BACK PAIN - PREGNANT WOMAN WALKER

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Excerpt

A 41-year-old woman presented with 5 weeks of left buttock pain that began during the 8th month of her second pregnancy. She attributed the pain to treadmill walking, which she performed 30–40 minutes daily throughout her pregnancy. Her pain decreased while hospitalized for the delivery of her baby, but returned when discharged from the hospital. Originally, her Obstetrician felt the pain was due to fetal compression of the lumbosacral plexus, but since the pain continued post-partum, the diagnosis was revised to lumbar radiculopathy and a referral to our clinic was made. Upon our initial evaluation, her pain was a constant ache with occasional stabbing over the left lateral buttock and posterior thigh. It was exacerbated by weight bearing, lying to sitting transitions, coughing, and sneezing, and relieved with sitting or lying still. She had occasional parasthesias over the left hip and posterior thigh. She denied other neuromusculoskeletal or constitutional symptoms. Treatment thus far included rest, acetaminophen, and ibuprofen.
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