Management of Chronic Post-Partum Pelvic Girdle Pain Study

Launched by UNIVERSITY OF PLYMOUTH · Jan 6, 2016

Keywords

ClinConnect Summary

Pelvic girdle pain (PGP) occurs in 70% of pregnant women; of whom 25% have severe pain and 8% severe disability requiring the use of crutches, wheelchair or confinement to bed (Wu et al, 2004). At a personal level, women with PGP find that everyday activities such as turning in bed, prolonged walking, or carrying items may cause pain; impacting negatively on quality of life (Wang et al, 2004). In economic terms societal costs are significant, mainly as a consequence of work absenteeism; with 20% of people requiring an average of 7 weeks sick leave (Noren et al, 1997). The impact of this pro...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria: Women with PGP (commenced or aggravated during pregnancy) will be included if they:
• • have symptoms that continued for \> 3 months following birth,
• • have PGP that causes walking and/or stair climbing to be bothersome (as determined by a score of at least 2 on a 10 point visual analogue scale)
• • are positive on at least 3 out of 7 pain provocation tests (see screening section below)
• Exclusion Criteria: Women will be excluded if they have:
• • A recent history/signs or symptoms indicative of serious causes of pain that might be inflammatory infective, traumatic, neoplastic, degenerative or metabolic.
• In particular exclusion will occur if following questioning or clinical examination there is evidence of:
• • trauma
• • Indicators of serious pathology
• • steroid use
• • drug abuse
• • HIV infection
• • immunosuppressed state
• • neurological symptoms/signs (including cauda-equina)
• • fever
• • systemically unwell
• • obstetric complications
• • pain that does not improve with rest/severe disabling pain
• • history of chronic back or pelvic pain requiring surgery.
• • a known skin allergy to Lycra