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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

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Back Pain and Pregnancy


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    1. Back Pain and Pregnancy Darcee Schmidt Logan College of Chiropractic

    2. 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

    3. What causes back pain? • Sacroiliac joint (SI) • Lumbar Spine • Hip • Sacrum • Poor posture • Biomechanics

    4. Causes during Pregnancy • Hormones • Shift in center of gravity • Increased weight • Posture • Stress

    5. 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

    6. What to avoid • Standing long periods of time • Forward bending posture • Lifting heavy objects

    7. 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

    8. 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

    9. 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

    10. 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

    11. 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

    12. 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

    13. 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

    14. 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

    15. 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

    16. Acupuncture • May help turn a breech baby • May decrease morning sickness • May help induce labor • May help decrease pain • Helps maintain balance

    17. Stretching and Strengthening Stretch your back and muscles Strengthen your core

    18. 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

    19. Questions?