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Orthopedics in Pregnancy: Exploring Challenges and Solutions.

Himanshy Rai¹, Mayank Pratap Singh², Mukesh Kumar Sharma²

¹Department of Obstetrics and Gynaecology, Government Medical College, Datia, Madhya Pradesh, India.

Journal of Pharmacy & Bioallied Sciences

|October 30, 2025

Summary

Pregnancy commonly causes musculoskeletal issues like low back pain (LBP) and pelvic girdle pain (PGP) due to body changes. Early, multidisciplinary management is key for maternal well-being.

Keywords:

Low back pain multidisciplinary care musculoskeletal disorders pregnancy

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Area of Science:

Orthopedics
Obstetrics
Physical Therapy

Background:

Pregnancy induces hormonal, biomechanical, and postural changes, leading to musculoskeletal adaptations.
Common conditions include low back pain (LBP), pelvic girdle pain (PGP), transient osteoporosis of the hip (TOH), and carpal tunnel syndrome (CTS).
These conditions significantly impact maternal health and quality of life.

Purpose of the Study:

To explore common orthopedic challenges during pregnancy.
To review the underlying mechanisms of these conditions.
To evaluate current and emerging management strategies.

Main Methods:

A literature review was conducted using PubMed and Scopus (2000-2024).
Studies on pathophysiology, clinical presentation, and management of pregnancy-related musculoskeletal conditions were analyzed.

Main Results:

LBP and PGP are most frequent, linked to ligamentous laxity and altered posture.
TOH and CTS are less common but pose diagnostic/therapeutic challenges.
Physical therapy, kinesio taping, acupuncture, and psychological support are key interventions.

Conclusions:

Musculoskeletal disorders are prevalent in pregnancy, affecting daily function.
Early diagnosis and individualized, non-invasive, multidisciplinary management are crucial.
Further research is needed for standardized diagnostics and long-term efficacy data.