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If it occurs before 37 weeks it is known as PPROM (preterm prelabor rupture of membranes) otherwise it is known as term PROM. [2] Treatment is based on how far along a woman is in pregnancy and whether complications are present. [2] In those at or near term without any complications, induction of labor is generally recommended. [2]
Somatic pain is triggered at the end of the first and second stages of labour by pain receptors that supply the nerves on the vaginal surface of the cervix, resulting from stretching, distention, and tearing of the vagina, perineum, and pelvic floor. Compared to visceral pain, somatic pain is more resistant to opioid pain medication.
patient clenches fist over chest when asked to describe pain Lhermitte's sign: Jean Lhermitte: neurology: lesions of cervical cord dorsal columns or caudal medulla, MS, chemotherapy, Behçet's disease: electrical sensation down the back and into limbs with neck flexion or extension Liebermeister's rule: Carl von Liebermeister: internal medicine
Back pain is present in 29% of patients with systemic cancer. [19] Unlike other causes of back pain that commonly affect the lumbar spine, the thoracic spine is most commonly affected. [19] The pain can be associated with systemic symptoms such as weight loss, chills, fever, nausea and vomiting. [19]
[1] [2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain. Historically they have also been used to detect malingering in patients with back pain. While testing takes less than one minute, [2] it has been described as time-consuming and alternatives have been proposed. [3]
Losing weight can nix this risk factor for low back pain by decreasing the demand on your spinal structures, says Dr. Landon Uetz, PT, DPT, a physical therapist at TeachMe.To.
Low back pain is not a specific disease but rather a complaint that may be caused by a large number of underlying problems of varying levels of seriousness. [30] The majority of low back pain does not have a clear cause [1] but is believed to be the result of non-serious muscle or skeletal issues such as sprains or strains. [31]
The lumbar spine is often the site of back pain. The area is susceptible because of its flexibility and the amount of body weight it regularly bears. [2] It is estimated that low-back pain may affect as much as 80 to 90 percent of the general population in the United States. [3]