Hormonal changes affect the female musculoskeletal system with potential later in life consequence. Pregnancy associated lower limb changes such as maternal reduction of the plantar arch, may indirectly contribute to lower back pain, by causing redistribution of ground reactive force. Despite the popularity of manual management for pregnancy back pain management.
KEY WORDS: PREGNANCY, MATERNAL, HORMONES, RELAXIN, BACK PAIN, LIGAMENTS, INJURY, SPINE, MANIPULATION.
Pregnant women with low back pain also take longer to recover from activity related compression. Anthropomorphic changes increasing lumbar axial spinal load also result in intervertebral discs compression fluid expulsion, with subsequent loss in disc height. These excessive axial compressive forces exerted upon the lumbar spine of women engaging in weight bearing activity while pregnant.
It is normal to gain between 20 and 40 pounds during pregnancy, and weight gain in pregnancy has been associated with biomechanical changes predisposing to lower back pain. It has been reported that pelvic ligament laxity and associated pain begins around the 10-12 week of pregnancy. As significant portion of women first experience pain during the first trimester, when mechanical changes do not yet play a significant role in the etiology of pain.
Demonstration Language: English
Ali Bhatti
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