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POST-PARTYM PAIN: it is a recount I have heard many times. A woman has an epidural during childbirth and then wakes up with everlasting severe low back pain. I have studied these women and can report what happens.
During the epidural anesthesia (from waist down) these women cannot splint & protect ligaments that join ilium to sacrum at the sacroiliac joint. Ligament stretch & tear permanently lossens this major low back joint, the largest joint in the axial spine.
Pain of sacroiliac joint subluxation is excruciating, & in the 1990’s (before opiate bowdlerization) academic pain experts (e.g. Dr. McCarlberg of San Diego Medical School) regarded 80 mg of oxycodone twice daily as beneficial for this pain.
There are 16 clinical signs able to identify sacroiliac joint disorder (see “Pelvic” chapter of the Occupational Disability Guidelines). Most doctors are ignorant of these exams & X-rays are worthless to decipher this disorder.
The diagnosis is made by a guided diagnostic block; as performed by Pain Interventionists; as reported in the academic medical literature. Even Obstetricians are seemingly universally ignorant of sacroiliac subluxation chronic pain disorder syndrome.
I have reported the etiology & methods of evaluation of this disorder at Quora.com, in threadreaderapp on Twitter, and at the 10th Interdisciplinary World Congress on Low Back and Pelvic Pain in Antwerp, 10/19 (on line).
The problem is correctable without surgery. That is another story. Unfortunately, this chronic pain disorder is common in women with underlying Hypermobility Syndrome, who are multiparous, & who have had epidurals.
Unfortunately, Obstetricians are seeming universally ignorant of this disorder, and never diagnose it. They commonly tell women, “oh what do you expect... you just had a baby!”
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