Low Back Pain and Pelvic Girdle Pain in Pregnancy

    Research output: Contribution to journalReview articlepeer-review

    85 Scopus citations

    Abstract

    Pregnancy has a profound effect on the human body, particularly the musculoskeletal system. Hormonal changes cause ligamentous joint laxity, weight gain, and a shift in the center of gravity that leads to lumbar spine hyperlordosis and anterior tilting of the pelvis. In addition, vascular changes may lead to compromised metabolic supply in the low back. The most common musculoskeletal complaints in pregnancy are low back pain and/or pelvic girdle pain. They can be diagnosed and differentiated from each other by history taking, clinical examination, provocative test maneuvers, and imaging. Management ranges from conservative and pharmacologic measures to surgical treatment. Depending on the situation, and given the unique challenges pregnancy places on the human body and the special consideration that must be given to the fetus, an orthopaedic surgeon and the obstetrician may have to develop a plan of care together regarding labor and delivery or when surgical interventions are indicated.

    Original languageEnglish (US)
    Pages (from-to)539-549
    Number of pages11
    JournalJournal of the American Academy of Orthopaedic Surgeons
    Volume23
    Issue number9
    DOIs
    StatePublished - Sep 26 2015

    Keywords

    • Low back pain
    • lumbopelvic pain
    • pelvic girdle pain
    • pregnancy

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

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