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Post partum low back pain

Darren Beales, Alison Lutz, Judith Thompson, Benedict Martin Wand, Peter O'Sullivan
BACKGROUND: For a small but significant group, pregnancy-related lumbopelvic pain may become persistent. While multiple factors may contribute to disability in this group, previous studies have not investigated sleep impairments, body perception or mindfulness as potential factors associated with disability post-partum. OBJECTIVES: To compare women experiencing no pain post-pregnancy with those experiencing pregnancy-related persistent lumbopelvic pain (either low- or high-level disability) across multiple biopsychosocial domains...
February 2016: Manual Therapy
Maria João Mota, Mirtha Cardoso, Andreia Carvalho, Alda Marques, Pedro Sá-Couto, Sara Demain
OBJECTIVES: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. METHODS: A sample of 105 post-partum women was recruited. All participants answered a questionnaire; women who experienced LBP during pregnancy (n=71) continue in the study and later they were also interviewed. Content analysis, descriptive and inferential statistics were used to analyse the data...
2015: Journal of Back and Musculoskeletal Rehabilitation
Shemila Abbasi, M Hamid, Z Ahmed, Fauzia Haq Nawaz
BACKGROUND AND AIMS: The most frequent concern of patients receiving epidural analgesia for labour pain relief is post-partum back pain. This survey was designed to assess the prevalence of post-partum backache with and without epidural analgesia among post-partum women. METHODS: The study was conducted at a university teaching hospital and women presenting to labour room for labour and delivery formed the target population. A total of 482 women were recruited during the study period...
March 2014: Indian Journal of Anaesthesia
Alessandra Bazzano, Zelee Hill, Charlotte Tawiah-Agyemang, Alexander Manu, Guus Ten Asbroek, Betty Kirkwood
UNLABELLED: Skin-to-skin contact (STSC) for low birth weight newborns in community settings may greatly improve survival, especially where access to health facilities is limited. Community STSC has been implemented in large-scale trials in Asia and is recommended by WHO and UNICEF. In countries where the practice is entirely new, such as Ghana, STSC may need special educational approaches. OBJECTIVE: The dual aims of this study were to understand the acceptance and barriers to STSC in an African community setting and to use in-depth formative research to contribute to the success of a behavior-based health intervention...
September 2012: Global Health Promotion
Evan H Kwong, Noorshina Virani, Magali Robert, Kate Gerry, Anita Harding, M Sarah Rose, Sean P Dukelow, Pamela M Barton
OBJECTIVE: To determine the inter-rater reliability of the Active Straight-Leg Raise and One-Leg Standing tests. DESIGN: Cross-sectional pilot study. SUBJECTS: Thirty-one women who were either not pregnant or at least 9 months post-partum. METHODS: Subjects completed a questionnaire and standardized pain and disability assessments. The Active Straight-Leg Raise and One-Leg Standing tests were assessed by 3 independent, blinded examiners...
November 2013: Journal of Rehabilitation Medicine
Valerio Sansone, Jocelyn McCleery, Cristina Bonora
Low-back pain is a common complaint during pregnancy and the post-partum period, and it may be due to a variety of conditions. Among these, a frequently overlooked cause is a sacral fracture. We report the case of a 37 year old woman, suffering from post-partum low-back pain which had not responded to treatment. Though rare, a sacral stress fracture must be considered in cases of prolonged low-back or sacral pain in pregnant or post-partum women. Plain radiographs are frequently inconclusive and MRI is the imaging technique of choice...
2013: Journal of Back and Musculoskeletal Rehabilitation
K Moore, G A Dumas, J G Reid
This longitudinal study examined the postural changes that occur during pregnancy and their association with low-back pain. The lordotic curvature, kyphotic curvature and position of the line of gravity were measured. The degree of low-back pain was assessed using a daily pain diary. Each measurement was recorded in 30 healthy pregnant women on a monthly basis until term and once post partum. The results reveal many different postural behaviours, but the majority of women experienced a flattening of the lumbar spine during pregnancy...
