Low Back Pain and Care During Pregnancy Report (Assessment)

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Updated: Feb 16th, 2024

Description of the case

Linda is a 26-year-old patient with her first pregnancy. The gestational age is 24 weeks. There are no evident health problems in the woman after the cervical examination. BP is normal, 120/82, and the temperature is normal 98.2. The only complaints she has to include low back pain during the last 2-3 days and unwillingness to drink enough water. It is necessary to develop a physical examination and talk to the woman about her past medical history, recent changes or possible traumas, and other challenges that can occur because of her first pregnancy.

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Subjective data, identify both given and needed dataObjective findings, identify both given and needed dataDiagnostic or laboratory testing needed with rationalesList of 3 differential diagnoses with rationalesMedications and or treatments needed with rationalesPatient education neededReferrals for collaborative care needed with rationales
Given data: the patient complained of her low back pain. She is also confused about not drinking enough water.
Needed data: the answers to the following questions are required.
  1. Are there any psychological changes (weight)?
  2. Are there any cases of vomiting or a headache?
  3. Is back pain local or influence the whole body?
  4. What is the rate of pain at the moment?
Given data:
26-year-old patient;
1stpregnancy (24 weeks);
BP – 120/82;
T – 98.2;
No cervical dilation;
Needed data: heart rate, pulse, skin color.
Blood and urine tests are necessary to check for a possible infection (Banks, 2013).
The past medical history should be reviewed to identify risk factors and complications that may challenge pregnancy (Koppenhaver et al., 2012).
Palpation to assess the sacroiliac joint and pubic symphysis (Aldabe, Ribeiro, Milosavljevic, & Bussey, 2012).
MRI without ionizing should be used to investigate the lumbar spine (Cox, 2012).
Degenerative disc disease, diskitis, and osteoporosis are the differential diagnoses of low back pain due to the presence of such symptoms as dehydration, pain in the back, and pregnancy as the risk factor for bones’ changes (Amirdelfan, McRoberts, & Deer, 2014).
Degenerative disc disease is possible due to the recent changes in the body and the absence of other symptoms. Diskitis may be explained by the possibility of the infection in a patient’s organism. Finally, osteoporosis may be caused by recent changes in bones caused by pregnancy and its 24-week destination age.
Massage therapy can be offered as soft tissue and joint manipulation during pregnancy (Brosseau et al., 2012).
Yoga can help to relax properly. Side-lying sleep is suggested to support the stomach. The usage of a support belt can decrease the level of pain.
The patient should remember the importance of checkups regularly. No physical loads are allowed. Short walks and fresh air are recommended. Cooperation with therapists is welcomed. The patient should be educated on how to stand, walk, sleep, and avoid stress. Midday rest is required to relieve muscles.A specialist in back pain should be referred to control possible changes and promote relief. A surgical opinion can also help to prove the diagnosis. Chiropractors can also be referred to as getting an alternative treatment.

Summarize the case study

It is possible to continue this case investigation using recent case studies where low back pain is discussed during pregnancy. This kind of pain is one of the most common health problems among pregnant women after the 20th week of pregnancy. The diagnosis can be made with the help of physical examination and palpation, as well as with the help of electronic scanning and blood tests. It is important to follow conservative management of treatment for pregnant patients, including education, the adjustments of activities, and the measurement of movements. Correct body posture is also crucial for treatment procedures. Rest, massage and keeping to a diet are integral for pregnant women who suffer from low back pain.

References

Aldabe, D., Ribeiro, D.C., Milosavljevic, S., & Bussey, M.D. (2012). Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review. European Spine Journal, 21(9), 1777-1787.

Amirdelfan, K., McRoberts, P., & Deer, T.R. (2014). The differential diagnosis of low back pain: A primer on the evolving paradigm. Neuromodulation: Technology at the Neural Interface, 17(2), 11-17.

Banks, A. (2013). Laboratory tests and diagnostic procedures with nursing diagnoses. Upper Saddle River, NJ: Pearson.

Brosseau, L., Wells, G.A., Poitras, S., Tugwell, P., Casimiro, L., Novikov, M., … Kresic, D. (2012). Ottawa Panel evidence-based clinical practice guidelines on therapeutic massage for low back pain. Journal of Bodywork and Movement Therapies, 16(4), 424-455.

Cox, J.M. (2012). Low back pain: Mechanism, diagnosis and treatment. Philadelphia, PA: Lippincott Williams & Wilkins.

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Koppenhaver, S.L., Fritx, J.M., Hebert, J.J., Kawchuk, G.N., Parent, E.C., Gill, N.W., … Teyhen, D.S. (2012). Association between history and physical examination factors and change in lumbar multifidus muscle thickness after spinal manipulation in patients with low back pain. Journal of Electromyography and Kinesiology, 22(5), 724-731.

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IvyPanda. 2024. "Low Back Pain and Care During Pregnancy." February 16, 2024. https://ivypanda.com/essays/low-back-pain-and-care-during-pregnancy/.

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IvyPanda. "Low Back Pain and Care During Pregnancy." February 16, 2024. https://ivypanda.com/essays/low-back-pain-and-care-during-pregnancy/.

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