title: [Low Back Pain in Pregnancy: Diagnosis, Treatment Options and Outcomes].
abstract: Low back pain in pregnancy is a common occurrence and is mainly caused by hormonal and biomechanical changes. Patients with pregnancy-induced low back pain (PILBP) frequently complain of moderate to severe and disabling pain often restricting their daily activities. In these cases, a “watch and wait” approach cannot be the best solution. On the basis of anamnesis and examination PILBP can be divided into three subgroups: pregnancy-related low back pain (PLBP), pelvic girdle pain (PGP) and the combination of PLBP and PGP. The three entities ask for different diagnostic workups and therapeutic modalities. There are many possible treatments for PLBP, however, only a few are based on sound evidence. Information and advice, exercise and training programs, acupuncture, stabilizing belts and analgesic medication can have a positive impact on pain and disability. PGP und PLBP respond well to chiropractic interventions.
authors.affiliation: 1 Klinik für Chiropraktische Medizin, Universitätsklink Balgrist, Zürich.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mühlemann
authors.forename: Malin B
authors.initials: MB
authors.lastname: Mühlemann
mesh_terms: D000465:Algorithms; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D010808:Physical Examination / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*
keywords: Chiropraktik; Rückenschmerzen; Schwangerschaft; chiropractic; chiropratique; douleur du bas du dos; grossesse; lombalgie; low back pain; pregnancy