• Hwang K

• Manipulation, Spinal
• Pelvic Pain
• Pregnancy

Objective: The purpose of this paper is to discuss the chiropractic management of a patient with pregnancy-related posterior pelvic pain (PRPPP.

Design: A case study.

Setting: Private practice.

Patient: A 28-year-old female, 32 weeks pregnant, presented to our chiropractic office with a chief complaint of sharp, stabbing pain starting at the left sacroiliac joint with radiation into the posterior left thigh. Despite two previous pregnancies and successful deliveries, she had not experienced this type of condition prior to coming in for care. The pain had started to adversely affect her activities of daily living.

Results: The patient experienced 50% relief from the frequency and intensity of pain within two weeks of chiropractic spinal manipulation using drop table mechanisms; 90% improvement in function and decrease in pain occurred by the 6th week, despite re-aggravation of her condition from a fall during her 4th week of care.

Conclusion: Chiropractic care in this clinical situation helped to decrease the frequency and intensity of the patient’s PRPPP. No adverse effects resulted from the adjustments indicating that chiropractic spinal adjustments may be a safe alternative treatment for pregnancy-related posterior pelvic pain.

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