Pregnancy and Postpartum-Related Pain

Fitzgerald, Colleen M.

doi:10.1007/978-1-4419-7113-5_9

Cited by 2 publications

(4 citation statements)

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“…Other nonpharmacologic treatment modalities that have been studied during pregnancy include acupuncture, manual therapy, water therapy, transcutaneous nerve stimulation, stabilization belts, yoga, and other complementary and alternative medical treatments. Acupuncture is generally considered safe during pregnancy [ 9 , 10 ]. It is believed that acupuncture works by stimulating the body's own pain relieving opioid mechanisms [ 9 ].…”

Section: Musculoskeletal and Rheumatologic Painmentioning

confidence: 99%

“…It is believed that acupuncture works by stimulating the body's own pain relieving opioid mechanisms [ 9 ]. No significant adverse effects have been found [ 5 , 6 ], although it is recommended to avoid acupuncture points that can stimulate the cervix and uterus, as they can induce labor [ 9 , 10 ]. Studies have compared the efficacy of acupuncture compared to physical therapy for the treatment of low back pain, and the results highlight the superiority of acupuncture for relieving pain and decreasing disability [ 9 ].…”

Section: Musculoskeletal and Rheumatologic Painmentioning

confidence: 99%

“…In such patients we feel it is reasonable to proceed with epidural steroid placement before obtaining imaging studies. Fluoroscopy-guided injections of steroids or local anesthetics require exposure to ionizing radiation; therefore, options that could potentially be used during pregnancy include blind injections, MRI-guided injections, and ultrasound-guided injections, although image-guided procedures have a significantly greater margin of safety and should be utilized when feasible [ 10 , 50 ]. Rosenberg and colleagues conducted a prospective, double-blind, correlational outcome study on the use of blind injections, which demonstrated that blind injections are typically not successful and that image-guided procedures are preferred [ 51 ].…”

Section: Musculoskeletal and Rheumatologic Painmentioning

confidence: 99%

“…Rosenberg and colleagues conducted a prospective, double-blind, correlational outcome study on the use of blind injections, which demonstrated that blind injections are typically not successful and that image-guided procedures are preferred [ 51 ]. On the other hand, ultrasound-guided epidural injections have been described as very precise [ 10 , 50 ], although the success of the procedure can be contingent on the skill and experience of the operator [ 10 ]. For radicular pain, ultrasound-guided selective nerve root blocks are superior to a caudal approach, and for sacroiliitis, ultrasound guided sacroiliac joint injections are an excellent option.…”

Section: Musculoskeletal and Rheumatologic Painmentioning

confidence: 99%

See 3 more Smart Citations

Pain Management in Pregnancy: Multimodal Approaches

Shah

Banh

Koury

et al. 2015

Pain Research and Treatment

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Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed.

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Section: Musculoskeletal and Rheumatologic Painmentioning

confidence: 99%