Objective: To discuss the chiropractic care of a pregnant patient with low back pain.
Clinical Presentation: A 24-year-old presenting in her 10th week of gestation complaining of low back discomfort that began with her pregnancy along with longstanding upper back pain. The patient’s low back pain began 8 weeks prior, correlating to the beginning of her pregnancy. She has had upper back pain and tightness for about two years. Both complaints were indicated as provoked with prolonged standing or sitting, especially with bad posture. Palliative maneuvers were indicated as laying down, resting, and the use of a cold pack.
Treatment and Outcome: The patient was cared for with the Webster Technique and Thompson Technique. Initial care was set at 2 times a week for 3-4 weeks and once a week throughout her pregnancy. In total, the patient attended 16 visits over a 3-month period. As a result of chiropractic care, the patient was able to work without pain with the patient electing to continue her care throughout her pregnancy.
Conclusions: This case report provides supporting evidence on the effectiveness of chiropractic care in pregnant women with disordered sleep as a secondary presenting complaint. We encourage further documentation of similar cases to inform clinical practice.
Author keywords: Chiropractic, vertebral subluxation, adjustment, pregnancy, low back pain, sleep disturbance, Thompson technique, Webster technique
Author affiliations: MP: Private practice, Louisville, Kentucky, United States; JA: Research Director, International Chiropractic Pediatric
Association, Media, Pennsylvania, United States
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