Back Pain and Pregnancy
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Back Pain and Pregnancy. Darcee Schmidt Logan College of Chiropractic. Who is affected?. 50-70% pregnant females report back pain at some point Those with the most pain tend to have more trouble with daily activities Typically starts early and progresses throughout
Back Pain and Pregnancy
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Back Pain and Pregnancy Darcee Schmidt Logan College of Chiropractic
Who is affected? • 50-70% pregnant females report back pain at some point • Those with the most pain tend to have more trouble with daily activities • Typically starts early and progresses throughout • The most common reason was dysfunction of the sacroiliac joint • Those with previous back pain are at a greater risk
What causes back pain? • Sacroiliac joint (SI) • Lumbar Spine • Hip • Sacrum • Poor posture • Biomechanics
Causes during Pregnancy • Hormones • Shift in center of gravity • Increased weight • Posture • Stress
Back Pain during Pregnancy • Aka gestational back pain is a significant and common problem • Non-pharmaceutical treatments are the first option • Chiropractic • Posture changes • Accupuncture • Physiotherapy • Yoga • Wang, SM. (2003). Backaches related to pregnancy: the risk factors, etiologies, treatments and controversial issues. CurrOpinanaesthesiol. June;16(3):269-73
What to avoid • Standing long periods of time • Forward bending posture • Lifting heavy objects
Why does it occur? • In late pregnancy you have a decreased range of forward bending • Trunk rotation decreases when sitting • Bending forward and rotating requires the greatest effort in pregnant women. • Late pregnancy: Stand with hips pushed backwards and with the trunk and shoulders flexed forward • Increased front to back curve in lumbar spine
How can I avoid pain? • Good posture • Proper gear • Proper lifting • Sleep on your side with pillow between legs • Ice or heat • EXERCISE • Keep weight gain within doctors regulations • Relax • Complementary therapies
Exercising during Pregnancy • If you were following an exercise program before becoming pregnant you should be able to continue • If just starting, start slow • Listen to your body • Don’t exert yourself to exhaustion or breathlessness • Avoid uneven surfaces • http://www.americanpregnancy.org/pregnancyhealth/exerciseguidelines.html
Exercising cont • Avoid back exercises in 2nd and 3rd trimesters • Utilize stretching and relaxation before and after working out • Weight train to improve tone • Upper body • Avoid over the head lifting • Low impact is preferred • Will help body return to natural state after delivery • http://www.cloudninemarketing.com/healthhealersnews/wp-content/uploads/2010/04/51.jpg
Yoga and Pregnancy • Excellent way for mom to adapt to her body’s changes • Provides stress relieve and calms the body • Strengthens the body • Release tension in hips • Increases circulation • May establish connection between mom and baby • http://www.eternity-yoga.com/yoga-during-pregnancy.html
Is Yoga Safe? • Yes • Expecting moms who practice yoga (meditation, physical postures, and breathing) have fewer preterm labors, higher birth weights, and less complications (such as intrauterine growth retardation and pregnancy induced hypertension) • Narendran S, Nagarathna R, Narendran V, Gunasheela S, Nagendra HR (2005). Efficacy of yoga on pregnancy outcome. Journal of Alternative & Complementary Medicine. Apr;11(2):237-44
SI belt • Studies have shown that, because all pelvic joints loosen during pregnancy, use of a sacroiliac belt may prevent pain during and after pregnancy • Using a pelvic belt after giving birth decreased pain in 67% of moms • J.M.A Mens, et al 19 • Snidjers, et al 1992, Vleeming, et al 1990, Hansen JH 1992
Chiropractic • Webster Technique • Restore pelvic balance and function • Can be effective and is safe in relieving the consequences of intrauterine constraint (i.e., malposition/malpresentation) in pregnancy
More chiropractic Many pregnant females show great relief with other chiropractic techniques (Basic, SOT, Diversified, Thompson, Activator, etc.) For more information go to www.icpa4kids.com
Acupuncture • May help turn a breech baby • May decrease morning sickness • May help induce labor • May help decrease pain • Helps maintain balance
Stretching and Strengthening Stretch your back and muscles Strengthen your core
What did you learn? • Back pain is common in pregnancy • Caused by changing biomechanics • Many ways to help decrease pain • Exercise • SI belt • Chiropractic • Acupuncture • Strengthening and stretching