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Pelvic girdle pain

MedGen UID:
452320
•Concept ID:
C0240682
•
Finding
Synonyms: Girdle Pain, Pelvic; Girdle Pains, Pelvic; Pain, Pelvic Girdle; Pains, Pelvic Girdle; Pelvic Girdle Pain; Pelvic Girdle Pains
SNOMED CT: Pelvic girdle pain (703619001); Symphysis pubis dysfunction (703619001)

Definition

Pelvic girdle pain is experienced between the posterior iliac crest and the gluteal fold, in particular in the sacroiliac joint. The pain may radiate to the posterior thigh. The condition is generally related to pregnancy, trauma, arthritis and osteoarthritis. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPelvic girdle pain

Professional guidelines

PubMed

Pelvic-floor function, dysfunction, and treatment.
Quaghebeur J, Petros P, Wyndaele JJ, De Wachter S
Eur J Obstet Gynecol Reprod Biol 2021 Oct;265:143-149. Epub 2021 Aug 28 doi: 10.1016/j.ejogrb.2021.08.026. PMID: 34492609
Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis.
Franke H, Franke JD, Belz S, Fryer G
J Bodyw Mov Ther 2017 Oct;21(4):752-762. Epub 2017 May 31 doi: 10.1016/j.jbmt.2017.05.014. PMID: 29037623
European guidelines for the diagnosis and treatment of pelvic girdle pain.
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B
Eur Spine J 2008 Jun;17(6):794-819. Epub 2008 Feb 8 doi: 10.1007/s00586-008-0602-4. PMID: 18259783Free PMC Article

Recent clinical studies

Etiology

Risk factors for pelvic girdle pain postpartum and pregnancy related low back pain postpartum; a systematic review and meta-analysis.
Wiezer M, Hage-Fransen MAH, Otto A, Wieffer-Platvoet MS, Slotman MH, Nijhuis-van der Sanden MWG, Pool-Goudzwaard AL
Musculoskelet Sci Pract 2020 Aug;48:102154. Epub 2020 May 5 doi: 10.1016/j.msksp.2020.102154. PMID: 32560862
Pelvic Floor Physical Therapy and Women's Health Promotion.
Lawson S, Sacks A
J Midwifery Womens Health 2018 Jul;63(4):410-417. Epub 2018 May 19 doi: 10.1111/jmwh.12736. PMID: 29778086
Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis.
Franke H, Franke JD, Belz S, Fryer G
J Bodyw Mov Ther 2017 Oct;21(4):752-762. Epub 2017 May 31 doi: 10.1016/j.jbmt.2017.05.014. PMID: 29037623
Pelvic girdle pain and low back pain in pregnancy: a review.
Vermani E, Mittal R, Weeks A
Pain Pract 2010 Jan-Feb;10(1):60-71. Epub 2010 Oct 26 doi: 10.1111/j.1533-2500.2009.00327.x. PMID: 19863747
European guidelines for the diagnosis and treatment of pelvic girdle pain.
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B
Eur Spine J 2008 Jun;17(6):794-819. Epub 2008 Feb 8 doi: 10.1007/s00586-008-0602-4. PMID: 18259783Free PMC Article

Diagnosis

Pelvic-floor function, dysfunction, and treatment.
Quaghebeur J, Petros P, Wyndaele JJ, De Wachter S
Eur J Obstet Gynecol Reprod Biol 2021 Oct;265:143-149. Epub 2021 Aug 28 doi: 10.1016/j.ejogrb.2021.08.026. PMID: 34492609
Pelvic girdle pain in pregnancy.
Walters C, West S, A Nippita T
Aust J Gen Pract 2018 Jul;47(7):439-443. doi: 10.31128/AJGP-01-18-4467. PMID: 30114872
Low Back Pain and Pelvic Girdle Pain in Pregnancy.
Casagrande D, Gugala Z, Clark SM, Lindsey RW
J Am Acad Orthop Surg 2015 Sep;23(9):539-49. Epub 2015 Aug 13 doi: 10.5435/JAAOS-D-14-00248. PMID: 26271756
Pelvic girdle pain and low back pain in pregnancy: a review.
Vermani E, Mittal R, Weeks A
Pain Pract 2010 Jan-Feb;10(1):60-71. Epub 2010 Oct 26 doi: 10.1111/j.1533-2500.2009.00327.x. PMID: 19863747
European guidelines for the diagnosis and treatment of pelvic girdle pain.
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B
Eur Spine J 2008 Jun;17(6):794-819. Epub 2008 Feb 8 doi: 10.1007/s00586-008-0602-4. PMID: 18259783Free PMC Article

