Anthony J. Lisi, DC, is Assistant Professor of Clinical Sciences at the University of Bridgeport College of Chiropractic and the Staff Chiropractor for the VA Connecticut Healthcare System.
Chiropractic Spinal Manipulation for Low Back Pain of Pregnancy: A Retrospective Case Series
Article first published online: 24 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 1, pages e7–e10, January-February 2006
How to Cite
Lisi, A. J. (2006), Chiropractic Spinal Manipulation for Low Back Pain of Pregnancy: A Retrospective Case Series. Journal of Midwifery & Womens Health, 51: e7–e10. doi: 10.1016/j.jmwh.2005.09.001
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- back pain;
- spinal manipulation
Low back pain is a common complaint in pregnancy, with a reported prevalence of 57% to 69% and incidence of 61%. Although such pain can result in significant disability, it has been shown that as few as 32% of women report symptoms to their prenatal provider, and only 25% of providers recommend treatment. Chiropractors sometimes manage low back pain in pregnant women; however, scarce data exist regarding such treatment. This retrospective case series was undertaken to describe the results of a group of pregnant women with low back pain who underwent chiropractic treatment including spinal manipulation. Seventeen cases met all inclusion criteria. The overall group average Numerical Rating Scale pain score decreased from 5.9 (range 2–10) at initial presentation to 1.5 (range 0–5) at termination of care. Sixteen of 17 (94.1%) cases demonstrated clinically important improvement. The average time to initial clinically important pain relief was 4.5 (range 0–13) days after initial presentation, and the average number of visits undergone up to that point was 1.8 (range 1–5). No adverse effects were reported in any of the 17 cases. The results suggest that chiropractic treatment was safe in these cases and support the hypothesis that it may be effective for reducing pain intensity.