Pregnancy in Patients with Low Back Pain
International Clinical Neuroscience Journal,
Vol. 6 No. 3 (2019),
31 August 2019
Pregnancy-related lumbopelvic pain has been a serious and common problem since ancient time. The present review article focuses on terminology, types, clinical presentation, and management of these problems.
There are two entities regarding pregnancy-related lumbopelvic pain: pelvic girdle pain (PGP)’’, and pregnancy-related low back pain (PLBP). There are multiple mechanisms behind these disabilities.
Age, multiparty, heavy weight lifting, hard physical activity, previous low back pain, and low education increase the prevalence. About one-half of women with pregnancy-related lumbopelvic pain have PGP, one-third LBP, and one-sixth have both conditions. Overall, the literature reveals that PPP deserves serious attention from the clinical and economic standpoints
- Pelvic Girdle Pain
- Cesarean Section
- Low Back Pain
How to Cite
Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman YI. Low-back pain in pregnancy. Spine. 1987 May;12(4):368-71.
Östgaard HC, Roos-Hansson E, Zetherström G. Regression of back and posterior pelvic pain after pregnancy. Spine. 1996 Dec 1;21(23):2777-80.
Bastiaanssen JM, de Bie RA, Bastiaenen CH, Essed GG, van den Brandt PA. A historical perspective on pregnancy-related low back and/or pelvic girdle pain. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2005 May 1;120(1):3-14.
Sehmbi H, D'Souza R, Bhatia A. Low back pain in pregnancy: investigations, management, and role of neuraxial analgesia and anaesthesia: a systematic review. Gynecologic and obstetric investigation. 2017;82(5):417-36.
Ostgaard HC, Zetherström G, Roos-Hansson E, Svanberg B. Reduction of back and posterior pelvic pain in pregnancy. Spine. 1994 Apr;19(8):894-900.
Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal. 2008 Jun 1;17(6):794-819.
Perkins J, Hammer RL, Loubert PV. Identification and management of pregnancy-related low back pain. Journal of nurse-midwifery. 1998 Sep 1;43(5):331-40.
To WW, Wong MW. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta obstetricia et gynecologica Scandinavica. 2003 Dec;82(12):1086-91.
Ostgaard HC, Andersson GB, Schultz AB, Miller JA. Influence of some biomechanical factors on low-back pain in pregnancy. Spine. 1993 Jan;18(1):61-5.
Sandler SE. The management of low back pain in pregnancy. Manual therapy. 1996 Sep 1;1(4):178-85.
Sabino J, Grauer JN. Pregnancy and low back pain. Current reviews in musculoskeletal medicine. 2008 Jun 1;1(2):137-41.
Van Dongen PW, De Boer M, Lemmens WA, Theron GB. Hypermobility and peripartum pelvic pain syndrome in pregnant South African women. European Journal of Obstetrics & Gynecology and Reproductive Biology. 1999 May 1;84(1):77-82.
Stuge B, Hilde G, Vøllestad N. Physical therapy for pregnancy‐related low back and pelvic pain: A systematic review. Acta obstetricia et gynecologica Scandinavica. 2003 Nov;82(11):983-90.
Wedenberg K, Moen B, Norling Å. A prospective randomized study comparing acupuncture with physiotherapy for low‐back and pelvic pain in pregnancy. Acta obstetricia et gynecologica Scandinavica. 2000 May;79(5):331-5.
Bewyer KJ, Bewyer DC, Messenger D, Kennedy CM. Pilot data: association between gluteus medius weakness and low back pain during pregnancy. The Iowa orthopaedic journal. 2009;29:97.
Vadivelu R, Green TP, Bhatt R. An uncommon cause of back pain in pregnancy. Postgraduate medical journal. 2005 Jan 1;81(951):65-7.
Johnson D, Coley S. Back pain in pregnancy. Journal of the Royal Society of Medicine. 1998 Jun;91(6):344.
Östgaard HC, Zetherström G, Roos-Hansson E. The posterior pelvic pain provocation test in pregnant women. European Spine Journal. 1994 Oct 1;3(5):258-60.
Van de Pol G, De Leeuw JR, Van Brummen HJ, Bruinse HW, Heintz AP, Van der Vaart CH. The Pregnancy Mobility Index: a mobility scale during and after pregnancy. Acta obstetricia et gynecologica Scandinavica. 2006 Jul;85(7):786-91.
Mens JM, Damen L, Snijders CJ, Stam HJ. The mechanical effect of a pelvic belt in patients with pregnancy-related pelvic pain. Clinical biomechanics. 2006 Feb 1;21(2):122-7.
Stapleton DB, MacLennan AH, Kristiansson P. The prevalence of recalled low back pain during and after pregnancy: a South Australian population survey. Australian and New Zealand journal of obstetrics and gynaecology. 2002 Oct;42(5):482-5.
Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine. 1991 May;16(5):549-52.
Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstetrics & Gynecology. 2004 Jul 1;104(1):65-70.
Mogren IM. BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy. European spine journal. 2006 Jul 1;15(7):1093-102.
Mørkved SI, Salvesen KÅ, Schei B, Lydersen S, Bø K. Does group training during pregnancy prevent lumbopelvic pain? A randomized clinical trial. Acta obstetricia et gynecologica Scandinavica. 2007 Mar;86(3):276-82.
Owe KM. Exercise before and during pregnancy and reproductive outcomes: A population based cohort study. Oslo2011.
Mirmolaei ST, Ansari NN, Mahmoudi M, Ranjbar F. Efficacy of a physical training program on pregnancy related lumbopelvic pain. International Journal of Women's Health and Reproduction Sciences. 2018 Apr 1;6(2):161-6
Bailey A. Risk factors for low back pain in women: still more questions to be answered. Menopause. 2009 Jan 1;16(1):3-4.
Mukkannavar P, Desai BR, Mohanty U, Parvatikar V, Karwa D, Daiwajna S. Pelvic girdle pain after childbirth: the impact of mode of delivery. Journal of back and musculoskeletal rehabilitation. 2013 Jan 1;26(3):281-90.
Röst CC, Jacqueline J, Kaiser A, Verhagen AP, Koes BW. Prognosis of women with pelvic pain during pregnancy: a long‐term follow‐up study. Acta obstetricia et gynecologica Scandinavica. 2006 Jul;85(7):771-7.
Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Manual therapy. 2010 Jun 1;15(3):280-5.
Robinson HS, Mengshoel AM, Veierød MB, Vøllestad N. Pelvic girdle pain: potential risk factors in pregnancy concerning disability and pain intensity three months postpartum. Manual therapy. 2010 Dec 1;15(6):522-8.
Jain S, Eedarapalli P, Jamjute P, Sawdy R. Symphysis pubis dysfunction: a practical approach to management. The Obstetrician & Gynaecologist. 2006 Jul;8(3):153-8.
Leadbetter RE, Mawer D, Lindow SW. The development of a scoring system for symphysis pubis dysfunction. Journal of obstetrics and gynaecology. 2006 Jan 1;26(1):20-3.
- Abstract Viewed: 145 times
- PDF Downloaded: 217 times