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Back pain and pregnancyFrom: Leon A. Le Leu (lleleu@medeserv.com.au)Sun Apr 14 18:52:08 1996
>Some weeks ago I put on the list a query about patterns of back pain during pregnancy. I was particularly interested in the type of back pain that goes away during the pregnancy since I have been dealing with a patient whose back pain, present for many months before, disappeared at six months into the pregnancy and reappeared, as before, eight weeks post-partum. >> >I thought this pattern of pain might be due to: > >>(1) Related to hormonal changes; >>(2) Related to changing centre of gravity due to pregnancy; >>(3) Related to both hormonal and centre of gravity changes. >> >I have now had some useful opinions: > >(1) Prof. Gunnar Andersson of Rush-Presbyterian-St Luke's Medical Centre - Chicago: > >"I believe that the main reason for the disappearance and reappearance of the back pain is more related to the hormonal changes than to the centre of gravity changes. The reason for this is that it is hard for me to understand how the centre of gravity change can result in a lower load on the spine and therefore the disappearance of pain. Also, the post-operative timing - 8 weeks - would not fit well into the theory of gravity changes." > >(2) Professor of O and G - Canberra: he considered this was also most likely to be hormonal, he had seen such cases, and the timing for disappearance and reappearance of the pain would fit nicely with hormonal changes in pregnancy. > >Hence back pain which disappears during pregnancy and reappears soon after pregnancy may, in fact, be the same pain. This is obviously of interest from the medicolegal viewpoint as well as the diagnostic one.
I would welcome any comment from others to expand the opinion base.
>>
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