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- Title
Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports.
- Authors
Howell, Emily R.
- Abstract
Objective: Two case reports review the chiropractic treatment and rehabilitation management of Symphysis Pubis Dysfunction (SPD). Clinical features: Patient 1: a 35-year-old female presented at 30 weeks pregnant with severe left sided Symphysis Pubis Dysfunction and low back pain. Patient 2: a 33-year-old female also 30 weeks pregnant, presented with right sided Symphysis Pubis Dysfunction and sacroiliac pain. Intervention and Outcome: Treatment included soft tissue therapy, pregnancy support belt, side- lying mobilizations, pelvic blocks and instrument-assisted pubic symphysis adjustments. Home advice included: ice, staying active, moving as a unit, stretching, use of a pillow between the knees while sleeping, regular breaks from sitting and pelvic floor (Kegel) exercises. Both patients reported some relief with treatment and home care. Post-partum, rehabilitation exercises were prescribed to restore muscular endurance, control and pelvic stability. On long-term follow-up patient 1 reported no pubic symphysis pain, but some low back pain secondary to a subsequent knee injury. Patient 2 reported being mostly pain free with a rare reexacerbation of pubic symphysis pain. Summary: Conservative chiropractic management appears to reduce pain and improve mobility and function for SPD. Post partum rehabilitation of the associated lumbo-pelvic musculature with specific stabilization exercises is recommended to reduce pain, improve long term outcomes and prevent chronicity.
- Subjects
PELVIC pain treatment; BACKACHE; CHIROPRACTIC; CHIROPRACTIC diagnosis; DIFFERENTIAL diagnosis; DISEASE susceptibility; EXERCISE therapy; HEALTH outcome assessment; PELVIC pain; PREGNANCY complications; PUBIC symphysis; SYMPTOMS; TREATMENT effectiveness
- Publication
Journal of the Canadian Chiropractic Association, 2012, Vol 56, Issue 2, p102
- ISSN
0008-3194
- Publication type
Article