Low back pain (LBP), pelvic girdle pain (PGP), or a combination of the two has been reported to occur in up to 90% of pregnant women and is the first instance of back pain in over 30% of women. Unresolved back pain during pregnancy can lead to chronic pain by 3 to 6 months postpartum and can affect the mother’s activities of daily living, including taking care of her newborn.
One survey showed that 60% of chiropractors continued to see at least 80% of pregnant patients after delivery, providing treatment for musculoskeletal dysfunction and education on the physical and mental challenges of being a new mother. Treatment generally included manual therapy, including mobilization, spinal manipulative therapy (SMT), soft tissue techniques, and active therapies such as exercise and self-management approaches.
Managing pain in this population can be a challenge for primary care physicians, due to a belief that the condition is normal and transient, a lack of knowledge on how to best treat these patients and discomfort in treating this population. Therefore, identifying professions which may have effective treatment modalities is important to ensure appropriate referrals and care. This review aimed to assess the effectiveness of treatments within the chiropractic scope of practice for LBP, PGP, or combination pain during the postpartum period.
THIS WEEK'S RESEARCH REVIEW: “Chiropractic Care for Post-Partum Lumbar & Pelvic Pain”
This paper was published in JMPT (2020) and this Review is posted in Recent Reviews, Pregnancy and the 2021 Archive.
Post Partum Back Pain