sharing sensitive information, make sure youre on a federal Women with lumbar disc problems are not sure which method of delivery is best. Smith JS, Ogden AT, Shafizadeh S, Fessler RG. Learn more about the FDA status of our research, Safety & Efficacy of Fibrin for Chronic Low Back Pain. Lumbar disk herniation during pregnancy: a review on general management and timing of surgery. Would you like email updates of new search results? Pregnancy is a time of much stress and the circumstances will . 2016 Aug;92:142-147. doi: 10.1016/j.wneu.2016.04.127. Spontaneous regression of herniated lumbar discs: Report of one illustrative case and review of the literature. 1992 May;15(4):250-4. Talk to your doctor if you feel the pain is persistent or severe. Herniated Disc Pregnancy Concerns. Back surgery can be safe for you and your baby during pregnancy. This affects the lower extremities, bladder and bowel dysfunction. These shoes provide excellent arch support. eCollection 2021 Jul. Fortunately, most disc issues do not pose a threat to the health of the baby and they can be mitigated through lifestyle changes or minor procedures. 1995 Jan-Feb;74(1):59-61. doi: 10.1097/00002060-199501000-00010. Federal government websites often end in .gov or .mil. 1998 Nov;18(6):544-5 A 'slipped' (prolapsed) disc often causes sudden, severe lower back pain. Epub 2021 Jan 25. Di Martino, A. According to some researchers, hormonal changes that affect the pelvic joints can also cause changes in intervertebral discs or the posterior longitudinal ligament. I have a herniated disc at L4 L5 that presses on the nerve. Disc herniation is a localized displacement of disc material beyond the normal margins of the intervertebral disc space. Unable to load your collection due to an error, Unable to load your delegates due to an error. Physical therapy might be recommended for your herniated disc. 2021 May 10;12:215. doi: 10.25259/SNI_907_2020. Becoming pregnant can be a real blessing, but having a herniated disc or any history of lower back pain is an immediate source of concern for any pregnant woman. 1979 Feb;61(1):43-46. By gently drawing your lower abdomen (below the belly button) towards your spine, you can strengthen your pelvic floors and tummy muscles. Herniated Discs in Tall People. The pain could get worse as the baby gets older. She is pregnant so a steroid injection or surgery are not viable options at this time. J Manipulative Physiol Ther. To prevent injury from occurring again. Industrialized nations suffer from a plague of spinal health problems. Unable to load your collection due to an error, Unable to load your delegates due to an error. Majority (95%) of herniated discs occur at the lower lumbar spine (L4/5 and L5/S1 level). The condition affects 1 in 10,000 pregnant women. The Management of Symptomatic Lumbar Disc Herniation in Pregnancy: A Systematic Review. [] Although there are cases of lumbar disk herniation in pregnancy, reports about the association of these two conditions - cauda equina syndrome . HHS Vulnerability Disclosure, Help This condition is quite common in pregnant women, due to increased pressure on the spine and weight gain. Are herniated discs more common in pregnancy? Even coughing, sneezing, and sitting can worsen your symptoms because they put pressure on pinched nerves. 2000 Oct 15;9(4):e1. 2020 Oct;10(7):908-918. doi: 10.1177/2192568219886264. A herniated disc can also be known as a "slipped disc" or "protruding disc". A systematic review and reporting on the diagnosis, treatment and clinical results of HLD during pregnancy is performed. This can include: Lumbar spine problems, including a bulging or herniated disc An injury, condition, or injury may also lead to a herniated disc. due to one of the adventurous activites i hd done in my . Microdiscectomy Under Local Anesthesia and Spinal Block in a Pregnant Female. NSAIDs, bed rest, safe exercises, etc.) Bethesda, MD 20894, Web Policies The most significant version of this injury occurs when the inner disc material actually escapes from the outer layer (annulus) of the disc. A herniated disc during pregnancy can cause lower back, buttock and leg pain. The recent rise in the average age at pregnancy can lead to a rise in the rate of lumbar disk hernia in pregnant women. Keep your pelvis aligned. What Can Be Done For a Herniated Disc During Pregnancy? The area of MRI in pregnancy is still under investigation. Surgery Herniated discs are most common among men between the ages of 30 and 50. 