Spinecare Topics
Annotated References-Pregnancy and Back Pain
The use of a support binder for pregnancy-related low back pain is a promising intervention and was well-accepted by the participants.
Carlson HL, Carlson NL, Pasternak BA, Balderston KD. Understanding and managing the back pain of pregnancy. Curr Womens Health Rep. 2003 Feb;3(1):65-71
Approximately 50% of all pregnant women experience back pain during pregnancy. Recognizing characteristics of the frequently encountered back pain of pregnancy as well as uncommon sources of back pain during pregnancy is essential in establishing an accurate diagnosis and initiating prompt and effective management.
Chan YL, Lam WW, Lau TK, Metreweli C, Chan DP. Back pain in pregnancy--magnetic resonance imaging correlation. Clin Radiol. 2002 Dec;57(12):1109-12.
Disk bulge or prolapse was associated with back pain in pregnancy but were relatively infrequent. The significant correlation of high signal intensity in the uterine cervix and back pain suggested that soft tissue laxity may be a more important cause of back pain in pregnancy than disk bulge or prolapse.
Commissaris DA, Nilsson-Wikmar LB, Van DieÃŽn JH, Hirschfeld H. Joint coordination during whole-body lifting in women with low back pain after pregnancy. Arch Phys Med Rehabil. 2002 Sep;83(9):1279-89.
Women with low back and/or pelvic pain after pregnancy showed different kinematics of lifting. Further research is needed to determine the exact relationship between the altered kinematics and the underlying disorder.
NorÈn L, Ostgaard S, Johansson G, Ostgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J. 2002 Jun;11(3):267-71. Epub 2001 Dec 8
Women with combined lumbar and posterior pelvic pain were significantly more disabled ( P<0.05) and had significantly lower endurance in the lumbar back and hip abduction muscles ( P<0.01). Some 5% of all pregnant women, or 20% of all women with back pain during pregnancy, had pain 3 years later. The key problem may be poor muscle function in the back and pelvis.
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