Abstract
Pelvic girdle pain during and after pregnancy is the clinical syndrome of persistent musculoskeletal pain localized in the posterior and/or anterior aspect of the pelvis originating from sacroiliac joints and/or pubic symphysis due to dynamic instability. We report the case of severe and disabling postpartum pelvic girdle pain caused by unilateral noninfectious sacroiliitis which resolved after 2 months by nonsteroidal anti-inflammatory drug and physical therapy. A short literature review is given on epidemiology, etiology, clinical presentation, therapy, and prognosis of pregnancy-related pelvic girdle pain.
Zusammenfassung
Schmerzen im Beckengürtel während und nach der Schwangerschaft sind gekennzeichnet durch anhaltende muskuloskelettale Schmerzen im hinteren und/oder vorderen Beckenbereich. Der Ursprung liegt im Bereich der Iliosakralgelenke und/oder der Schambeinfuge aufgrund einer dynamischen Instabilität. Die Autoren berichten über einen Fall schwerer Schmerzen im Beckengürtel infolge einer einseitigen nichtinfektiösen Sakroiliitis, die nach 2 Monaten durch nichtsteroidale Antirheumatika und mittels einer physikalischen Therapie beseitigt wurden. Zudem findet sich ein kurzer Literaturüberblick zu Epidemiologie, Ätiologie, klinischer Präsentation, Therapie und Prognose für schwangerschaftsbezogene Schmerzen im Beckengürtel.
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Conflict of interest. N. Laktasic-Zerjavic, D. Mahovic, K. I. Tudor, I. Mercep, M. Prutki, and B. Anic state that there are no conflicts of interest. The accompanying manuscript does not include studies on humans or animals.
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Mahovic, D., Laktasic-Zerjavic, N., Tudor, K. et al. Pregnancy-related severe pelvic girdle pain caused by unilateral noninfectious sacroiliitis. Z. Rheumatol. 73, 665–668 (2014). https://doi.org/10.1007/s00393-013-1323-6
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DOI: https://doi.org/10.1007/s00393-013-1323-6
Keywords
- Anti-inflammatory agents, non-steroidal
- Chronic pain
- Sacroiliac joint
- Musculoskeletal pain
- Pelvic instability