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Sacroiliac joint (SI) Lumbar Spine Hip Sacrum Poor posture Biomechanics
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BACK PAIN AND PREGNANCY
Darcee SchmidtLogan 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. Curr Opin anaesthesiol. 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 femalesshow 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
Questions?
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