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Persistence of back pain symptoms after pregnancy and bone mineral density changes as measured by quantitative ultrasound--a two year longitudinal follow up study.

Abstract：

BACKGROUND:Previous research has shown a loss of bone mineral density (BMD) during pregnancy. This loss has been correlated to the occurrence of back pain symptoms during pregnancy. The objective of this study was to evaluate whether persistence of back pain symptoms 2 years after pregnancy could be associated with BMD changes as measured by quantitative USG of the os calcis. METHODS:A cohort of patients who reported significant back pain symptoms during pregnancy were surveyed for persistent back pain symptoms 24 to 28 months after the index pregnancy. Os calcis BMD was measured by quantitative ultrasound and compared with the BMD values during pregnancy. RESULTS:A cohort of 60 women who had reported significant back pain symptoms in their index pregnancy completed a 24-28 months follow-up survey and BMD reassessment. Persistence of significant back pain symptoms was seen in 24 (40%) of this cohort. These women had higher BMD loss during pregnancy compared to those without further pain (0.047 Vs 0.030 g/cm2; p = 0.03). Those that remained pain free after pregnancy appeared to have completely recovered their BMD loss in pregnancy, while those with persistent pain had lower BMD values (ΔBMD - 0.007 Vs - 0.025 g/cm2; p = 0.023) compared to their early pregnancy values. CONCLUSION:Persistence of back pain symptoms after pregnancy could be related to an inability to recover fully from BMD loss during the index pregnancy.

journal_name

BMC Musculoskelet Disord

journal_title

BMC musculoskeletal disorders

authors

To WW,Wong MW

doi

10.1186/1471-2474-12-55

subject

Has Abstract

pub_date

2011-02-28 00:00:00

pages

55

issn

1471-2474

pii

1471-2474-12-55

journal_volume

12

pub_type

杂志文章

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