Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190031
Brazilian Journal of Pain
Review Article

Pregnancy-related lumbosacral pain

Dor lombossacral relacionada à gestação

Fábio Farias de Aragão

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Abstract

BACKGROUND AND OBJECTIVES: Pregnancy causes physiological and anatomical changes in the woman's body, affecting several systems such as the musculoskeletal. During pregnancy or in the postpartum period, these changes may cause low back pain or low pelvic pain, preventing the normal movement of these structures and causing suffering. The objective of this study was to discuss the diagnosis and treatment of pregnancy-related lumbosacral pain, focusing on terminology, epidemiology, risk factors, pathophysiology, prognosis, diagnosis, and treatment.

CONTENTS: We searched the literature in Pubmed, Cochrane Library, Ovid and Google using the terms "low back pain", "pelvic girdle pain", "lumbopelvic pain", "posterior pelvic pain", "pregnancy-related low back pain", "pregnancy-related pelvic girdle pain" and "pregnancy-related lumbopelvic pain", for articles in English, Portuguese and Spanish in the last 20 years or older, where relevant.

CONCLUSION: Pregnancy is one of the main causes of lumbosacral pain, and one of the most frequent diseases during gestation. The correct management of this pathology reduces negative impacts on the life of pregnant women.

Keywords

Low back pain, Pelvic pain, Pregnancy

Resumo

JUSTIFICATIVA E OBJETIVOS: A gestação causa alterações fisiológicas e anatômicas no corpo da mulher, podendo afetar diversos sistemas como o musculoesquelético. Durante a gestação ou no período pós-parto, essas alterações podem causar dor lombar ou dor pélvica baixa, impedindo a movimentação normal dessas estruturas e causando sofrimento. O objetivo deste estudo foi discutir o diagnóstico e o tratamento da dor lombossacral relacionada à gestação, com foco na terminologia, epidemiologia, fatores de risco, fisiopatologia, prognóstico, diagnóstico e tratamento.

CONTEÚDO: Foi realizada busca na literatura no Pubmed, Cochrane Library, Ovid e Google, utilizando-se os termos “low back pain”, “pelvic girdle pain”, “lumbopelvic pain”, “posterior pelvic pain”, “pregnancy-related low back pain”, “pregnancy-related pelvic girdle pain” e “pregnancy -related lumbopelvic pain”, por artigos em inglês, português e espanhol nos últimos 20 anos, ou mais antigos, quando relevantes.

CONCLUSÃO: A gestação é uma das principais causas de dor lombossacral e esta é uma das doenças mais frequentes durante a gestação. O correto manuseio desta doença reduz os impactos negativos na vida da gestante.

Palavras-chave

Dor pélvica, Gestaçao, Lombalgia

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Submitted date:
02/10/2018

Accepted date:
10/09/2018

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