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A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain

Pain related to pregnancy can occur anytime between conception to the postpartum period. Pregnancy and the following months after birth are a time of physical change to the woman’s body, with significant hormonal effects. We present a case of a young female with chronic pain several years after her...

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Autores principales: Mank, Victoria M, Barranco-Trabi, Javier, Mank, Jeffrey K, Roberts, Jefferson, Newman, David P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288589/
https://www.ncbi.nlm.nih.gov/pubmed/34290919
http://dx.doi.org/10.7759/cureus.15719
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author Mank, Victoria M
Barranco-Trabi, Javier
Mank, Jeffrey K
Roberts, Jefferson
Newman, David P
author_facet Mank, Victoria M
Barranco-Trabi, Javier
Mank, Jeffrey K
Roberts, Jefferson
Newman, David P
author_sort Mank, Victoria M
collection PubMed
description Pain related to pregnancy can occur anytime between conception to the postpartum period. Pregnancy and the following months after birth are a time of physical change to the woman’s body, with significant hormonal effects. We present a case of a young female with chronic pain several years after her second pregnancy that presented a diagnostic challenge. She was initially diagnosed with persistent pelvic girdle pain (PGP) type 2, responded somewhat to appropriately targeted pelvic floor therapy, with a plateau in her progress. The diagnosis was revised to PGP type 4, with some improvement in pain with customized therapy. Her treatment again changed with a focus on sacroiliac joint (SIJ) dysfunction and iliopsoas tendinopathy with excellent and complete resolution of her pain. The overlapping nature of these diagnoses caused a significant challenge in creating a tailored physical therapy approach to her pain that eventually led to her final diagnosis being one of exclusion. Treatment was focused on optimization of joint mobility and tissue lengthening, with the resolution of her pain.
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spelling pubmed-82885892021-07-20 A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain Mank, Victoria M Barranco-Trabi, Javier Mank, Jeffrey K Roberts, Jefferson Newman, David P Cureus Pain Management Pain related to pregnancy can occur anytime between conception to the postpartum period. Pregnancy and the following months after birth are a time of physical change to the woman’s body, with significant hormonal effects. We present a case of a young female with chronic pain several years after her second pregnancy that presented a diagnostic challenge. She was initially diagnosed with persistent pelvic girdle pain (PGP) type 2, responded somewhat to appropriately targeted pelvic floor therapy, with a plateau in her progress. The diagnosis was revised to PGP type 4, with some improvement in pain with customized therapy. Her treatment again changed with a focus on sacroiliac joint (SIJ) dysfunction and iliopsoas tendinopathy with excellent and complete resolution of her pain. The overlapping nature of these diagnoses caused a significant challenge in creating a tailored physical therapy approach to her pain that eventually led to her final diagnosis being one of exclusion. Treatment was focused on optimization of joint mobility and tissue lengthening, with the resolution of her pain. Cureus 2021-06-17 /pmc/articles/PMC8288589/ /pubmed/34290919 http://dx.doi.org/10.7759/cureus.15719 Text en Copyright © 2021, Mank et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pain Management
Mank, Victoria M
Barranco-Trabi, Javier
Mank, Jeffrey K
Roberts, Jefferson
Newman, David P
A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title_full A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title_fullStr A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title_full_unstemmed A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title_short A Case Study of Chronic Iliopsoas Tendinopathy and Sacroiliac Joint Dysfunction Masquerading As Pelvic Girdle Pain
title_sort case study of chronic iliopsoas tendinopathy and sacroiliac joint dysfunction masquerading as pelvic girdle pain
topic Pain Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288589/
https://www.ncbi.nlm.nih.gov/pubmed/34290919
http://dx.doi.org/10.7759/cureus.15719
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