August 1990: Clinical Biomechanics
Marta Rebelo, Jandira Lima, José Diniz Vieira, José Nascimento Costa
Osteogenesis imperfecta (OI) is a rare inherited disorder with a broad spectrum of clinical and genetic variability. The genetic diversity involves, in the majority of the cases, mutations in one of the genes that encodes the type 1 collagen protein (COL1 A1 and COL1 A2), but it is not a requirement for the diagnosis. The most benign form is OI type I. The authors present a case report of a 25-year-old woman who had severe low back pain associated with incapacity to walk and breast-feed post-partum. Symptoms developed 2 weeks after delivery...
2011: International Medical Case Reports Journal
Kalliopi Lampropoulou-Adamidou, George Trovas, Ioannis P Stathopoulos, Nikolaos A Papaioannou
OBJECTIVE: Pregnancy- and lactation-associated osteoporosis (PLO) is an uncommon disease. The majority of cases are seen in the third trimester or early post-partum in primagravid women and the prominent clinical feature of PLO is severe and prolonged back pain and height loss. The prevalence and aetiology of this disorder are as yet unclear and there are no guidelines for its treatment. CASE REPORT: We report the outcomes of teriparatide (TRP) treatment in a woman suffering from severe PLO with 6 vertebral fragility fractures, severe back pain and very low BMD...
October 2012: Hormones: International Journal of Endocrinology and Metabolism
Emily R Howell
OBJECTIVE: Two case reports review the chiropractic treatment and rehabilitation management of Symphysis Pubis Dysfunction (SPD). CLINICAL FEATURES: Patient 1: a 35-year-old female presented at 30 weeks pregnant with severe left sided Symphysis Pubis Dysfunction and low back pain. Patient 2: a 33-year-old female also 30 weeks pregnant, presented with right sided Symphysis Pubis Dysfunction and sacroiliac pain. INTERVENTION AND OUTCOME: Treatment included soft tissue therapy, pregnancy support belt, side-lying mobilizations, pelvic blocks and instrument-assisted pubic symphysis adjustments...
June 2012: Journal of the Canadian Chiropractic Association
Eva Thorell, Per Kristiansson
BACKGROUND: Low back pain with onset during pregnancy is common and approximately one out of three women have disabling pain. The pathogenesis of the pain condition is uncertain and there is no information on the role of physical fitness. Whether poorer physical conditioning is a cause or effect of back pain is also disputed and information from prospective studies needed. METHODS: A cohort of pregnant women, recruited from maternal health care centers in central Sweden, were examined regarding estimated peak oxygen uptake by cycle ergometer test in early pregnancy, reported physical activity prior to pregnancy, basic characteristics, back pain during pregnancy and back pain postpartum...
2012: BMC Pregnancy and Childbirth
Neasa De Búrca
Sacral stress fracture is an unusual source of low back pain and can be easily confused with a number of other clinical conditions seen in physiotherapy clinics. The purpose of this case report is to describe the case of a patient presenting with low back pain post partum illustrating pertinent aspects of differential diagnosis and issues of management. A 31 year old female presented complaining of low back pain since the birth of her second child 11 months earlier. Subjective and objective examination led the Therapist to consider a diagnosis of sacral stress fracture...
December 2012: Manual Therapy
A A Jammah
A 25-year-old Arab woman, reported to our endocrinology clinic one month post-partum presenting with back pain and a limp that started during the seventh month of pregnancy. Upon examination, she was found to have a full range of motion and no tenderness in the hip joint or lower back. The pain was aggravated by walking. She had a limping gait with a lean to her right side. She had low calcium, low hemoglobin, high parathyroid hormone and high alkaline phosphatase levels. X-rays of her hip and lumbosacral areas were normal...
March 2012: Osteoporosis International
Nada Vujasinovic-Stupar, Nada Pejnovic, Ljiljana Markovic, Maja Zlatanovic
Pregnancy-associated spinal osteoporosis (PPSO) is a rare condition characterized by severe back pain occurring near the end of the first pregnancy or shortly afterward. The aim of this report is to present a 12-year follow-up of a patient with PPSO. Also, the outcomes of patient's two pregnancies and her infants after long-term treatment with bisphosphonates are assessed. A young woman was referred to our tertiary care hospital aged 30 years, due to intense pain in thoracic and lumbar region that started during the last month of her first pregnancy and got worse after delivery...
