Pregnancy-related lumbopelvic pain – treatment modalities

Abstract

A -opracowanie koncepcji i założeń (preparing concepts) B -opracowanie metod (formulating methods) C -przeprowadzenie badań (conducting research) D -oprcowanie wyników (processing results) E -interpretacja i wnioski (interpretation and conclusions) F -redakcja ostatecznej wersji (editing the final version) StreszczenieWstęp: Ból lędźwiowo-miedniczny jest częstą przypadłością okresu ciąży, która nierzadko ogranicza codzienną aktywność ciężarnej. Dolegliwości te wymagają odpowiedniego, zindywidualizowanego postępowania, gdyż zlekceważone, mogą przekształcić się w długotrwałą dysfunkcję.Celem pracy było przedstawienie najnowszych doniesień na temat możliwych strategii postępowania z bólem lędźwiowo-miednicznym.Podsumowanie: Dzisiejsza nauka dostarcza nam wiele efektywnych narzędzi, któ-re pozwalają na redukcję bólu i ograniczeń funkcjonalnych bez szkody dla ciężarnej i dziecka. Brak jest jednej, najefektywniejszej strategii leczenia bólu lędźwiowo-miednicznego. Najlepsze wyniki przynosi kombinacja metod, których skuteczność została potwierdzona badaniami. ból odcinka lędźwiowego, obręcz miedniczna, ciąża, leczenie AbstractIntroduction: Pregnancy-related lumbopelvic pain is a common complaint which often limits everyday activity of a pregnant woman. Accurate and individualized treatment is needed as, if ignored, pain can become a long term condition.The aim of this article is to present the current state of knowledge about possible treatment modalities for pregnancy-related lumbopelvic pain.Summary: Current knowledge gives us a variety of effective tools which help reduce pain and functional limitations with no harm to a mother and foetus. There is no single and most effective treatment strategy. A combination of evidence-based methods produces the best treatment outcomes.

Pelvic tilt exercises in different positions for alleviating lumbar pain during pregnancy – a pilot study

“…But experimental group who was treated with sitting and standing pelvic tilt exercise along with kinesiotaping showed a significant difference in both immediate and short term effect on lumbar pain (p ≤ 0.001) than the control group who received kinesiotaping alone. Considering the functional disability scores there is no immediate improvement as the pre and post-test values on each day was the same [26], even though the post-test values are taken after 5 minutes of movement. So this shows that to prove the immediate effect of sitting and standing pelvic tilt exercise on functional disability scores post-test values can be taken at the end of each day of the treatment rather than after 5 minutes of movement.…”

The effects of kinesio tape on low back pain and disability in pregnant women

“…[ 9 ] For instance, paracetamol has little effect on LBP and is not recommended for frequent uses. [ 10 11 ] Similarly, nonsteroidal anti-inflammatory drugs (NSAIDs) are not recommended to be used after 30 weeks of gestation at the onset of LBP, due to the risk of premature closure of the arterial duct and oligohydramnios. [ 6 11 ] In addition, opioids, such as morphine and codeine, are classified as C drugs, and their use in late pregnancy is associated with the risk of respiratory depression in infants.…”

“…[ 10 11 ] Similarly, nonsteroidal anti-inflammatory drugs (NSAIDs) are not recommended to be used after 30 weeks of gestation at the onset of LBP, due to the risk of premature closure of the arterial duct and oligohydramnios. [ 6 11 ] In addition, opioids, such as morphine and codeine, are classified as C drugs, and their use in late pregnancy is associated with the risk of respiratory depression in infants. [ 6 ] Therefore, it is necessary to use nonpharmacological methods that improve the condition of pregnant women and do not adversely affect the pregnancy and fetus.…”

Lumbopelvic pain problem in pregnant women

“…The lumbopelvic pain (LPP) divides into lumbar pain (LP), pelvic girdle pain (PGP) and mixed pain [1]. Each kind of the pain has got various and usually complex clinical picture.…”