The Somatic Connection  |   July 2018
Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
Author Notes
  • Western University of Health Sciences College of Osteopathic of the Pacific-Northwest, Lebanon, Oregon 
Article Information
The Somatic Connection   |   July 2018
Reducing Low Back and Posterior Pelvic Pain During and After Pregnancy Using OMT
The Journal of the American Osteopathic Association, July 2018, Vol. 118, 487-488. doi:10.7556/jaoa.2018.108
The Journal of the American Osteopathic Association, July 2018, Vol. 118, 487-488. doi:10.7556/jaoa.2018.108
Franke H, Franke JD, Belz S, Fryer G. Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: a systematic review and meta-analysis. J Bodyw Mov Ther. 2017;21(4):752-762. 
Low back pain (LBP) and posterior pelvic pain (PPP) are common issues in pregnancy and the postpartum period.1 Both LBP and PPP may be musculoskeletal problems related to changes in body posture due to the added anterior weight of the fetus.1,2 The hormonal and physical transformations that take place during pregnancy lead to multiple physiologic changes, such as anterior pelvic tilt during ambulation3 and increased joint laxity, especially in multigravida pregnancies,4 leading to multiple opportunities for somatic dysfunction. Most pain medications are contraindicated in pregnancy,5 but a growing body of evidence suggests osteopathic manipulative treatment (OMT) is beneficial for women with pregnancy-related LBP. In this meta-analysis, researchers in Germany updated the evidence for using OMT (including osteopathic manipulative therapy, which is manipulative care provided by foreign-trained osteopaths) to manage LBP and PPP during pregnancy and the postpartum period. 

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