregnancy

Prevalence and pattern of back pain among pregnant women attending ante-natal clinics in selected health care facilities

Back pain is (BP) is recognized as an important problem in pregnancy. Theobjectives of this study were to examine the prevalence and pattern of back pain (BP) in pregnancy. A survey of 2,187 pregnant women attending ante-natal clinics in selected Medical facilities in Ibadan and Ogbomoso, Nigeria was carried out using pre-tested close-ended questionnaire. Information on prevalence, pattern and characteristics of back pain in pregnancy were obtained. Data obtained was analyzed using both descriptive and inferential statistics of mean, standard deviation, and inferential statistics of independent t-tests and chi-square tests. One thousand and eight (52.5%) of the 1919 included subjects had back pain in pregnancy. The mean age of those with and without back painwas 26.8 ± 5.3 and 27.1 ± 5.4 years respectively. Mean number of pregnancy was higher in subjects with back pain than those without back pain. The pain site among the 1008 subjects with back pain was low back in 669 subjects (66.4%), posterior pelvic in 242 subjects (24.0%) and high back in 97 subjects (9.6%). Among the subjects with back pain, 315 (31.3%) and 53 (5.3%) were in their first and sixth pregnancies respectively. Postural modification relieved the back painin about 50% of the subjects across the three back pain groups duringpregnancy. It was concluded that back pain is a common and real complaint in pregnancy. It is therefore recommended that rather than dismiss it as trivial, back pain in pregnancy should be attended to as part of ante-natal care. (Afr. J. Biomed. Res. 9: 149 – 156)Keywords: Back pain; Pattern; Pregnancy

Pelvic Girdle Pain and Low Back Pain in Pregnancy: A Review

Pregnancy-related pelvic girdle pain (PGP) and pregnancy-related low back pain (PLBP) are common problems with significant physical, psychological, and socioeconomic implications. There are several management options that are underutilized because of lack of comprehensive knowledge by health-care professionals and fear of harmful effects of treatment on the developing fetus. Interventions such as patient education, the use of pelvic belts, acupuncture, and aquatic and tailored postpartum exercises can be of some benefit to these patients. This article will focus on the diagnosis and management of PGP and PLBP, with discussion of terminology, epidemiology, risk factors, pathophysiology, and prognosis.

Management of back pain in pregnancy

Back pain during pregnancy is a common problem experienced by many pregnant women. Physiological changes during pregnancy are a contributing factor for the development of back pain. Laxity of the sacroiliac joints causes instability and development of sacroiliac pain. The pain may be severe and can interfere with daily activities. Neurological examination is usually normal. A positive straight leg-rising test may indicate herniated disc, which is rare during pregnancy. Noncontrast magnetic resonance imaging is safe in pregnancy. To date, there are no identified adverse effects of the magnetic resonance on the developing fetus, but long-term effects need to be examined. Most back pain in pregnancy can be treated conservatively. Acetaminophen is the drug of choice to treat pain during pregnancy. Epidural steroid injection (ESI) may be considered in certain cases. Data in the literature are deficient regarding the use of ESI in pregnancy, but it appears to be safe based on expert clinical experience. More work is needed to examine the long-term effect of ESI on the mother and the fetus. Surgery is usually postponed until the postpartum period, unless there is progressive neurological deficits or cauda equina syndrome.

