Vincent Ryan, Blackburn John, Wienecke Gretchen, Bautista Alexander
From the Department of Anesthesiology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
A A Pract. 2019 Jul 15;13(2):51-53. doi: 10.1213/XAA.0000000000000987.
Sacroiliac joint pain is one of the most common causes of low back pain in pregnant women. We present a case of a 30-year-old G2P1 at 20 weeks gestation presenting with intractable low back pain refractory to conservative management. History and physical examination revealed sacroiliac joint as the pain generator. We elected to do an ultrasound-guided sacroiliac joint injection that significantly abated her pain. This article aims to review the diagnosis, pathophysiology, and treatment approaches to adequately manage sacroiliac joint pain in pregnant women.
骶髂关节疼痛是孕妇下背痛最常见的原因之一。我们报告一例30岁、孕20周、孕2产1的孕妇，其患有顽固性下背痛，保守治疗无效。病史和体格检查显示骶髂关节是疼痛的根源。我们选择进行超声引导下的骶髂关节注射，该治疗显著减轻了她的疼痛。本文旨在综述孕妇骶髂关节疼痛的诊断、病理生理学及充分管理该疼痛的治疗方法。