2011 Dec 1;36(25):2147-51. doi: 10.1097/BRS.0b013e3182054595. There were no neurological consequences. It can also lead to weakness or numbness in an arm or leg. SpineUniverse.com reports that herniated disks while pregnant are very rare, and even if they do occur, there is nothing to suggest that they increase the risk or contribute to c-sections in any way 2. Maintaining a positive mindset and educating yourself about herniated discs is critical to a having a smooth, issue-free pregnancy. For pregnant women with lumbar disk hernia, Cesarean Section was offered. J Obstet Gynaecol. Alternative therapies. CS could be a safer option if pregnant women have symptomatic lumbar Disc Hernia. If you injure your back while you are pregnant, simple exercises and using back support are usually enough to fix the injury. Acta Neurochir (Wien). Herniated Disc Causes Media last reviewed: 14 May 2020 Media review due: 14 May 2023 See exercise video safety information The exercises in this video are suitable for most people. Ongoing evolution of surgical, anesthesiological and obstetrical procedures results in favorable outcomes. Epub 2016 Feb 16. Open discectomy: The surgeon performs open surgery to remove the herniated section of the disc. You can stay active throughout pregnancy for your back, and your health. Delivery can be traumatic for mother and baby alike. -. The disc often presses on a nerve root which can cause pain and other symptoms in a leg. Kapetanakis S, Giovannopoulou E, Blontzos N, Kazakos G, Givissis P. J Gynecol Obstet Hum Reprod. Get advice from a . Your weight should be equally distributed between your legs. Epub 2016 May 7. Whiles E, Shafafy R, Valsamis EM, Horton C, Morassi GL, Stokes O, Elsayed S. Global Spine J. An official website of the United States government. Your OBGYN might suggest bed rest to avoid any complications. That's because the weight of a growing baby can substantially increase the amount of pressure that is exerted on the spine during movement, which in turn can aggravate herniated disc symptoms. Before In pregnancy, the potential gap for the disc to pop out of decreases as the baby causes a hyper lordosis (an increased curve of the spine). Myranda was diagnosed with a bulging disc in her lower back. It is virtually unheard of for a woman to aggravate a pre-existing herniated disc during birth to the point of making it acute, but theoretically, if the circumstances are right, it is possible. Remember, in most cases, herniated discs are not the source of pain, regardless of mistaken diagnostic suspicions. 62 E. 88th Street ICD-10-CM Diagnosis Code H47.333 [convert to ICD-9-CM] Pseudopapilledema of optic disc, bilateral. Legal They can also get worse. The term sciatica can refer to symptoms caused by injury to any of these nerve roots, or less commonly, the sciatic nerve itself. Also make sure you're doing pelvic floor and core work too, and stretching out lower back and bum. I had NO pain worse than any other preg woman. Gradually increase the lengthening of your posture. The back injury should not affect labor or pain relief during labor. Bilateral pseudopapilledema; Pseudopapilledema of optic disc, both eyes. Pregnancy affects your back as your weight distribution changes so it's even more important to strengthen your core / posterior chain by keeping up with rehab exercises. FOIA Follow us to stay up to date on our groundbreaking procedures, news, speaking engagements and upcoming appearances. The affected part . There are a number of reasons for this, including structural issues, nerve compression and psychoemotional causations, as well. Sometimes, a herniated spine will not cause symptoms in pregnant women. Herniated disc and pregnancy. Although the mechanical and postural stresses of pregnancy have been cited as predisposing causes of a herniated lumbar disc, this study suggests otherwise. Herniated Disc Treatments Each patient was delivered by cesarean section. Please enter a valid Pregnancy coach address. Endoscopic discectomy may be an alternative. Symptoms of a herniated disc may include: 1 Back pain Neck pain Leg or arm pain Weakness in your arm, hand, or leg Difficulty sitting, standing, or walking Changes in your bowel or bladder function (a serious condition known as cauda equina syndrome) 2021 Jun 19;31:e00337. World Neurosurg. LaBan et al. A herniated disc may cause severe pain during pregnancy. Women can develop herniated discs, and they can develop them at a young age too. Low back pain is a common problem for half of pregnant women. If you are truly worried due to a particularly bad disc pain syndrome, consult with your OB/GYN and ask them for advice about what you can do to minimize the risk of aggravating the painful disc and how to prevent further injury during the delivery. Disc herniation and pregnancy of back injury during nerniation If you injure your back while you are pregnant, simple exercises and using back support are usually enough to fix the injury. Herniated disks can be extremely painful. PMC Degenerative Disc Disease Pregnant women are more prone to suffering from lower back and coccyx pain syndromes, especially in the third trimester. Most mild to moderate herniations are not problematic or symptomatic and a great number of people have them