March 2012: Rheumatology International
Nowall A Al-Sayegh, Susan E George, Michael L Boninger, Joan C Rogers, Susan L Whitney, Anthony Delitto
OBJECTIVE: To develop a clinical prediction rule (CPR) for identifying postpartum women with low back pain (LBP) and/or pelvic girdle pain (PGP) whose functional disability scores improve with a high-velocity thrust technique (HVTT) conducted by a physical therapist. DESIGN: Prospective cohort. SETTING: Outpatient physical therapy departments. PARTICIPANTS: Sixty-nine postpartum women referred to physical therapy with the complaint of LBP and/or PGP...
November 2010: PM & R: the Journal of Injury, Function, and Rehabilitation
Ingrid M Mogren
BACKGROUND: The aims of this study were (i) to investigate the potential influence of pre-pregnancy regular leisure-time physical activity (PA) on the risk of persistent LBPP half a year after pregnancy, and (ii) to explore the starting time and prevalence of PA among women experiencing LBPP during pregnancy, in relation to remission or persistent LBPP half a year after pregnancy. METHODS: This study is a follow-up study of 639 women who reported LBPP during pregnancy...
2008: BMC Public Health
Vincent Goëb, Victor Strotz, Mathieu Verdet, Xavier Le Loët, Olivier Vittecoq
We report the case of a 19-year-old woman who consulted for low-back pain 3 weeks after her first delivery. This young woman had a personal history of protein C deficiency and was treated daily during her pregnancy with low-molecular-weight heparin. Her body mass index was 34 and she only gained 10 kg during her pregnancy. Since the delivery - which occurred without any complication - she had suffered from a gradually increasing right-buttock pain and limp. Magnetic resonance imaging (MRI) revealed a fracture of the right sacral ala...
December 2008: Clinical Rheumatology
Hyun-Ei Oh, Young-Sook Lee, Mi-Jung Shim, Jin-Sun Kim
PURPOSE: Despite the high prevalence of back pain and its subsequent effects in post-partum women, intervention programs are scarce. The purpose of this study was to test the effects of a back-pain-reducing program on post-partum women who experienced low-back pain during pregnancy. METHODS: A non-equivalent control-group pretest-posttest design was used. Pregnant women who attended a hospital for prenatal check-ups and experienced back pain participated in an intervention program (n=27), and the results were compared with women in a control group from another hospital (n=25)...
March 2007: Taehan Kanho Hakhoe Chi
Hilde Stendal Robinson, Jens Ivar Brox, Roar Robinson, Elisabeth Bjelland, Stein Solem, Trym Telje
The objective of the study was to assess inter-rater reliability of one palpation and six pain provocation tests for pain of sacroiliac origin. The sacroiliac joint (SIJ) is a potential source of low back and pelvic girdle pain. Diagnosis is made primarily by physical examination using palpation and pain provocation tests. Previous studies on the reliability of such tests have reported inconclusive and conflicting results. Fifty-six women and five men aged 18-50 years old were included in the study. Fifteen patients had ankylosing spondylitis; 30 women had post partum pelvic girdle pain for more than 6 weeks; and 16 people had no low back or pelvic girdle pain...
February 2007: Manual Therapy
F Kabi, O Mkinsi, J Zrigui
INTRODUCTION: Pregnancy-associated osteoporosis is a rare disorder and its pathophysiology remains unknown. EXEGISIS: We report a case of pregnancy-associated osteoporosis in a 27-year-old primiparous patient, revealed by acute lumbar pain and a right costal pain during the last month of pregnancy. The standard radiographs showed multiple vertebral compression fracture and a 10th rib fracture. The diagnosis of osteoporosis was established by osteodensitometry. Diagnostic work-up excluded a secondary osteoporosis, and the outcome was favourable with an increase of bone mineral density after 2 years of treatment with calcium, vitamin D and alendronate 10 mg/j...
July 2006: La Revue de Médecine Interne
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