Posted on 09-25-2013
STUDY COMPARING CHIROPRACTIC TO STANDARD OBGYN CARE FOR LOW BACK AND PELVIC PAIN DURING PREGNANCY
The following study from the American Journal of Obstetrics and Gynecology in April 2013 found some amazing results! From the study:
KEY POINTS FROM THIS ARTICLE:
1) “Women commonly experience low back pain during pregnancy.” Most women report either low back pain (LBP) or pelvic pain (PP) during pregnancy.
2) Up to 40% of women who have recently given birth have musculoskeletal pain for 18 months after delivery.
3) 94% of women who experienced LBP in pregnancy have recurrent symptoms with subsequent pregnancy.
4) “Pregnancy-related LBP contributes substantially to health care costs.”
5) “Chiropractic specialists provided manual therapy, stabilization exercises, and patient education to MOM participants.”
6) The MOM group additionally had weekly visits with a chiropractic specialist who provided education, manual therapy, and stabilization exercises.
7) “The goal of manual therapy was to restore joint motion and reduce muscle tension.” Hypomobile joints were “treated with routine joint mobilization.” “Joint mobilization techniques were performed by gently moving hypomobile joints in their restricted directions to help restore proper range of motion.”
8) Muscle tension was treated with isometric relaxation and myofascial release.
9) “The stabilization exercises were targeted to strengthen the muscles that supported the low back and pelvis, because these muscles maintain the spine and hip stability that are important for the increased load that is created by pregnancy.”
10) The home exercises used in this study were “individualized for each patient by the chiropractic provider, consisted of 4 exercises that were performed at home.” “Patients were instructed to perform their home exercise program twice daily.”
11) Sacroiliac belts were used in cases with significant hypermobility or when a patient’s pain restricted exercise performance.
12) Contributing factors to LBP and pelvic pain in pregnancy include increased spine load and joint hypermobility from pregnancy hormonal changes.
13) The causes of pregnancy low back symptoms are often biomechanical factors of increased/altered loading on muscles and joints.
14) “There is little relationship between pregnancy-related back pain and structural disease, such as disc disease or spondylolisthesis.”
15) Women with LBP/PP during pregnancy experience progressive pain severity throughout the day, suggesting overuse during the activities of daily living.
16) The MOM group “demonstrated significant reductions” in both pain and disability from baseline to follow-up evaluation. “The group that received standard obstetric care demonstrated no significant improvements.”
17) MOM group reported significantly less trouble sleeping at 33 weeks’ gestation than the STOB group.
18) “A multimodal approach to low back and pelvic pain in mid pregnancy benefits patients more than standard obstetric care.”
19) “We conclude that a multimodal approach to musculoskeletal LBP/PP that is instituted in the late second and early third trimesters of pregnancy benefits patients above and beyond standard obstetrics provider care.”
20) “We have shown that a combination of manual therapy, exercise, and patient education reduces pain and disability when applied at 24-33 weeks’ gestation. The benefits derived are both subjective and objective. Patients perceived less pain and disability and an overall global improvement in daily activities. Their physical examinations revealed improved range of motion, stability, and less irritation at the lumbar and pelvic joints.”
21) “Chiropractic interventions and education, meshed with standard prenatal practice, led to an improvement in the MOM group that were not observed in the STOB group between 24 and 33 weeks’ gestation.”
22) “These results suggest that the multimodal approach in the MOM treatment in pregnancy reduces pain and discomfort, while improving the quality of daily activities for pregnant women who experience LBP/PP.”
WHAT YOU SHOULD KNOW:
I noticed that the standard obstetric care (STOB) included the “use of acetaminophen for mild pain.” Both the Journal of Immunotoxicology (Theoretical aspects of autism: Causes—A review, 2011 [Article Review #11-12]) the journal Entropy (Empirical Data Confirm Autism Symptoms Related to Aluminum and Acetaminophen Exposure, 2012 [Article Review #38-13]) present evidence that in utero and early life exposure to acetaminophen increases the risk of autism.
This potential increased risk seems unnecessary in light of the findings of this study where the standard obstetric care group “demonstrated no significant improvements.”
I also noticed that the standard obstetric care (STOB) also included the use of “narcotics for discomfort unrelieved by other measures.” Over the past year the lay press has been quantifying the horrific number of babies born with serious addiction to narcotic drugs because their mothers consumed these drugs while pregnant.
This article supports that pregnant women with low back and/or pelvic pain would benefit from weekly chiropractic care (as was done in this study). This article supports that such care is both reasonable and necessary.
Folks, the Chiropractors of WellnessOne of Redding have vast experience caring for pregnant women. Please give us a call to schedule your appointment! 530-243-9464
It's your (and your baby's) future...be there healthy with WellnessOne!
Have a blessed day!
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