without even knowing it. He or she may also suggest coordinating care with a spine surgeon like Dr. Mark Giovanini to discuss minimally invasive treatment options or spine surgery after youve delivered your baby. Muscles served by the affected nerves tend to weaken. In this case you might need surgery. A herniated disc (also called bulged, slipped or ruptured) is a fragment of the disc nucleus that is pushed out of the annulus, into the spinal canal through a tear or rupture in the annulus. Arnold-Chiari malformation and significant lumbar disc prolapse in pregnancy: A case report and literature review. Apr 20, 2017 at 5:53 PM. Multidisciplinary teams are necessary for patients. There are many treatments for this condition, and experts generally recommend trying conservative therapies before opting for surgical intervention. A herniated disk can press on the nerves in your spine and cause pain, weakness, and numbness in your neck, back, arms, and legs.Sometimes these symptoms can be severe enough to disrupt your life . You should immediately consult your doctor if you are experiencing bleeding from your vagina, pain in the urination, or any other signs of premature labor. One case with CES was presented to us. Disclaimer, National Library of Medicine Your back can be protected by changing or preventing certain actions during pregnancy. The site is secure. Instead, bend your knees at the knees and straighten your back. Sometimes, a herniated spine will not cause symptoms in pregnant women. Literature shows that only 15% of patients with lumbar disk hernias suffer from severe neurologic impairments. Whenever radicular pain and progressive neurological deficits unresponsive to medical management occur, surgery should be considered. In all five cases, lumbar laminectomy was successful in facilitating the eventual resolution of the signs and symptoms of the radiculopathy. In this video, a physiotherapist demonstrates gentle exercises for sciatica caused by a herniated or slipped disc. Pregnant women are more likely to experience this condition due to the increased pressure on their spines and the weight gain. The pain could get worse as the baby gets older. Careers. Lumbosacral vertebral disc ruptures of pregnancy, while relatively rare, should nevertheless be recognized early, distinguished from other causes of lumbosacral gestational plexopathy, and promptly treated. Bethesda, MD 20894, Web Policies The patient was delivered via cesarean and had her discectomy done in minutes. Between 25-55 years old, the majority of herniated disks develop in the lower part of the lumbar region. I've had no recurrence of symptoms since my last op 4 years ago but I'm still worried about slipping a disc again! Yes I have been diagnosed with a slipped disc, unfortunately people can have problems with disc bulges for years not just 4-6 weeks. 2020 Apr 5;9(4):1023. doi: 10.3390/jcm9041023. A trained disc herniation and pregnancy therapist can help alleviate pressure from the nerves and relieve muscle tightness to minimize disc herniation and pregnancy severity and prevent the recurrence of sciatica and herniated disc pain. In this systematic review, we aim to illustrate the current and safe concepts in the assessment, diagnosis and management of herniated lumbar disc (HLD) during pregnancy. It is important to tell your doctor about any back problems. If the herniation was bad enough, they'd have recommended surgery. Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review. Savini R, Martucci E, Nardi S, Capelli A, Gusella A. Ital J Orthop Traumatol. Herniated lumbar disc is a displacement of disc material (nucleus pulposus or annulus fibrosis) beyond the intervertebral disc space. However, interdisciplinary management and a wide knowledge of pregnancy-related pathologies are crucial for the best outcome for both mother and child. If this website has helped you in any way, please pass it forward. Herniated Disc Surgery government site. Now, roll over onto your back and bring your knees together. During the last decade, five pregnant patients with symptoms and signs of a herniated lumbar disc were identified among a series of 48,760 consecutive deliveries at William Beaumont Hospital, an incidence of 1:10,000. No distribution, syndication or reproduction of any content allowed. Would you like email updates of new search results? True disc herniation is rare in pregnant women. Everything you need to know about herniated discs and degenerative disc disease. Cervical (neck) disc disorder w myelopathy; Midcervical disc disorder with . NeuroMicroSpine9400 University Pkwy 309 Pensacola, FL 32514 Fax 850.934.7972, Dr. Giovanini's Office: (850) 934-7545Disclaimer | Make a Payment. Please always consult your physician before taking any advice learned here or in any other educational medical material. My chiropractor said that it will likely need surgery, but