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In approximately 80% of women who are pregnant, back pain is prevalent. Peripartum Pelvic Pain Pain in the pelvic region, for which a clear-cut diagnosis has not been made, is termed peripartum pelvic pain. This pain may start during pregnancy, or within three weeks of delivery. In approximately 80% of pregnancies, back pain is usually localized, but the site may vary. Although long-term pain is very rare, short-term pain tends to be dominant. Usually during the third trimester, 50% of pregnant patients will experience back pain.
The prevalence of postpartum period pain falls to approximately 9% in decreasing order as follows: sacral, lumbosacral, lumbar, cervicothoracic, and remaining areas. It is believed that hormones cause change at the insertion point of ligaments to the bone.
A higher concentration of ligaments in the lower spine may suggest the cause for a higher incidence of back pain in the multiparous mother who has had more exposure to hormonal influences. Furthermore, an increase in premenstrual pain has occurred in a large majority of women whose pain has been suggestively influenced by hormonal changes. There has also been found to be higher serum relaxin levels in women with peripartum pelvic pain.
There is some evidence to suggest that a different set of receptors is sensitized in the lower spine during pregnancy by hormones. Therefore, it is believed that most of the pain is secondary to hormonal changes rather than actual chemical stresses. It has been thought that lumbar lordosis is increased during pregnancy. However, in reality with x-ray studies, it has been demonstrated that lordosis decreases during pregnancy. Therefore, overall pain may be due to the muscles and ligaments combined with some alteration in blood flow to the pelvic musculature and ligaments. The treatment recommendations may be given by a chiropractor.
American Medical Center specialists use the unique natural methods of treatment based on the Chiropractics. The course of treatment includes massage, helping to avoid muscle spasms, as well as creating an individual excercise program aimed at strenthening the muscles, which is so important during the pregnancy and delivery. Correction of spinal problems also treats the neural system, which helps fetus to develop properly.
The course of treatment makes the childbirth process easier - American scientists state that the time of the first delivery is reduced by 25%, the second - by 40%.