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Typical factors aggravating the back pain of pregnancy include standing, sitting, forward bending, lifting and walking. Back pain in pregnancy may also be characterized by pain radiating into the thigh and buttocks, nighttime pain severe enough to wake the patient, pain that is increased at night or pain that is increased during the daytime. [79]
Hormonal changes throughout pregnancy also cause an increase in joint laxity further contributing to the development of PLBP and PGP. Predictors for the development of low-back and pelvic pain during pregnancy include strenuous work, prior lumbo-pelvic pain, and a history of pregnancy-related PGP and LBP.
Minor compression of the inferior vena cava during pregnancy is a relatively common occurrence. It is seen most commonly when women lie on their back or right side. [4] 90% of women lying in the supine position during pregnancy experience some form of inferior vena cava syndrome; however, not all of the women display symptoms. [4]
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PGP can develop slowly during pregnancy, gradually gaining in severity as the pregnancy progresses. During pregnancy and postpartum, the symphyseal gap can be felt moving or straining when walking, climbing stairs or turning over in bed; these activities can be difficult or even impossible. The pain may remain static, e.g., in one place such as ...
PGP affects around 45% of individuals during pregnancy: 25% report serious pain and 8% are severely disabled. [18] [19] Risk factors for complication development include multiparity, increased BMI, physically strenuous work, smoking, distress, history of back and pelvic trauma, and previous history of pelvic and lower back pain. This syndrome ...
Bend the knees and keep the legs 'glued together' when turning in bed and getting in and out of bed, while engaging transverse abdominis; Place a pillow between the legs when in bed or resting; Avoid twisting movements of the body; If the pain is very severe, using a walker or crutches will help take the weight off the pelvis and assist with ...
Pain in the legs or lower back may also occur. [1] While the condition is believed to be due to blood flowing back into pelvic veins as a result of faulty valves in the veins, this hypothesis is not certain. [7] The condition may occur or worsen during pregnancy. [1] The presence of estrogen is believed to be involved in the mechanism. [1]