Peri-Partum Pelvic Pain Between 50% to 80% of all pregnant women will experience pain in the pelvic region and lower back sometime during their pregnancy. This Peri-Partum Pelvic Pain (PPPP)this pain is most prevalent in the fifth and sixth month of pregnancy, but can begin as early as eight to twelve weeks into pregnancy. Several studies also reported the evening hours seem to be the most difficult. Approximately 67% of pregnant women suffer from night discomfort or backache. While 36% have night backache so severe it wakes them from sleep. Women with history of low back pain are at higher risk for recurrence, and their back pain can occur earlier into the pregnancy. Generally, peri-partum pelvic pain presents in the following areas: Lumbosacral joints (low back pain) Sacroiliac joints (posterior pelvic pain) Coccyx (pain in tailbone) Symphysis Pubis (pain in the front of the pubis) Groin area PPPP tends to be influenced by posture and is associated with a waddling gait. Approximately 80% of these back pains are usually localized, but occasionally may vary. PPPP tend to increase in intensity towards the end of the 3rd trimesters and typically resolve 6 months after delivery. Pelvic pain for pregnant women is usually a result of the dysfunction of the pelvic and sacroilliac joint. The Sacroilliac Joint (SIJ) is the where the low back portion of the spine meets the pelvic bone This very complex area requires a high level of diagnostic skills and experience to determine the fault amongst the numerous interactions between the various components of this area. In contrast, pre-natal massages treat the end result of the dysfunctions e.g. muscle strain. Without treating the underlying cause, you can expect the pain increase both in frequency and intensity. Advanced manual therapy a subset of Physiotherapy treatment if used can treats these conditions very well. With an experienced physiotherapist this can be done.
Posted on: Thu, 29 Aug 2013 07:08:03 +0000
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