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PELVIC GIRDLE PAIN (PGP)
PGP disorder is complex and multi-factorial and likely to be represented by a
series of sub-groups with different underlying pain drivers from peripheral or central nervous system,
[1] altered
laxity/stiffness of muscles, [2] laxity to injury of tendinous/ligamentous structures
[3] to ‘mal-adaptive’ body
mechanics. [4]
"The classification between hormonal and mechanical pelvic girdle instability is no longer used.
For treatment and/or prognosis it makes no difference whether the complaints started during pregnancy or after
childbirth." Mens (2005) [5]
For most women PGP resolves in weeks after delivery but for some it can last for years
resulting in a reduced tolerance for weight bearing activities. Overall, about 45% of all pregnant women and 25%
of all women postpartum suffers from PGP. [6]
During pregnancy, serious pain occurs in about 25%, and severe
disability in about 8% of women. After pregnancy, problems are serious in about 7%.
[7] There is no correlation
between age, culture, nationality and numbers of pregnancies that determine a higher incidence
of PGP.[8] [9] |
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1. Diagnosis and classification of pelvic girdle pain disorders—Part 1: A mechanism based approach
within a biopsychosocial framework.
Manual Therapy, Volume 12, Issue 2, May 2007, PB. O’Sullivan and DJ Beales.
2. European guidelines for the diagnosis and treatment of pelvic girdle pain.
Eur Spine J. 2008 Feb 8, A Vleeming, HB Albert, HC Ostgaard, B Sturesson, B Stuge.
3. Possible role of the long dorsal sacroiliac ligament in women with peripartum
pelvic pain.
Acta Obstetricia et Gynecologica Scandinavica, Volume 81, Issue 5 ,
Page 430-436, May 2002, A Vleeming, HJ de Vries, JM Mens, J-P van Wingerden
4. Diagnosis and classification of pelvic girdle pain disorders—Part 1: A mechanism based
approach within a biopsychosocial framework.
Manual Therapy, Volume 12, Issue 2, May 2007, Pages 86-97, PB O’Sullivan, DJ Bealesa.
5. About Pelvic Girdle Instability. Definition and Concept.
Jan M.A. Mens, physician for Orthopaedic Medicine.
6. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation,
and prevalence.
European Spine Journal Vol 13, No. 7 / Nov. 2004, WH Wu, OG Meijer , K Uegaki, JM A Mens, JH van Dieën, PI J Wuisman,
HC Östgaard.
7. Effects of acupuncture and stabilising exercises as adjunct to standard treatment in
pregnant women with pelvic girlde pain: randomised single blind controlled trail.
BMY 2005;330;761 H Elden, L Ladfors, M Fagevik Olsen, H-C Östgaard, H Hagber.
8. Is Pelvic Pain a Welfare Complaint?
Acta Obstet Gynecol Scand. 2000 Jan, 79(1):24-30 Department of Women’s and Children, HK Bjorklund, S Bergstrom.
9. Pelvic Girdle Pain in Pregnancy.
BMJ 2005, 331:249-250 (30 July), doi:10.1136/bmj.331.7511.249 Editorial, RW Stones, K Vits .
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