Acupuncture for Pelvic and Back Pain in Pregnancy: A Systematic Review

Obstetric Anesthesia Digest: September 2008 - Volume 28 - Issue 3 - p 177 doi: 10.1097/01.aoa.0000326420.25830.c9

Association between muscle function and low back pain in relation to pregnancy

To investigate the association of muscle function and subgroups of low back pain (no low back pain, pelvic girdle pain, lumbar pain and combined pelvic girdle pain and lumbar pain) in relation to pregnancy. Prospective cohort study. Consecutively enrolled pregnant women seen in gestational weeks 12-18 (n = 301) and 3 months postpartum (n = 262). Classification into subgroups by means of mechanical assessment of the lumbar spine, pelvic pain provocation tests, standard history and a pain drawing. Trunk muscle endurance, hip muscle strength (dynamometer) and gait speed were investigated. In pregnancy 116 women had no low back pain, 33% (n = 99) had pelvic girdle pain, 11% (n = 32) had lumbar pain and 18% (n = 54) had combined pelvic girdle pain and lumbar pain. The prevalence of pelvic girdle pain/combined pelvic girdle pain and lumbar pain decreased postpartum, whereas the prevalence of lumbar pain remained stable. Women with pelvic girdle pain and/or combined pelvic girdle pain and lumbar pain had lower values for trunk muscle endurance, hip extension and gait speed as compared to women without low back pain in pregnancy and postpartum (p < 0.001-0.04). Women with pelvic girdle pain throughout the study had lower values of back flexor endurance compared with women without low back pain. Muscle dysfunction was associated with pelvic girdle pain, which should be taken into consideration when developing treatment strategies and preventive measures.

Managing back pain in pregnancy using a support garment: a randomised trial

Large population studies have shown that low back pain affects about 50% of pregnant women. The aim of this study was to determine whether the use of the BellyBra in pregnant women with back pain is associated with changes in assessments of pain severity, physical activity and satisfaction with life after 3 weeks of intervention compared with tubigrip, a more generic form of support. Randomised controlled trial. A tertiary referral hospital in Australia. Women between 20 and 36 weeks of pregnancy with lumbar back or posterior pelvic pain. Participants were randomised to the BellyBra (the study device) or to tubigrip (the control) by means of computer-generated numbered, sealed, opaque envelopes. The primary outcomes were pain severity and physical activity, and the secondary outcome was satisfaction with life. One hundred and fifteen women consented to participate in the trial. Mean visual analogue scale scores of pain severity decreased from 6.1 to 4.5 in the study device group (P= 0.001) and from 6.0 to 4.7 in the control group (P= 0.003). There was no significant difference between the groups in this outcome (P= 0.61). However, the study device group demonstrated a significantly greater reduction in Likert scale assessments of the impact of back pain on sleeping (P= 0.007), getting up from a sitting position (P= 0.02) and walking (P= 0.001) than the control group. There was also a significant reduction in the use of analgesic medication in the study group (P= 0.01). The BellyBra and tubigrip were both associated with a reduction in the severity of pregnancy-related low back pain. The BellyBra was more effective than tubigrip, however, in alleviating the impact of pain on a number of physical activities that constitute daily life.

Intradurales Neurinom in graviditate: Eine seltene Differenzialdiagnose bei Lumbalgie in der Schwangerschaft - Eine Kasuistik

Rückenschmerzen in der Schwangerschaft treten häufig auf und sind meist von geringer therapeutischer Konsequenz jenseits von Analgetikagaben und physikalischer Therapie. Einige, wenn auch sehr seltene Ursachen, mit vorzugsweise erheblicher therapeutischer Konsequenz gilt es jedoch in die Differenzialdiagnostik mit einzubeziehen, vor allem, wenn eine Therapieresistenz und neurologische Ausfälle zu der Schmerzsymptomatik hinzukommen. Im vorliegenden Fall handelt es sich um eine Patientin, die in der Schwangerschaft therapieresistente, über die primäre Schnittentbindung hinausreichende Schmerzen äußerte und ein lumbales Neurinom aufwies. Diagnostisch erschwerend kam bei der Patientin eine vorbestehende Bandscheibenprotusion hinzu. Es wird am Beispiel eines spinalen Tumors Diagnostik, Epidemiologie, Histopathologie und Problematik in der Differenzialdiagnose von persistierenden Rückenschmerzen bei Schwangeren behandelt unter besonderer Berücksichtigung von tumorösen Prozessen.