Neurol. praxi. 2018;19(5):343-348 | DOI: 10.36290/neu.2018.149

Low back pain and pelvic girdle pain in pregnancy

doc. MUDr. Blanka Adamová, Ph.D.
Neurologická klinika LF MU a FN Brno
CEITEC – Středoevropský technologický institut, Masarykova univerzita, Brno

Pregnancy has a profound effect on a woman´s body including musculoskeletal system, specifically the axial skeleton. The developmentof low back pain and/or pelvic girdle pain (lumbopelvic pain) is a frequent consequence. Lumbopelvic pain has impacton the quality of life for women and is the frequent cause of sick leave. The prevalence of pelvic girdle pain ranges from 20% to65%, the prevalence of low back pain during pregnancy is about 50%. Lumbopelvic pain can be divided into three categories:low back pain, pelvic girdle pain, combined low back pain and pelvic girdle pain. The aim of this article is to summarize the recentdata about clinical manifestation, diagnostics and management of lumbopelvic pain in pregnancy.

Keywords: pregnancy, pain, pelvic girdle, lumbar spine

Received: June 25, 2018; Accepted: August 29, 2018; Prepublished online: August 29, 2018; Published: October 1, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Adamová B. Low back pain and pelvic girdle pain in pregnancy. Neurol. praxi. 2018;19(5):343-348. doi: 10.36290/neu.2018.149.
Download citation

