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Bäckensmärtor vid graviditet–foglossning

Senast reviderad:
Sakkunnig:
Definition:
Smärtor lokaliserade till symfys eller sacroiliacaleder, som uppstår under graviditet eller förlossning.
Förekomst:
Cirka 20 % bland gravida.
Symtom:
Belastningssmärtor i bäckenområdet från sacroiliacaleder och/eller symfysområdet med utstrålning till säte, ljumskar och ben.
Kliniska fynd:
Ofta haltande och försiktig gång. Tryckömhet över symfys och sacroiliacaled.
Diagnostik:
Typisk anamnes och smärtlokalisation. Kliniska tester kan verifiera smärtor relaterade till bäckenlederna. Bilddiagnostik behövs oftast inte.
Behandling:
Minskad belastning av smärtande leder. Kombination av aktivitet och vila, samt individualiserad fysioterapi. För de allra flesta försvinner smärtorna efter förlossning. Vid eventuella smärtor efter förlossningen har ett individualiserat behandlingsupplägg med fokus på specifika övningar effekt.
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  • Anna Nager, med dr och specialist i allmänmedicin, Karolinska institutet

Tidigare sakkunniga

  • Britt Stuge, fysioterapeut spesialist i kvinnehelse MNFF, PhD, forskningsleder i fysioterapi, Ortopedisk klinikk, Oslo Universitetssykehus