Low back pain (LBP), pelvic girdle pain (PGP) or a combination of the two are common in pregnancy and the postpartum period for many women. In fact, up to 90% of women report LBP during pregnancy, and for over 30% of pregnant women this represents their first occurrence of LBP. LBP or PGP may resolve shortly after birth, but this is not always the case. Overall, the etiology of these afflictions remains unknown, but proposed mechanisms include maternal weight gain, biomechanical changes and changes in hormonal levels such as relaxin, which lead to ligament laxity.
Despite interference with activities of daily living and substantial rates of disability, it is still common for both patients and clinicians to regard LBP or PGP as a normal and acceptable aspect of pregnancy. Approximately 5-11% of pregnant patients with LBP report seeing a chiropractor and receive care which commonly includes manual therapy (including mobilization or spinal manipulative therapy [SMT]), soft tissue techniques, and active treatments including exercise and self-management.
This study aimed to evaluate the evidence for chiropractic care for pregnancy-related LBP, PGP, or combination pain (both LBP and PGP). This was done with the goal of making a best-practices document feasible.
THIS WEEK'S RESEARCH REVIEW: “Chiropractic Care for Pregnancy-Related Lumbar & Pelvic Pain”
This paper was published in the Journal of Manipulative and Physiological Therapeutics (2020) and this Review is posted in Recent Reviews, Pregnancy, Pelvis, Low Back Pain and the 2020 Archive.
pregnancy lbp