Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT

Smith, Meagan; Galbraith, William; Blumer, Janice

doi:10.7556/jaoa.2018.108

Cited by 2 publications

(5 citation statements)

References 5 publications

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“…Several complementary therapies such as acupuncture, aromatherapy, and reflexology have been studied as well. One study of 191 women found 85% of women felt that complementary therapies were helpful in the reduction of pelvic pain symptoms in pregnancy 49,69 . In several systematic review articles, it was found that complementary therapies such as massage and chiropractic and osteopathic manipulations showed little to no difference in outcomes of decreased pain or increased quality of life when compared with traditional support 46,50,70–74 .…”

Section: Managementmentioning

confidence: 99%

“…6,45,46,48 Current treatment regimens increasingly utilize stabilizing exercises and complementary therapies, such as acupuncture, with limited evidence to support improvements. 49,50 Surgical interventions are rarely indicated. 51…”

Section: Managementmentioning

confidence: 99%

“…One study of 191 women found 85% of women felt that complementary therapies were helpful in the reduction of pelvic pain symptoms in pregnancy. 49,69 In several systematic review articles, it was found that complementary therapies such as massage and chiropractic and osteopathic manipulations showed little to no difference in outcomes of decreased pain or increased quality of life when compared with traditional support. 46,50,[70][71][72][73][74] However, some improvement was seen in performing daily activity and continuing regular working schedules with no serious adverse effects noted.…”

Section: Complementary Therapiesmentioning

confidence: 99%

“…Most management options include a multiple modality approach, including pelvic girdle support, activity modifications, and some form of analgesia for acute exacerbations 6,45,46,48 . Current treatment regimens increasingly utilize stabilizing exercises and complementary therapies, such as acupuncture, with limited evidence to support improvements 49,50 . Surgical interventions are rarely indicated 51 …”

Section: Managementmentioning

confidence: 99%

See 3 more Smart Citations

Pelvic Girdle Pain in Pregnancy: A Review

Sward

Manning

Murchison

et al. 2023

Obstetrical &Amp; Gynecological Survey

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ImportancePelvic girdle pain is often thought to be a recent phenomenon, but this condition was described as early as 400 BC by Hippocrates. Despite being identified for years, confusion continues about the definition and management of this ailment affecting many pregnancies.ObjectivesThe purpose of the review is to assess the incidence, etiology, pathophysiology, risk factors, diagnosis, management, and pregnancy outcomes/recovery of current pregnancies, and outcomes of future pregnancies complicated by pelvic girdle pain.Evidence AcquisitionElectronic databases (PubMed and Embase) were searched from 1980 to 2021 with the only limitation being that the articles were in English. Studies were selected that examined associations between pelvic pain/pelvic girdle pain and pregnancy.ResultsThere were 343 articles identified. After reviewing the abstracts, 88 were used in this review. Pelvic girdle pain is a common condition of pregnancy, affecting a reported 20% of pregnant women. The pathophysiology is poorly understood and likely multifactorial, involving both hormonal and biomechanical changes that occur during pregnancy. Several risk factors have been identified. This diagnosis is most commonly made based on symptoms related to pelvic pain during pregnancy. Treatment should be multimodal, including pelvic girdle support, stabilizing exercises, analgesia, and potentially complementary therapies. The effects on future pregnancies are uncertain, although some limited information suggests an increased risk of recurrent PGP in subsequent pregnancies.ConclusionsPelvic girdle pain in pregnancy is a common condition that is often overlooked as a normal part of pregnancy but has a significant impact on quality of life during, after, and in subsequent pregnancies. Multimodal therapies are available and are largely low cost and noninvasive.RelevanceOur aim is to increase the awareness of pelvic girdle pain in pregnancy as a common but often underdiagnosed and undertreated condition.Target AudienceObstetricians and gynecologist, family physicians.Learning ObjectivesAfter completing this activity, the learner should be better able to describe the diagnosis, etiology, and pathophysiology of pelvic girdle pain; identify risk factors and appropriate management; and predict reoccurrence in a subsequent pregnancy.

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Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Complementary Therapiesmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 2 more Smart Citations

Pelvic Girdle Pain in Pregnancy: A Review

Sward

Manning

Murchison

et al. 2023

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

show abstract

“…Despite the evidence of positive effects of non-surgical and non-pharmacological treatments, such as physiotherapeutic interventions, acupuncture, or osteopathic manipulations (Gutke et al, 2015;Gallo-Padilla et al, 2016;Ray-Griffith et al, 2018;Smith et al, 2018;Cerritelli et al, 2020), the use of drugs for pain relief (e.g., low-dose aspirin, acetaminophen, non-steroidal anti-inflammatory drugs, and opioids) during pregnancy is still very common (Ray-Griffith et al, 2018). These therapies can affect fetal neurodevelopment: the increase prescriptions for opioids during pregnancy, for example, correlates to an increased incidence of neonatal abstinence syndrome (NAS), resulting in sleeping and feeding difficulties, as well as a dysregulation in newborns' CNS (Pryor et al, 2017;Ray-Griffith et al, 2018).…”

Section: Maternal Painmentioning

confidence: 99%

A Review on the Vagus Nerve and Autonomic Nervous System During Fetal Development: Searching for Critical Windows

Cerritelli¹,

Frasch²,

Antonelli³

et al. 2021

Front. Neurosci.

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The autonomic nervous system (ANS) is one of the main biological systems that regulates the body's physiology. Autonomic nervous system regulatory capacity begins before birth as the sympathetic and parasympathetic activity contributes significantly to the fetus' development. In particular, several studies have shown how vagus nerve is involved in many vital processes during fetal, perinatal, and postnatal life: from the regulation of inflammation through the anti-inflammatory cholinergic pathway, which may affect the functioning of each organ, to the production of hormones involved in bioenergetic metabolism. In addition, the vagus nerve has been recognized as the primary afferent pathway capable of transmitting information to the brain from every organ of the body. Therefore, this hypothesis paper aims to review the development of ANS during fetal and perinatal life, focusing particularly on the vagus nerve, to identify possible “critical windows” that could impact its maturation. These “critical windows” could help clinicians know when to monitor fetuses to effectively assess the developmental status of both ANS and specifically the vagus nerve. In addition, this paper will focus on which factors—i.e., fetal characteristics and behaviors, maternal lifestyle and pathologies, placental health and dysfunction, labor, incubator conditions, and drug exposure—may have an impact on the development of the vagus during the above-mentioned “critical window” and how. This analysis could help clinicians and stakeholders define precise guidelines for improving the management of fetuses and newborns, particularly to reduce the potential adverse environmental impacts on ANS development that may lead to persistent long-term consequences. Since the development of ANS and the vagus influence have been shown to be reflected in cardiac variability, this paper will rely in particular on studies using fetal heart rate variability (fHRV) to monitor the continued growth and health of both animal and human fetuses. In fact, fHRV is a non-invasive marker whose changes have been associated with ANS development, vagal modulation, systemic and neurological inflammatory reactions, and even fetal distress during labor.

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Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT

Cited by 2 publications

References 5 publications

Pelvic Girdle Pain in Pregnancy: A Review

Pelvic Girdle Pain in Pregnancy: A Review

A Review on the Vagus Nerve and Autonomic Nervous System During Fetal Development: Searching for Critical Windows

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