Therapy

Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial.
Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, Jafari S, Sharifzadeh M
J Manipulative Physiol Ther 2023 Jan;46(1):27-36. Epub 2023 Jul 7 doi: 10.1016/j.jmpt.2023.05.005. PMID: 37422748
Prevention of low back and pelvic girdle pain during pregnancy: a systematic review and meta-analysis of randomised controlled trials with GRADE recommendations.
Santos FF, Lourenço BM, Souza MB, Maia LB, Oliveira VC, Oliveira MX
Physiotherapy 2023 Mar;118:1-11. Epub 2022 Sep 15 doi: 10.1016/j.physio.2022.09.004. PMID: 36288631
Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials.
Haller H, Lauche R, Sundberg T, Dobos G, Cramer H
BMC Musculoskelet Disord 2019 Dec 31;21(1):1. doi: 10.1186/s12891-019-3017-y. PMID: 31892357Free PMC Article
Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis.
Davenport MH, Marchand AA, Mottola MF, Poitras VJ, Gray CE, Jaramillo Garcia A, Barrowman N, Sobierajski F, James M, Meah VL, Skow RJ, Riske L, Nuspl M, Nagpal TS, Courbalay A, Slater LG, Adamo KB, Davies GA, Barakat R, Ruchat SM
Br J Sports Med 2019 Jan;53(2):90-98. Epub 2018 Oct 18 doi: 10.1136/bjsports-2018-099400. PMID: 30337344
Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis.
Franke H, Franke JD, Belz S, Fryer G
J Bodyw Mov Ther 2017 Oct;21(4):752-762. Epub 2017 May 31 doi: 10.1016/j.jbmt.2017.05.014. PMID: 29037623

Prognosis

Predictive Factors for Pregnancy-Related Persistent Pelvic Girdle Pain (PPGP): A Systematic Review.
Burani E, Marruganti S, Giglioni G, Bonetti F, Ceron D, Cozzi Lepri A
Medicina (Kaunas) 2023 Dec 5;59(12) doi: 10.3390/medicina59122123. PMID: 38138226Free PMC Article
Risk factors for pelvic girdle pain postpartum and pregnancy related low back pain postpartum; a systematic review and meta-analysis.
Wiezer M, Hage-Fransen MAH, Otto A, Wieffer-Platvoet MS, Slotman MH, Nijhuis-van der Sanden MWG, Pool-Goudzwaard AL
Musculoskelet Sci Pract 2020 Aug;48:102154. Epub 2020 May 5 doi: 10.1016/j.msksp.2020.102154. PMID: 32560862
Recent advances in polymyalgia rheumatica.
Owen CE, Buchanan RR, Hoi A
Intern Med J 2015 Nov;45(11):1102-8. doi: 10.1111/imj.12823. PMID: 26036315
Pregnancy and spinal problems.
Han IH
Curr Opin Obstet Gynecol 2010 Dec;22(6):477-81. doi: 10.1097/GCO.0b013e3283404ea1. PMID: 20930629
Pelvic girdle pain and low back pain in pregnancy: a review.
Vermani E, Mittal R, Weeks A
Pain Pract 2010 Jan-Feb;10(1):60-71. Epub 2010 Oct 26 doi: 10.1111/j.1533-2500.2009.00327.x. PMID: 19863747

Clinical prediction guides

Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial.
Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, Jafari S, Sharifzadeh M
J Manipulative Physiol Ther 2023 Jan;46(1):27-36. Epub 2023 Jul 7 doi: 10.1016/j.jmpt.2023.05.005. PMID: 37422748
Effect of ear acupuncture on pregnancy-related pain in the lower back and posterior pelvic girdle: A multicenter randomized clinical trial.
Vas J, Cintado MC, Aranda-Regules JM, Aguilar I, Rivas Ruiz F
Acta Obstet Gynecol Scand 2019 Oct;98(10):1307-1317. Epub 2019 Jun 1 doi: 10.1111/aogs.13635. PMID: 31034580
Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial.
Sklempe Kokic I, Ivanisevic M, Uremovic M, Kokic T, Pisot R, Simunic B
J Rehabil Med 2017 Mar 6;49(3):251-257. doi: 10.2340/16501977-2196. PMID: 28233012
Effect of a regular exercise programme on pelvic girdle and low back pain in previously inactive pregnant women: A randomized controlled trial.
Haakstad LA, Bø K
J Rehabil Med 2015 Mar;47(3):229-34. doi: 10.2340/16501977-1906. PMID: 25385408
The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial.
Stuge B, Laerum E, Kirkesola G, Vøllestad N
Spine (Phila Pa 1976) 2004 Feb 15;29(4):351-9. doi: 10.1097/01.brs.0000090827.16926.1d. PMID: 15094530

Recent systematic reviews

Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials.
Haller H, Lauche R, Sundberg T, Dobos G, Cramer H
BMC Musculoskelet Disord 2019 Dec 31;21(1):1. doi: 10.1186/s12891-019-3017-y. PMID: 31892357Free PMC Article
Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis.
Davenport MH, Marchand AA, Mottola MF, Poitras VJ, Gray CE, Jaramillo Garcia A, Barrowman N, Sobierajski F, James M, Meah VL, Skow RJ, Riske L, Nuspl M, Nagpal TS, Courbalay A, Slater LG, Adamo KB, Davies GA, Barakat R, Ruchat SM
Br J Sports Med 2019 Jan;53(2):90-98. Epub 2018 Oct 18 doi: 10.1136/bjsports-2018-099400. PMID: 30337344
The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review.
Almousa S, Lamprianidou E, Kitsoulis G
Physiother Res Int 2018 Jan;23(1) Epub 2017 Nov 8 doi: 10.1002/pri.1699. PMID: 29115735
Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis.
Franke H, Franke JD, Belz S, Fryer G
J Bodyw Mov Ther 2017 Oct;21(4):752-762. Epub 2017 May 31 doi: 10.1016/j.jbmt.2017.05.014. PMID: 29037623
Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities.
Gutke A, Betten C, Degerskär K, Pousette S, Olsén MF
Acta Obstet Gynecol Scand 2015 Nov;94(11):1156-67. Epub 2015 Jun 16 doi: 10.1111/aogs.12681. PMID: 26018758

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