Abstract

Uterine-induced low back pain is primarily caused by pregnancy. More than 50% of women will experience it while pregnant.¹ Many of these changes are postural in nature and can last into the postpartum period.^1–3 There is also increased stress placed about the uterosacral ligaments and sacrum.^1,4–6 Back pain related to intrauterine devices (IUD) is less common than pregnancy-induced back pain, but it is still commonly present and is a common enough adverse reaction that it is listed on the package insert.⁷

An osteopathic approach to uterine-induced low back pain looks at the structural and functional changes caused by changes in the uterus and the resultant changes on the remainder of the body. The present case depicts this approach and possible anatomic reasoning to why and how this pain is present.