can't . Disclaimer :Disclaimer: All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Herniated disks can become more severe during pregnancy. During the last decade, five pregnant patients with symptoms and signs of a herniated lumbar disc were identified among a series of 48,760 consecutive deliveries at William Beaumont Hospital, an incidence of 1:10,000. i hv been a very healthy person since my teenage . Cesarean section in the event of failed labor inducement at term. It is crucial to understand that most disc pathologies will not pose any risk to you or your baby, although they may make you more susceptible to back pain during pregnancy or the actual birth. Before I got pregnant, I already knew I had a herniated disc at L5-S1. 8600 Rockville Pike Cureus. Six patients were treated conservatively. No published data has been available on the effects of lumbar disk hernias on pregnancy. 2018 Jul;160(7):1361-1370. doi: 10.1007/s00701-017-3098-z. Keep the object that you are lifting close by your body. Robotic Spine Surgery and Augmented Reality Systems: A State of the Art. Repeat the process ten times. Purpose: I have 2 herniated discs in my lower back and am worried about how it's gonna affect my pregnancy and delivery. CES followed promptly by microdiscectomy. Mitha R, Nadeem SF, Bukhari SS, Shamim SM. Spine (Phila Pa 1976). Vadal G, Russo F, De Salvatore S, Cortina G, Albo E, Papalia R, Denaro V. J Clin Med. Herniated disks can become more severe during pregnancy. A herniated disc (also called slipped, bulged, or ruptured) is a common problem that can be caused by ageing, injury, or chronic conditions such as pregnancy. A herniated disk also can give you a feeling of tingling or numbness. It's imperative you heed the advice of your OBGYN and spine specialist to ensure the health and safety of your child. PMC I'm curious to know if anyone else is dealing with this also and if you've chosen to have a c-section or not. Before Contact us today. Sometimes, back pain could be an indicator of premature labor or a bacterial infection in the urinary tract. Choosing a Surgeon Regenerative Sportscare Institute Your lower back can also be stretched by sitting on your stomach, with your head facing your back. government site. Posted in Sciatica Tagged back pain, herniated disc, pregnancy, sciatica Leave a Comment on Everything You Need to Know About Herniated Discs in Pregnancy Why Are Astronauts Weirdly Susceptible to Herniated Discs? Although MRI is becoming more acceptable in pregnancy, the exact risk to the fetus is still unknown. DeeptiMM 19/05/12. Do not lift large objects. Results: The initial management of pregnant women affected by HLD is conservative, and primarily aimed to pain therapy. Analysis of the Characteristics and Clinical Outcomes of Percutaneous Endoscopic Lumbar Discectomy for Upper Lumbar Disc Herniation. For those of you asking about pregnancy and herniated discs, I'd say there is just no guarantee that even the cortisone will help. A herniated disc occurs when some of the spine's soft center, or nucleus, pushes out through a tear in the spine's exterior. HHS Vulnerability Disclosure, Help Back pain is such a common problem in the UK, I was hoping to get . Herniated Disc Symptoms Unless the patient suffers from a severe case of osteoporosis or has recently sustained a traumatic injury to the lower back, it's unlikely a herniated disc developed from a woman's pregnancy. Can you get pregnant with herniated disc? The site is secure. To ensure your back flattens on the ground, tilt your pelvis and hips backwards. These teams should include specialists in obstetrics as well maternal-fetal and neurosurgery as well as anesthesiology and anesthesiology. Back surgery is usually safe, however, both for you . It was followed by remission, and no neurological deficit. For women who are experiencing moderate to severe herniated disc pain during their pregnancy, its important to remain positive and have the condition checked out and monitored by a spine specialist, like Dr. Mark Giovanini of NeuroMicroSpine. This article will tell you how to sit right based . The herniated lumbar intervertebral disc in children and adolescents. Do not use aspirin or other non-steroidal anti inflammatory drugs such as Nurofen during pregnancy. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Herniated Disc And Pregnancy With this sort of an increase in exercise and the quest for extra comfort and support while pregnant, the variety of assistance groups are becoming more popular as well as in elevated well-liked for ladies everywhere. 