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Low Back Pain and Sciatica in Pregnancy

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Neurological Disorders in Pregnancy

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Abstract

Low back pain, sciatica, and sacroiliac pain are common problems for pregnant women. Their etiology is multifactorial. Of key importance is the distinction between pain that is pathologic in nature and related to mechanical instability or neurologic compression as opposed to pain that is related to the increased mechanical demands on the low back and pelvis from the increase in body mass, expansion of body fluid volume, and ligamentous laxity associated with pregnancy. Regardless of its etiology, pain can become debilitating with difficulty performing activities of daily living and increased incidences of sick leave. It is also important to note that even the “normal” physiologic pain associated with pregnancy will commonly persist beyond 6 months’ postpartum. This chapter will explore the causes of back pain and the related symptoms of sciatica and sacroiliac pain, diagnosis, and treatment options, including the indications for surgical intervention.

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Authors and Affiliations

  1. Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA

    Ira Goldstein

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  1. Ira Goldstein
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Editors and Affiliations

  1. Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Gaurav Gupta

  2. Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Todd Rosen

  3. Department of Neurology, Neurosurgery and Radiology, New York Medical College - Westchester Medical Center, Valhalla, NY, USA

    Fawaz Al-Mufti

  4. Department of Neurosurgery, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Anil Nanda

  5. Department of Neurosurgery, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Priyank Khandelwal

  6. Department of Neuroradiology, University Radiology, New Brunswick, NJ, USA

    Sudipta Roychowdhury

  7. Department of Neurology, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Michael S. Rallo

  8. Department of Cerebrovascular & Endovascular Neurosurgery, Rutgers - Robert Wood Johnson Medical Sc, New Brunswick, NJ, USA

    Sanjeev Sreenivasan

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Goldstein, I. (2023). Low Back Pain and Sciatica in Pregnancy. In: Gupta, G., et al. Neurological Disorders in Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-031-36490-7_26

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