与怀孕有关的疼痛可以在怀孕至产后期之间随时发生。怀孕和出生后的几个月是女性身体变化的时期,具有显著的荷尔蒙效应。我们介绍了一例年轻女性在第二次怀孕后几年患有慢性疼痛的病例,这对诊断提出了挑战。她最初被诊断为2型持续性骨盆带疼痛(PGP),对适当的针对性骨盆底治疗有所反应。在她的进步上有一个平台。诊断被修改为PGP4型,定制治疗的疼痛有所改善。她的治疗再次改变,重点是骶髂关节(SIJ)功能障碍和髂腰肌腱病,并出色而完整地解决了她的疼痛。这些诊断的重叠性质在创建针对她的疼痛的量身定制的物理治疗方法方面引起了重大挑战,最终导致她的最终诊断被排除在外。治疗的重点是优化关节活动度和组织延长,解决她的痛苦。
Pain related to pregnancy can occur anytime between conception to the postpartum period. Pregnancy and the following months after birth are a time of physical change to the woman\'s body, with significant hormonal effects. We present a
case of a young female with chronic pain several years after her second pregnancy that presented a diagnostic challenge. She was initially diagnosed with persistent pelvic girdle pain (PGP) type 2, responded somewhat to appropriately targeted pelvic floor therapy, with a plateau in her progress. The diagnosis was revised to PGP type 4, with some improvement in pain with customized therapy. Her treatment again changed with a focus on sacroiliac joint (SIJ) dysfunction and iliopsoas tendinopathy with excellent and complete resolution of her pain. The overlapping nature of these diagnoses caused a significant challenge in creating a tailored physical therapy approach to her pain that eventually led to her final diagnosis being one of exclusion. Treatment was focused on optimization of joint mobility and tissue lengthening, with the resolution of her pain.