1. Clipboard, Search History, and several other advanced features are temporarily unavailable. Females can also get herniated disks. The herniated disc may compress the spinal nerve roots and lead to radiculopathy. W. Wendylady10. The symptoms of a herniated disc in pregnancy may be more intense and the woman may experience: Intense back pain that can radiate to the butt or one of the legs; There may be a tingling sensation, tingling or numbness in the back, buttocks, groin or leg. Based on MRI data, it appears that the cooperation between the obstetrician or neurosurgeon is a major factor in the decision to treat the patient either conservatively (wait-and see) or surgically. Vadal G, De Salvatore S, Ambrosio L, Russo F, Papalia R, Denaro V. Neurospine. Copyright 2020 Dr. Kevin Pauza All right reserved. ICD-10-CM Diagnosis Code M50.02. 2021 Jun 19;31:e00337. Painkillers may help. Pain occurs when it presses on or irritates an adjacent nerve root. The initial management of pregnant women affected by HLD is conservative, and primarily aimed to pain therapy. The advice and information contained in this articleisfor educational purposes only and is not intended to replace or counter a physicians advice or judgment. It occurs in 1 in 10,000 cases. and transmitted securely. Lower back pain and pelvic discomfort are common, especially during the third trimester. Place a pillow between your knees and rest on your back. eCollection 2021 Dec. Opoku AA, Mathew GV, Thode A, Noureddine K. Case Rep Womens Health. MeSH 7 The prevalence of risk factors for LDH such as high body mass index and increased age are continuing to rise in the pregnant population, which some theorize may lead to a rise in the incidence of LDH. The exceptions being if people are pregnant have metal implants in their spine or they have severe osteoporosis. []Performing X-rays in pregnant women has long been known to carry risks. MeSH Mild to moderate cases of herniated discs are not generally problematic in regards to the health and safety of the woman and her baby. It is unclear which delivery method is best for women suffering from lumbar disk herniation. First and foremost, pregnancy is rarely the direct cause of a herniated disc. Epub 2017 Oct 6. A herniated disc in the neck, known medically as a ' cervical herniated disc ' occurs when the center of a disc in the neck 'herniates'- that is gets dislodged and or leaks out from it's proper position. People older than 55 years are more likely to have herniated disks at the L4/5, L5/S1 or L5/S1 level. One patient was suffering from radicular pain for 33 weeks. Laminectomy and/or microdiscectomy represent the classical and most commonly used techniques that can be safely performed without affecting pregnancy, delivery, or baby's health. If you have a herniated disk, you should reduce any pressure on it. hi everyone, i m 38 weeks pregnant and eagerly waiting for my baby.!! I have a ten month old son that I can't carry. J Bone Joint Surg Br. slipped disc and normal delivery. Nineteen out of the ten cases were over 30 years old, and four were more than 35. We are proud to help patients for over 15 years and do so without financial gain. Herniated discs are extremely common and countless millions of women become pregnant while simultaneously having herniations every year. Timely diagnosis by MRI, careful clinical evaluation, and surgical treatment represent safe and effective procedures. LBP is very common among pregnant women, with about half suffering from it. You need to make sure your spine us strong and stable before pregnancy. Therapeutic management is the best option for most patients suffering from lumbar disc hernia. Avoid sitting for long periods of over an hour. The incidence of LBP associated with true radiculopathy from disc herniations has been estimated to occur in approximately 1 in 10,000 pregnant women. Herniated Disc Lower Back True disc herniation may not occur, but most patients can recover with minimal surgery. doi: 10.1016/j.crwh.2021.e00337. People who do heavy work: Due to the nature of the work, the spine is . Disclaimer, National Library of Medicine J Spinal Disord Tech. But it sounds as if it's not too severe. The pain pathway originates in impingement of the nerve root by the herniated disc, which may in turn lead to nerve damage both by mechanical and chemical pathways. Avoid bending, twisting or climbing ladders. Keep the position for a while and then let go. Your hands should be on the ground. Hang in there. In very rare cases, pregnant women can have a serious injury such as a herniated disc. The diagnosis can be confirmed by radiological examination. official website and that any information you provide is encrypted Other times nerves are irritated, and you experience pain, numbness, or weakness in an arm or leg. Few case reports regarding the operative management of HLD in pregnant women have been published up to date. The sciatic nerve originates as several nerve roots which come off the spinal cord. Pregnancy is a time of much stress and the circumstances will certainly increase the possibility for psychosomatic pain. Interestingly enough, this condition can be common in pregnant women