A Case Report on Antenatal Rehabilitation in a Multigravida Woman with Chronic Low Back Pain Due to Sacroiliac Joint Dysfunction
Dr.Niharika Prajapati (PT)
, Dr.Upasana Chauhan (PT)
KEY WORDS Antenatal rehabilitation, chronic low back pain, sacroiliac joint dysfunction, multigravida, physiotherapy management, revised Oswestry low back pain disability questionnaire , functional recovery.
Abstract
Low back pain is a common musculoskeletal complaint during pregnancy, particularly in multigravida women, and can negatively affect functional activities and quality of life. Sacroiliac (SI) joint dysfunction is one of the contributing factors to chronic low back pain in this population, requiring safe and effective management strategies. This case report presents a 34-year-old multigravida woman in her second trimester with a 3-year history of chronic low back pain localized in the lumbar and buttock regions. The pain was worsened by prolonged sitting, standing, and household work and relieved by rest. There was no neurological involvement, and clinical assessment confirmed SI joint dysfunction. A comprehensive antenatal rehabilitation program was implemented, including Transcutaneous Electrical Nerve Stimulation (TENS), postural correction using pillows to maintain pelvic alignment, positional release therapy, and back care exercises aimed at improving trunk strength and stability. Additionally, breathing exercises, upper and lower limb strengthening exercises, and patient education were included to enhance functional capacity, posture, and endurance while ensuring maternal and fetal safety. Functional disability was evaluated using the Revised low back pain disability questionnaire before and after the intervention. Following completion of the program, the patient demonstrated significant improvement in pain, posture, and mobility, with a marked reduction in revised Oswestry low back pain disability scores. The intervention enabled the patient to perform daily activities with greater ease and comfort. This case underscores the importance of antenatal physiotherapy, including exercise, education, and pain management techniques, in effectively addressing chronic low back pain due to SI joint dysfunction in multigravida women during pregnancy.
"A Case Report on Antenatal Rehabilitation in a Multigravida Woman with Chronic Low Back Pain Due to Sacroiliac Joint Dysfunction", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.10, Issue 9, page no.a652-a655, September-2025, Available :https://ijsdr.org/papers/IJSDR2509079.pdf
Volume 10
Issue 9,
September-2025
Pages : a652-a655
Paper Reg. ID: IJSDR_304929
Published Paper Id: IJSDR2509079
Downloads: 00089
Research Area: Health Science All
Country: Pansora , Gujarat , India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