References

  1. Albert HB, Godskesen M, Westergaard JG. Incidence of four syndromes of pregnancy-related pelvic joint pain. Spine 2002; 27: 2831-2834. Go to original source...
  2. American College of Obstetricians and Gynecologists' Committee on Obstetric Practice. Committee Opinion No. 656: Guidelines for Diagnostic Imaging During Pregnancy and Lactation. Obstet Gynecol 2016; 127(2): e75-80. Go to original source...
  3. Ardaillon H, Laviv Y, Arle JE, Kasper EM. Lumbar disk herniation during pregnancy: a review on general management and timing of surgery. Acta Neurochir 2017 [in press]. Go to original source...
  4. Breen TW, Ransil BJ, Groves PA, Oriol NE. Factors associated with back pain after childbirth. Anesthesiology 1994; 81: 29-34. Go to original source... Go to PubMed...
  5. Carlson HL, Carlson NL, Pasternak BA, Balderston KD. Understanding and managing the back pain of pregnancy. Curr Womens Health Rep 2003; 3: 65-71.
  6. Casagrande D, Gugala Z, Clark SM, Lindsey RW. Low back pain and pelvic girdle pain in pregnancy. J Am Acad Orthop Surg 2015; 23: 539-549. Go to original source... Go to PubMed...
  7. Collins E. Maternal and fetal effects of acetaminophen and salicylates in pregnancy. Obstet Gynecol 1981; 58(Suppl. 5): 57S-62S. Go to PubMed...
  8. Elden H, Fagevik-Olsen M, Ostgaard HC, Stener-Victorin E, Hagberg H. Acupuncture as an adjunct to standard treatment for pelvic girdle pain in pregnant women: randomised double-blinded controlled trial comparing acupuncture with non-penetrating sham acupuncture. BJOG 2008; 115: 1655-1668. Go to original source... Go to PubMed...
  9. Expert Panel on MR Safety: Kanal E, Barkovich AJ, Bell C, Borgstede JP, Bradley WG Jr, Froelich JW, Gimbel JR, Gosbee JW, Kuhni-Kaminski E, Larson PA, Lester JW Jr, Nyenhuis J, Schaefer DJ, Sebek EA, Weinreb J, Wilkoff BL, Woods TO, Lucey L, Hernandez D. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging 2013; 37: 501-530. Go to original source...
  10. FDA Pregnancy Risk Information: An Update. Dostupný na https://www.drugs.com/pregnancy-categories.html
  11. Gjestland K, B? K, Owe KM, Eberhard-Gran M. Do pregnant women follow exercise guidelines? Prevalence data among 3 482 women, and prediction of low-back pain, pelvic girdle pain and depression. Br J Sports Med 2013; 47: 515-520. Go to original source...
  12. Han IH, Kuh SU, Kim JH, Chin DK, Kim KS, Yoon YS, Jin BH, Cho YE. Clinical approach and surgical strategy for spinal diseases in pregnant women: a report of ten cases. Spine 2008; 33: E614-619. Go to original source... Go to PubMed...
  13. Kolář P. Rehabilitace v klinické praxi. Praha: Galén 2009: 713 s.
  14. Kovacs FM, Garcia E, Royuela A, González L, Abraira V; Spanish Back Pain Research Network. Prevalence and factors associated with low back pain and pelvic girdle pain during pregnancy: a multicenter study conducted in the Spanish National Health Service. Spine 2012; 37: 1516-1533. Go to original source...
  15. LaBan MM, Perrin JC, Latimer FR. Pregnancy and the herniated lumbar disc. Arch Phys Med Rehabil 1983; 64: 319-321.
  16. Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev 2015; (9): CD001139. Go to original source...
  17. Malmqvist S, Kjaermann I, Andersen K, ?kland I, Larsen JP, Br?nnick K. The association between pelvic girdle pain and sick leave during pregnancy; a retrospective study of a Norwegian population. BMC Pregnancy Childbirth 2015; 15: 237. Go to original source... Go to PubMed...
  18. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine 2005; 30: 983-991. Go to original source... Go to PubMed...
  19. Mogren IM. BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy. Eur Spine J 2006; 15: 1093-1102. Go to original source... Go to PubMed...
  20. Norén L, Ostgaard S, Johansson G, Ostgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J 2002; 11: 267-271. Go to original source... Go to PubMed...
  21. Nosková P. Léčba bolesti během gravidity a laktace. Med. praxi 2011; 8(9): 370-373.
  22. Olsson C, Nilsson-Wikmar L. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand 2004; 83: 351-357. Go to original source... Go to PubMed...
  23. Ostgaard HC, Zetherström G, Roos-Hansson E, Svanberg B. Reduction of back and posterior pelvic pain in pregnancy. Spine 1994; 19(8): 894-900. Go to original source... Go to PubMed...
  24. Röst CC, Jacqueline J, Kaiser A, Verhagen AP, Koes BW. Pelvic pain during pregnancy: a descriptive study of signs and symptoms of 870 patients in primary care. Spine 2004; 29: 2567-2572. Go to original source...
  25. Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med 2008; 1: 137-141. Go to original source... Go to PubMed...
  26. Sanderson PL, Fraser RD. The influence of pregnancy on the development of degenerative spondylolisthesis. J Bone Joint Surg Br 1996; 78(6): 951-954. Go to original source...
  27. Saragiotto BT, Machado GC, Ferreira ML, Pinheiro MB, Abdel Shaheed C, Maher CG. Paracetamol for low back pain. Cochrane Database Syst Rev 2016; 6: CD012230. Go to original source...
  28. Saraste H. Spondylolysis and pregnancy - a risk analysis. Acta Obstet Gynecol Scand 1986; 65(7): 727-729. Go to original source... Go to PubMed...
  29. Shiri R, Coggon D, Falah-Hassani K. Exercise for the prevention of low back and pelvic girdle pain in pregnancy: a meta-analysis of randomized controlled trials. Eur J Pain 2018 Jan; 22(1): 19-27. Go to original source...
  30. Smith MW, Marcus PS, Wurtz LD. Orthopedic issues in pregnancy. Obstet Gynecol Surv 2008; 63: 103-111. Go to original source...
  31. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A; COST B13 Working Group on Guidelines for the Management of Acute Low Back Pain in Primary Care. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006; 15 Suppl 2: S169-191. Go to original source... Go to PubMed...
  32. Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract 2010; 10: 60-71. Go to original source... Go to PubMed...
  33. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008; 17: 794-819. Go to original source... Go to PubMed...
  34. Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieën JH, Wuisman PI, Ostgaard HC. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J 2004; 13: 575-589. Go to original source... Go to PubMed...




Neurology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.