| 1. |
- Kristiansson, Per, et al.
(författare)
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Back pain during pregnancy : a prospective study
- 1996
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Ingår i: Spine. - : Ovid Technologies (Wolters Kluwer Health). - 0362-2436 .- 1528-1159. ; 21:6, s. 702-709
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Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGN:A longitudinal, prospective, observational, cohort study.OBJECTIVES:To describe the natural history of back pain occurring during pregnancy and immediately after delivery.SUMMARY OF BACKGROUND DATA:Back pain during pregnancy is a frequent clinical problem even during the early stages of pregnancy. The cause is unclear.METHODS:A cohort of 200 consecutive women attending an antenatal clinic were followed throughout pregnancy with repeated measurements of back pain and possible determinants by questionnaires and physical examinations.RESULTS:Seventy-six percent reported back pain at some time during pregnancy. Sixty-one percent reported onset during the present pregnancy. In this group, the prevalence rate increased to 48% until the 24th week and then remained stable and declined to 9.4% after delivery. The reported pain intensity increased by pain duration. The pain score correlated closely to self-rated disability and days of sickness benefit.CONCLUSIONS:Back pain during pregnancy is a common complaint. The 30% with the highest pain score reported great difficulties with normal activities. The back pain started early in pregnancy and increased over time. Young women had more pain than older women. Back pain starting during pregnancy may be a special entity and may have another origin than back pain not related to pregnancy.
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| 2. |
- Kristiansson, Per, et al.
(författare)
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Discriminatory power of tests applied in back pain during pregnancy
- 1996
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Ingår i: Spine. - 0362-2436 .- 1528-1159. ; 21:20, s. 2337-2344
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Tidskriftsartikel (refereegranskat)abstract
- STUDY DESIGNA longitudinal, prospective, observational cohort study.OBJECTIVESTo assess the relationship between clinical back status and reported pain locations during and after pregnancy.SUMMARY OF BACKGROUND DATABack pain during pregnancy is a frequent clinical occurrence, even during the early stages of pregnancy. The cause is unclear. There are few data describing the results of a general physical examination of the back during pregnancy and there are no data on serial examinations. Such data could provide information about what structures cause the pain, which might have implications for the choice of treatment.METHODSA cohort of 200 consecutive women attending an antenatal clinic was observed throughout the pregnancy terms, and repeated measurements of back pain and its possible determinants were taken using questionnaires and physical examinations in a standardized way, including a series of tests of configuration, mobility, and pain provocation.RESULTSPain provocation tests were better at discriminating among women who reported back pain from women who reported no back pain from tests of configuration or mobility. The discriminatory power of the tests was better in the lower part of the spine than in the upper part. The best discrimination was achieved by combining some of the tests.CONCLUSIONSThe results indicate that not one but several pain-releasing structures may be involved. These are probably the various pelvic ligaments, which may form a functional unit. These findings may have therapeutic implications.
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| 3. |
- Torstensson, Thomas, 1961-, et al.
(författare)
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Corticosteroid Injection Treatment to the IschiadicSpine Reduced Pain in Women With Long-LastingSacral Low Back Pain With Onset During Pregnancy : A Randomized, Double Blind, Controlled Trial
- 2009
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Ingår i: Spine. - Philadelphia : Lippincott Williams & Wilkins. - 0362-2436 .- 1528-1159. ; 34:21, s. 2254-2258
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Tidskriftsartikel (refereegranskat)abstract
- Study DesignRandomized double blind controlled clinical trial.Objective. To evaluate the pain relief effect of locally injected corticosteroid treatment in women with long-lasting sacral low back pain with onset during pregnancy.Summary of Background DataPregnancy-related low back pain is a global problem. Almost 1 of 10 women still experienced disabling daily back pain 2 years after childbirth with high impact on the individual, family, and society. In spite of this, the sources of pain and effective treatment are uncertain.MethodsThirty-six women were allocated to injectiontreatment, with slow-release triamcinolone and lidocaine or saline and lidocaine, given at the sacrospinous ligament insertion on the ischial spine bilaterally with 4 weeks follow-up time. Primary outcome measure was reported pain intensity on visual analogue scale and secondary outcome measures number of pain-drawing locations and pain-provoking test results.'ResultsThe triamcinolone treatment group had significantly reduced pain intensity, number of pain locations,and pain-provoking test results between baseline and follow-up as compared with the saline treatment group. The absolute median change of visual analogue scale score in the triamcinolone treatment group was 24 mm and in the saline group 4.5 mm (P‹0.05). A reducednumber of pain drawing locations was reported by16 of 18 women in the triamcinolone group as compared with 10 of 18 in the saline group (P‹0.05). In the triamcinolone treatment group, 17 of 18 women had an improved pain provocation test result as compared with 9 of 18 in the saline treatment group (P‹0.01).ConclusionThe anatomic region around the sacrospinousligament insertion on the ischial spine is suggestedto be one source of long-lasting sacral low back pain withonset during pregnancy. The pain was relieved by slowrelease corticosteroid injection treatment to the ischial spine.
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