Low Back Pain And Pregnancy
During pregnancy low back pain is reported by 50-80% of women. One third of pregnant women claim that low back pain was a significant problem during their pregnancy (1). I think word got around about our Earthlite pregnancy cushion and we have had a couple of pregnant patients come in with low back pain and Sacro-Illiac Joint (SIJ) discomfort and I wanted to share a case on our blog.
Whenever evaluating a patient with low back pain looking at the whole person is critical. In the beginning of my physiotherapy career I used to waste so much time focusing on the site of pain and discomfort. It helped with some short term relief but long term relief just wouldn’t stick. With pregnant women since their base of support and center of mass is changing throughout their pregnancy I don’t expect them to be out of pain in one session. What I have seen after PT sessions is a significant decrease in pain and techniques to manage their symptoms.
If you’re working with pregnant women I highly recommend getting a Earthlite Pregnancy Cushion. Our patients love it.
Using NeuroKinetic Therapy ( NKT) I found facilitated Right Erector Spinae and a Facilitated Left Biceps femoris and an inhibited Sacrotuberous ligament. That meant she had some dysfunctions with her Deep Longitudinal System (DLS). The DLS is comprised of the tibialis anterior, the peroneus longus and brevis, the biceps femoris whose tendons blends with the facia of the sacrotuberous ligament and connects to the erector spinae muscles. The Sacrotuberous ligament, a common source of pain, is what connects the upper body to the lower extremity and provides stability to the Sacro-Illiac Joint. After releasing the Facilitated muscles and getting her Sacrotuberous ligament back on line she was around 80 % pain free.
We weren’t done just yet. Using the Anatomy in Motion principles during gait analysis I found a decreased L Shift phase (2). Doing some simple foot mobilizations and increasing her Left shift phase decreased her pain another 15%. She was given a home exercise program and since has been able to manage her pain on her own coming in for a tune up when necessary. 🙂