Postural back pain is a common complaint during pregnancy, affecting 50-70% of pregnant females, and can continue after delivery for up to 12 months. It is caused by postural changes due to pregnancy, ligamentous laxity from hormonal changes, and decreased abdominal muscle function. Traditional exercises, proper body mechanics, posture instruction, improving work techniques, and superficial modalities can help intervene, while deep heating, electrical stimulation, and traction are contraindicated.

1. PREGNANCY
INDUCED
PATHOLOGY

2. Postural Back Pain

6. POSTURAL CHANGES IN PREGNANCY

7. COMMON CAUSES
Postural changes due to pregnancy
Ligamentous laxity due to hormonal
changes
Decreased abdominal muscle function

8. Incidence
50 to 70 % pregnant females report back
ache
This condition contributes to lost work
days and decreased functional ability

9. In addition, symptoms may continue in
the postpartum period, with a
prevalence in up to 68% of women, for
as long as 12 months after delivery.

11. CHARACTERISTICS
 The symptoms of low back pain usually worsen
with muscle fatigue from static postures or as the
day progresses; symptoms are usually relieved
with rest or change of position.
 Women who are physically fit generally have less
back pain during pregnancy.

12. INTERVENTIONS
Traditional low back exercises
Proper body mechanics
Posture instruction
improvement in work techniques
superficial modality application.

22. CONTRAINDICATIONS
Deep heating agents
Electrical stimulation
Traction

23. 1. Physiotherapy in Obstetrics and Gynecology By: Jill Mantle, Jeanette
Haslam, Sue Barton, 2nd edition.
2. Textbook of Physiotherapy for Obstetric and Gynecological Conditions
(Paperback) By (author) G.B. Madhur.