due to the expected weight gain and increased pressure on the spine. This could mean that you will need to have surgery. As for whether pregnancy can cause a herniated disc, Dr. Barad's answer is, no. Herniated discs are painful. This is especially important as your pregnancy progresses. The level of support varies with each kind but they may be used at different occasions based on . The MRI represents the first level and safest diagnostic tool for pregnant women affected by spinal problems allowing for a noninvasive and detailed radiological examination of the spine. Then support your arms with your arms while lifting your legs off the floor. It all depends on the level of the herniated disk and what nerve is getting pinched. Do not lift heavy objects. This can cause you to stumble, or affect your ability to lift or hold items. However, magnetic resonance imaging findings of herniated disc are not always accompanied by clinical symptoms. In most cases, your doctor can make a diagnosis of a herniated disk in their office, without invasive diagnostic tests. Herniated Disc Exercises, Editorial Board 2021 Sep 26;9(27):8082-8089. doi: 10.12998/wjcc.v9.i27.8082. We will also explore the very real possibility for pregnancy to cause or contribute to a new disc herniation in rare instances. Epub 2020 Mar 31. Some women endure muscular injuries from pushing during the birth, while others may suffer coccyx injuries as the babys head descends into the birth canal. -, Isr Med Assoc J. Nevertheless, it's more common for women to experience general back aches and pains that are stemming from the changes taking place in the body and around the spine. They are general exercises only and are not aimed at treating any specific cause of pain or condition. 8600 Rockville Pike Many women are worried over a herniated disc pregnancy. Simple exercises and support can often fix a back injury during pregnancy. An official website of the United States government. 2010 Feb;23(1):30-4. doi: 10.1097/BSD.0b013e318193c16c. By the end of the day, I can't even make it from the bed to the bathroom. Surgical management for lumbar disc herniation in pregnancy. The solution is learning as much as possible starting with Back Pain Solutions Online. A herniated disc, which can be uncomfortable under any circumstance, can be even more painful during pregnancy. Pregnant women are more prone to suffering from lower back and coccyx pain syndromes, especially in the third trimester. We are the worlds largest and most respected patient education and advocacy organization in the dorsalgia sector of medicine. Herniated disc exercise 3: Lower back muscle training. These options should be discussed with your doctor before being attempted. Careers. Cervical disc disorder with myelopathy, mid-cervical region. Ardaillon H, Laviv Y, Arle JE, Kasper EM. diagnosed five symptomatic HLD in a series of 48.760 consecutive deliveries [ 19 ]. A slipped disc (also called a prolapsed or herniated disc) can cause: lower back pain numbness or tingling in your shoulders, back, arms, hands, legs or feet neck pain problems bending or straightening your back muscle weakness pain in the buttocks, hips or legs if the disc is pressing on the sciatic nerve ( sciatica) I work in the NHS and have been treated by the staff physio's and I am seeing a sports physio. New York,NY10128. It may be beneficial for some women to try complementary therapies such yoga or pilates, but it is important you consult your doctor first. Herniated Disc FAQ Radicular pain, the most common symptom in lumbar disc injury, is the most prevalent. [2, 6] Based on the available literature, one expects fewer than 15% of lumbar disc herniations to lead to severe neurological deficits during pregnancy. The third exercise you should perform is designed to increase the strength of your big back muscles. Talk to your doctor about taking medication to manage pain. Surg Neurol Int. Long-term follow-up of 101 cases treated by surgery. Weakness. You should immediately consult your doctor if you are experiencing bleeding from your vagina, pain in the urination, or any other signs of premature labor. Timely diagnosis by MRI, careful clinical evaluation, and surgical treatment represent safe . Neurosurgeons, obstetricians and MRI data seem to make the best decisions. For now, these conservative and interventional treatment options may provide some comfort from your herniated disc pain(please consult your physician before trying any of these options): For more information on minimally invasive spine surgery or to make an appointment with Dr. Giovanini, please call(850) 934-7545or visithttps://www.neuromicrospine.com/request-appointment. In pregnant and postpartum women, this scenario is even more prevalent, so keep this in mind if your pain flares-up before, during or after the birth.
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