Sciatica during Pregnancy – Treatment Success Story
The American Journal of Obstetrics and Gynecology featured a study where patients enrolled had significant back pain at 24-28 weeks’ gestation, and were randomly assigned to receive either chiropractic care or standard medical care. At 33 weeks’ gestation, those in the chiropractic group had significant reductions in pain and disability, while the standard medical care patients did not.
Here is a great testimonial from Katy Lifestyle Chiropractic
“84% of patients receiving spinal manipulative therapy [chiropractic care] reported relief of back pain during pregnancy. There was significantly less likelihood of back labor when spinal manipulative therapy was administered during pregnancy.” — JMPT 1991
Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up.
Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study are 1) to report outcomes in pregnant patients receiving chiropractic treatment; 2) to compare outcomes from subgroups; 3) to assess predictors of outcome.
Pregnant patients with low back or pelvic pain, no contraindications to manipulative therapy and no manual therapy in the prior 3 months were recruited.Baseline numerical rating scale (NRS) and Oswestry questionnaire data were collected. Duration of complaint, number of previous LBP episodes, LBP during a previous pregnancy, and category of pain location were recorded.The patient’s global impression of change (PGIC) (primary outcome), NRS, and Oswestry data (secondary outcomes) were collected at 1 week, 1 and 3 months after the first treatment. At 6 months and 1 year the PGIC and NRS scores were collected. PGIC responses of ‘better’ or ‘much better’ were categorized as ‘improved’.The proportion of patients ‘improved’ at each time point was calculated. Chi-squared test compared subgroups with ‘improvement’. Baseline and follow-up NRS and Oswestry scores were compared using the paired t-test. The unpaired t-test compared NRS and Oswestry scores in patients with and without a history of LBP and with and without LBP during a previous pregnancy. Anova compared baseline and follow-up NRS and Oswestry scores by pain location category and category of number of previous LBP episodes. Logistic regression analysis also was also performed.
52% of 115 recruited patients ‘improved’ at 1 week, 70% at 1 month, 85% at 3 months, 90% at 6 months and 88% at 1 year. There were significant reductions in NRS and Oswestry scores (p < 0.0005). Category of previous LBP episodes number at one year (p = 0.02) was related to ,improvement’ when analyzed alone, but was not strongly predictive in logistic regression. Patients with more prior LBP episodes had higher 1 year NRS scores (p = 0.013).
Most pregnant patients undergoing chiropractic treatment reported clinically relevant improvement at all time points. No single variable was strongly predictive of, improvement’ in the logistic regression model.
About the Doctor in this video
Dr. Lambert Collins is a native Texan and received degrees from the University of North Texas and Texas Chiropractic College. He currently serves on the Board of Regents of Texas Chiropractic College and is a past board member of the Texas Chiropractic Association. Dr. Collins holds certifications in Applied Clinical Nutrution (ACN), Advanced Nutrition Response Testing, FIAMA (Acupuncture), and was awarded the Young Chiropractor of the Year Award in 2007. He and his family have lived in the Katy area since 1991.