The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain

<i>Background and Objectives</i>: During pregnancy, women undergo various physiological and anatomical changes that are accentuated as the pregnancy progresses, but return to their previous state a few weeks/months after the pregnancy. However, a targeted therapeutic approach is needed....

Full description

Bibliographic Details
Main Authors: Felicia Fiat, Petru Eugen Merghes, Alexandra Denisa Scurtu, Bogdan Almajan Guta, Cristina Adriana Dehelean, Narcis Varan, Elena Bernad
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/8/1115
_version_ 1827626587810430976
author Felicia Fiat
Petru Eugen Merghes
Alexandra Denisa Scurtu
Bogdan Almajan Guta
Cristina Adriana Dehelean
Narcis Varan
Elena Bernad
author_facet Felicia Fiat
Petru Eugen Merghes
Alexandra Denisa Scurtu
Bogdan Almajan Guta
Cristina Adriana Dehelean
Narcis Varan
Elena Bernad
author_sort Felicia Fiat
collection DOAJ
description <i>Background and Objectives</i>: During pregnancy, women undergo various physiological and anatomical changes that are accentuated as the pregnancy progresses, but return to their previous state a few weeks/months after the pregnancy. However, a targeted therapeutic approach is needed. Most of the time, during this period, these changes precipitate the appearance of pain, musculoskeletal pain being the most common. Pregnant women should avoid treating musculoskeletal pain with medication and should choose alternative and complementary methods. Exercise along with rest is the basis for treating chronic musculoskeletal pain. Side effects of physical therapy are rare and, in addition, it is not contraindicated in pregnant women. The benefits of this type of treatment in combating pain far outweigh the risks, being an easy way to improve quality of life. The objective of this article is to discuss the management of musculoskeletal pain during pregnancy, to identify the main musculoskeletal pain encountered in pregnant women along with drug treatment, and to expose the beneficial effects of alternative and complementary methods in combating pain. <i>Materials and Methods:</i> A literature search was conducted using medical databases, including PubMed, Google Scholar, and ScienceDirect, using the keywords “changes of pregnancy”, “musculoskeletal pain”, “pregnancy pain”, “pain management”, “pharmacological approach”, “alternative and complementary treatment” and specific sites. Information was collected from studies whose target population included pregnant women who complained of musculoskeletal pain during the 9 months of pregnancy; pregnant women with other pathologies that could increase their pain were not included in this review. <i>Results</i>: The articles related to the most common non-obstetric musculoskeletal pain in pregnancy along with pharmacological treatment options and alternative and complementary methods for musculoskeletal pain management during pregnancy were selected. <i>Conclusions</i>: The results were used to guide information towards the safest methods of therapy but also to raise awareness of the treatment criteria in order to compare the effectiveness of existing methods. Treatment must consider the implications for the mother and fetus, optimizing non-pharmacological therapeutic options.
first_indexed 2024-03-09T12:58:52Z
format Article
id doaj.art-7656e710e5544a58b72bc81d9c5c89f1
institution Directory Open Access Journal
issn 1010-660X
1648-9144
language English
last_indexed 2024-03-09T12:58:52Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series Medicina
spelling doaj.art-7656e710e5544a58b72bc81d9c5c89f12023-11-30T21:56:54ZengMDPI AGMedicina1010-660X1648-91442022-08-01588111510.3390/medicina58081115The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal PainFelicia Fiat0Petru Eugen Merghes1Alexandra Denisa Scurtu2Bogdan Almajan Guta3Cristina Adriana Dehelean4Narcis Varan5Elena Bernad6Department of Obstetrics-Gynecology II, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Physical Education and Sport, Banat’s University of Agricultural Sciences and Veterinary Medicine “King Mihai I of Romania” from Timisoara, Calea Aradului 119, 300645 Timisoara, RomaniaDepartment of Toxicology and Drug Industry, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Physical Therapy and Special Motor Skills, Faculty of Physical Education and Sport, West University of Timisoara, Vasile Parvan Boulevard, No. 4, 300223 Timisoara, RomaniaDepartment of Toxicology and Drug Industry, Faculty of Pharmacy, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, RomaniaDepartment of Physical Education and Sport, Banat’s University of Agricultural Sciences and Veterinary Medicine “King Mihai I of Romania” from Timisoara, Calea Aradului 119, 300645 Timisoara, RomaniaDepartment of Obstetrics-Gynecology II, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania<i>Background and Objectives</i>: During pregnancy, women undergo various physiological and anatomical changes that are accentuated as the pregnancy progresses, but return to their previous state a few weeks/months after the pregnancy. However, a targeted therapeutic approach is needed. Most of the time, during this period, these changes precipitate the appearance of pain, musculoskeletal pain being the most common. Pregnant women should avoid treating musculoskeletal pain with medication and should choose alternative and complementary methods. Exercise along with rest is the basis for treating chronic musculoskeletal pain. Side effects of physical therapy are rare and, in addition, it is not contraindicated in pregnant women. The benefits of this type of treatment in combating pain far outweigh the risks, being an easy way to improve quality of life. The objective of this article is to discuss the management of musculoskeletal pain during pregnancy, to identify the main musculoskeletal pain encountered in pregnant women along with drug treatment, and to expose the beneficial effects of alternative and complementary methods in combating pain. <i>Materials and Methods:</i> A literature search was conducted using medical databases, including PubMed, Google Scholar, and ScienceDirect, using the keywords “changes of pregnancy”, “musculoskeletal pain”, “pregnancy pain”, “pain management”, “pharmacological approach”, “alternative and complementary treatment” and specific sites. Information was collected from studies whose target population included pregnant women who complained of musculoskeletal pain during the 9 months of pregnancy; pregnant women with other pathologies that could increase their pain were not included in this review. <i>Results</i>: The articles related to the most common non-obstetric musculoskeletal pain in pregnancy along with pharmacological treatment options and alternative and complementary methods for musculoskeletal pain management during pregnancy were selected. <i>Conclusions</i>: The results were used to guide information towards the safest methods of therapy but also to raise awareness of the treatment criteria in order to compare the effectiveness of existing methods. Treatment must consider the implications for the mother and fetus, optimizing non-pharmacological therapeutic options.https://www.mdpi.com/1648-9144/58/8/1115pregnancychanges of pregnancymusculoskeletal paintreatment
spellingShingle Felicia Fiat
Petru Eugen Merghes
Alexandra Denisa Scurtu
Bogdan Almajan Guta
Cristina Adriana Dehelean
Narcis Varan
Elena Bernad
The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
Medicina
pregnancy
changes of pregnancy
musculoskeletal pain
treatment
title The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
title_full The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
title_fullStr The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
title_full_unstemmed The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
title_short The Main Changes in Pregnancy—Therapeutic Approach to Musculoskeletal Pain
title_sort main changes in pregnancy therapeutic approach to musculoskeletal pain
topic pregnancy
changes of pregnancy
musculoskeletal pain
treatment
url https://www.mdpi.com/1648-9144/58/8/1115
work_keys_str_mv AT feliciafiat themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT petrueugenmerghes themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT alexandradenisascurtu themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT bogdanalmajanguta themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT cristinaadrianadehelean themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT narcisvaran themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT elenabernad themainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT feliciafiat mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT petrueugenmerghes mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT alexandradenisascurtu mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT bogdanalmajanguta mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT cristinaadrianadehelean mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT narcisvaran mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain
AT elenabernad mainchangesinpregnancytherapeuticapproachtomusculoskeletalpain