Spinecare Topics
Annotated References-Pregnancy and Back Pain
Despite the sunny climate, hypovitaminosis D is prevalent among Egyptian women in the childbearing period, especially those presenting with chronic LBP, where it is associated with hyperphosphatasia and hyperparathyroidism, without alterations in serum calcium. The major determinant of hypovitaminosis D in our patients is limited sun exposure.
Manson NA, Goldberg EJ, Andersson GB. Sexual dimorphism in degenerative disorders of the spine. Orthop Clin North Am. 2006 Oct;37(4):549-53.
Pregnancy alters spine physiology and is a risk factor for back pain. The processes of aging and spinal degeneration adversely affect men and women slightly differently. Although degenerative changes are observed at similar rates in both sexes, women seem to be more susceptible to degenerative changes leading to instability and malalignment, structural deterioration, such a stenosis or disc degeneration.
Granath AB, Hellgren MS, Gunnarsson RK. Water aerobics reduces sick leave due to low back pain during pregnancy. J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug;35(4):465-71
Water aerobics can be recommended for the treatment of low back pain during pregnancy.
Albert HB, Godskesen M, Korsholm L, Westergaard JG. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand. 2006;85(5):539-44
This study demonstrates no single dominant risk factor for developing pelvic girdle pain in pregnancy, but reveals a set of physical and psychosocial factors. The risk factors for developing pelvic girdle pain in general are: history of previous low back pain, trauma of the back or pelvis, multivariate, higher level of stress, and low job satisfaction.
Lisi AJ. Chiropractic spinal manipulation for low back pain of pregnancy: a
retrospective case series. J Midwifery Womens Health. 2006 Jan-Feb;51(1):e7-10.
Low back pain is a common complaint in pregnancy, with a reported prevalence of 57% to 69% and incidence of 61%. Although such pain can result in significant disability, it has been shown that as few as 32% of women report symptoms to their prenatal provider, and only 25% of providers recommend treatment. The results of this study suggest that chiropractic treatment was a safe form of low back treatment during pregnancy.
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