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Pelvic Girdle Pain, Pregnancy-Associated

Katie L. Westerfield, DO, IBCLC, FAAFP and Savannah W. Smith, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Persistent musculoskeletal pain localized from the level of the posterior iliac crest and gluteal fold over the anterior and posterior elements of the bony pelvis

  • May radiate across h...

DIAGNOSIS

Diagnosis is mainly based on history, physical exam, and excluding other more serious pathologies. 

HISTORY

  • Stabbing, dull, shooting, or burning pain located at the general area of the pelvic ...

TREATMENT

GENERAL MEASURES

Activity modification with rest, physical therapy, and symptomatic care are generally accepted as the safest and most effective options for both antepartum and postpartum pat...

ONGOING CARE

PROGNOSIS

  • In most cases (up to 93%), pain will resolve spontaneously by 6 months postpartum (4)[B].

  • High levels of pain during pregnancy and during the first 6 months postpartum indicate a ...

REFERENCES

1
Verstraete EH, Vanderstraeten G, Parewijck W. Pelvic girdle pain during or after pregnancy: a review of recent evidence and a clinical care path proposal. Facts Views Vis Obgyn.  2013...

ADDITIONAL READING

  • Howell ER. Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports. J Can Chiropr Assoc.  2012;56(2):102–111.

  • Martins RF, Pinto ...

CODES

ICD10

  • O26.899 Oth pregnancy related conditions, unspecified trimester

  • M53.3 Sacrococcygeal disorders, not elsewhere classified

  • M25.559 Pain in unspecified hip

ICD9

  • 648.70 Bone and joint disorders of ...

CLINICAL PEARLS

  • PGP is common in pregnancy and can result in significant disability.

  • The PGQ and pain provocation tests can aid providers with establishing the diagnosis of PGP.

  • Activity modification, p...

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