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BioMed Research International
Volume 2014 (2014), Article ID 287832, 3 pages
http://dx.doi.org/10.1155/2014/287832
Case Report

A Rare Cause of Postpartum Low Back Pain: Pregnancy- and Lactation-Associated Osteoporosis

1Department of Physical Medicine and Rehabilitation, Kocaeli Derince Education and Research Hospital, Derince, Kocaeli 41000, Turkey
2Department of Obstetrics and Gynecology, Kocaeli Derince Education and Research Hospital, Derince, Kocaeli 41000, Turkey
3Department of Radiology, Kocaeli Derince Education and Research Hospital, Derince, Kocaeli 41000, Turkey

Received 23 September 2014; Accepted 9 November 2014; Published 30 November 2014

Academic Editor: Giampiero Capobianco

Copyright © 2014 Rabia Terzi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pregnancy- and lactation-associated osteoporosis (PLO) is a rare form of osteoporosis. It results in severe low back pain in the last trimester of pregnancy and in the postpartum period, decreases in height, and fragility fractures, particularly in the vertebra. The current case report presents a 32-year-old patient who presented with back and low back pain that began in the last trimester of the pregnancy and worsened at two months postpartum and who was diagnosed with pregnancy- and lactation-associated osteoporosis after exclusion of other causes; the findings are discussed in view of the current literature. PLO is a rare clinical condition causing significant disability. PLO must be kept in mind in the differential diagnosis in patients presenting with low back pain during or after pregnancy. The patients must be evaluated for the risk factors of PLO, and an appropriate therapy must be initiated.