title: Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.
abstract: OBJECTIVE
  The purpose of this case report is to describe chiropractic management of a patient with pregnancy-related lumbopelvic pain.
  
  
  METHODS
  A pregnant 35-year-old woman experienced insidious moderate to severe pregnancy-related lumbopelvic pain and leg pain at 32 weeks' gestation. Pain limited her endurance capacity for walking and sitting. Clinical testing revealed a left sacroiliac joint functional disturbance and myofascial trigger points reproducing back and leg pain.
  
  
  RESULTS
  A diagnosis of pregnancy-related low back pain and pregnancy-related pelvic girdle pain was made. The patient was treated with chiropractic spinal manipulation, soft tissue therapy, exercises, and ergonomic advice in 13 visits over 6 weeks. She consulted her obstetrician for her weekly obstetric visits. At the end of treatment, her low back pain reduced from 7 to 2 on a 0-10 numeric pain scale rating. Functional activities reported such as walking, sitting, and traveling comfortably in a car had improved.
  
  
  CONCLUSIONS
  This patient with pregnancy-related lumbopelvic pain improved in pain and function after chiropractic treatment and usual obstetric management.
authors.affiliation: Chiropractor, Private Practice, Sydney, Australia.
authors.forename: Maria
authors.initials: M
authors.lastname: Bernard
authors.affiliation: Associate Professor, Department of Chiropractic Faculty Science, Macquarie University, Sydney, NSW, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Tuchin
keywords: Chiropractic; Low back pain; Manipulation; Pregnancy; Spinal