Pregnancy-related lumbosacral pain

Abstract

BACKGROUND AND OBJECTIVES: Pregnancy causes physiological and anatomical changes in the woman's body, affecting several systems such as the musculoskeletal. During pregnancy or in the postpartum period, these changes may cause low back pain or low pelvic pain, preventing the normal movement of these structures and causing suffering. The objective of this study was to discuss the diagnosis and treatment of pregnancy-related lumbosacral pain, focusing on terminology, epidemiology, risk factors, pathophysiology, prognosis, diagnosis, and treatment. CONTENTS: We searched the literature in Pubmed, Cochrane Library, Ovid and Google using the terms "low back pain", "pelvic girdle pain", "lumbopelvic pain", "posterior pelvic pain", "pregnancy-related low back pain", "pregnancy-related pelvic girdle pain" and "pregnancy-related lumbopelvic pain", for articles in English, Portuguese and Spanish in the last 20 years or older, where relevant. CONCLUSION: Pregnancy is one of the main causes of lumbosacral pain, and one of the most frequent diseases during gestation. The correct management of this pathology reduces negative impacts on the life of pregnant women.

Atuação da fisioterapia na redução do quadro álgico em gestantes com lombalgia: Uma revisão sistemática

“…A dor pode se tornar inoportuna, intervindo na rotina da gestante de forma avassaladora, chegando até mesmo interferir na qualidade do sono, limitando-a em suas atividades de vida diária, afastando-a do ambiente de trabalho (Pennick & Liddle SD, 2013). A dor lombar relacionada a gestação não alega etiologia bem determinada (Aragão, 2019). Estima-se mundialmente, que o predomínio da dor lombar atinja 39% dos adultos no decorrer da vida e que apenas 60% dos seres humanos procuram por tratamento, sendo a mesma a patologia que mais favorece para a incapacidade e no Brasil é a segundar queixa mais comum de saúde (Magalhães, et al 2018).…”

Ultrasound‐guided interventions during pregnancy for lumbosacral pain unresponsive to conservative treatment: A retrospective review

“…In the search for effective treatments, conservative strategies are more frequently utilized due to self-evident reasons; however, they are typically associated with low levels of success. 8,9 Commonly used agents include paracetamol and nonsteroid anti-inflammatory drugs (NSAIDs), although opioids may be an option for more severe pain. On the other hand, these agents should not be used for long term or near the end of pregnancy.…”

“…On the other hand, these agents should not be used for long term or near the end of pregnancy. 8,9 Despite some promising results with the use of epidural or joint blocks, data regarding interventional analgesic procedures feasible in pregnant women is scarce. 10,11 On the other hand, studies providing high-level evidence have been published for nonpregnant patients with similar clinical conditions.…”

“…Commonly used agents include paracetamol and nonsteroid anti‐inflammatory drugs (NSAIDs), although opioids may be an option for more severe pain. On the other hand, these agents should not be used for long term or near the end of pregnancy 8,9 …”

Pain syndrome due to dorsopathy in prospects of pregnancy

“…Для обозначения дорсопатии в течение последних 30 лет сменилось множество терминов: артропатия (arthropathy), расслабление (relaxation), недостаточность (insufficiency), нестабильность тазового сочленения (instability in pelvic joint), остеит лобка (osteitis pubis), дисфункция тазовой области (symphyseal pelvic dysfunction) и др. [18], тазовая боль (pelvic pain), боль в спине и тазу (pelvic and back pain) [19], пояснично-тазовая боль (lumbo-pelvic pain) [19,20], боль в задней части таза (posterior pelvic pain), связанная с беременностью боль в поясничнотазовом отделе (pregnancy-related lumbopelvic pain) [21], пояснично-крестцовая боль (lumbosacral pain) [22] и множество других. В Международной классификации болезней [23] 10-го пересмотра (МКБ-10) в классе «Болезни костно-мышечной системы и соединительной ткани» (М00-М99) были выделены дор-The etiopathogenesis of neurological syndromes of the lumbar spine that developed during pregnancy is diverse and not yet fully understood.…”