obsolete bone and joint disorder of back, pelvis and lower limbs of mother, complicating pregnancy, childbirth, or the puerperium

Based on the search results, it appears that there is a medical classification for bone and joint disorders of the back, pelvis, and lower limbs of a mother that complicate pregnancy, childbirth, or the puerperium. This condition is classified under ICD-9 code 648.7.

The description of this condition is not explicitly stated in the search results, but it can be inferred from the context. The condition is likely related to musculoskeletal pain and disorders affecting the back, pelvis, and lower limbs of a mother during pregnancy, childbirth, or the postpartum period.

Some possible symptoms and characteristics of this condition may include:

• Musculoskeletal pain in the lower back, pelvis, and lower limbs
• Joint pain and inflammation
• Bone disorders such as osteochondroma (as reported in one case study)
• Significant musculoskeletal strain due to weight gain during pregnancy

It's worth noting that ICD-9 code 648.7 is an obsolete classification system, and the condition may be classified differently under newer coding systems such as ICD-10-CM.

References:

[3] - The search result mentions that this condition is classified under ICD-9 code 648.7. [10] - This search result provides a description of bone and joint disorders (including conditions classifiable to 720-724 or affecting lower limbs classifiable to 711-719, 725-738) which may be related to the condition in question. [14] - This search result provides a long ICD9 Description for Bone and joint disorders of back pelvis and lower limbs of mother complicating pregnancy childbirth or the puerperium.

Based on the search results, it appears that there are several conditions that can affect the back, pelvis, and lower limbs of a mother during pregnancy, childbirth, or the postpartum period. Here are some signs and symptoms associated with these conditions:

• Pregnancy-related pelvic pain: This is described as a burning sensation, stabbing in the sacral area, or pain in the pubic symphysis that may radiate to the lower abdomen, back, groin, perineum, thigh, and/or leg. [1]
• Postpartum low back pain: Women with postpartum pelvic girdle pain (PGP) have lower endurance of the back extensor muscles and experience pain in the lower back, pelvis, and legs. [4]
• Obstetric palsy: This is a lumbosacral or lower extremity nerve injury related to labor, affecting about 1-3% of women. Symptoms include pain, numbness, and weakness in the affected area. [6]
• Thrombophlebitis: This condition can cause leg pain during pregnancy and must be eliminated as a possibility through careful history and physical assessment. [7]
• Sacroiliitis: This is an inflammatory condition that affects the sacroiliac joint, causing pain in the buttocks and lower back that may radiate to the legs, groin, and feet. Symptoms can worsen with prolonged sitting or standing, weight-bearing activities, and stair climbing. [10][12]
• Piriformis syndrome: This is a condition where the piriformis muscle spasms and presses on the sciatic nerve, causing pain and numbness in the lower back and legs. [15]

It's essential to note that these conditions can have varying degrees of severity and may require medical attention for proper diagnosis and treatment.

References:

[1] Fiat F (2022) Pelvic pain during pregnancy: a review of the literature. [4] Gutke A (2007) Postpartum pelvic girdle pain: a systematic review. [6] Trager RJ (2022) Obstetric palsy: a rare but serious condition. [7] Davis DC (1996) Leg pain during pregnancy: a review of the literature. [10] Jun Jie Z (2020) Sacroiliitis: an inflammatory condition affecting the sacroiliac joint. [12] Symptoms of sacroiliitis. [15] Piriformis syndrome: a common cause of lower back and leg pain.

Diagnostic Tests for Obsolete Bone and Joint Disorders Complicating Pregnancy, Childbirth, or Puerperium

The diagnostic tests for obsolete bone and joint disorders affecting the back, pelvis, and lower limbs during pregnancy, childbirth, or puerperium are crucial for accurate diagnosis and treatment. While there may not be a comprehensive list of specific tests available, here are some possible diagnostic methods that may be used:

• Imaging Studies: X-rays, CT scans, MRI scans, and ultrasound imaging may be used to visualize the affected bone or joint and rule out other potential causes of symptoms [1].
• Physical Examination: A thorough physical examination by a healthcare provider can help identify signs of musculoskeletal disorders, such as tenderness, swelling, or limited mobility in the affected area [2].
• Laboratory Tests: Blood tests may be ordered to rule out underlying conditions that could be contributing to the symptoms, such as anemia or infection [3].
• Specialized Diagnostic Tests: Depending on the specific disorder and its suspected cause, specialized diagnostic tests like electromyography (EMG) or nerve conduction studies (NCS) may be used to assess muscle and nerve function [4].

It's essential to note that these diagnostic methods may not be exhaustive, and a healthcare provider would need to consider the individual patient's symptoms, medical history, and other factors when determining the most appropriate tests.

References:

[1] X-rays are often used as a first-line imaging modality for musculoskeletal disorders. (Search Result 2) [2] A thorough physical examination is crucial in identifying signs of musculoskeletal disorders. (Search Result 3) [3] Blood tests may be ordered to rule out underlying conditions that could be contributing to symptoms. (Search Result 1) [4] Specialized diagnostic tests like EMG or NCS may be used to assess muscle and nerve function. (Search Result 5)

Based on the search results, it appears that there are several medications that can be used to treat bone and joint disorders in pregnant women. However, it's essential to note that some of these medications may have potential risks for both the mother and the fetus.

Here are some possible treatments mentioned in the search results:

1. Prednisone: A corticosteroid that can be used to treat various conditions, including rheumatoid arthritis (RA). It is often continued during pregnancy with caution.
2. Sulfasalazine: Another disease-modifying antirheumatic drug (DMARD) that can be continued during pregnancy with a category B rating.
3. Glucocorticoids (e.g., prednisone): These medications are commonly used to treat various conditions, including RA and osteoarthritis.

However, it's crucial to note that the use of these medications during pregnancy should be carefully considered and monitored by a healthcare provider due to potential risks for both the mother and the fetus.

Additionally, some medications may not be recommended or may have specific contraindications during pregnancy. For example:

• Teriparatide (a bone-building medication) is not typically used in pregnant women.
• Denosumab (Prolia) is a monoclonal antibody that can be used to treat osteoporosis, but its use during pregnancy is limited due to potential risks.

It's essential for pregnant women with bone and joint disorders to consult their healthcare provider about the best treatment options.

Based on the search results, it appears that the differential diagnosis for the obsolete bone and joint disorder of back, pelvis and lower limbs of mother, complicating pregnancy, childbirth, or the puerperium (ICD-9-CM code 648.7) may include:

• Secondary to delivery-related trauma (SPD)
• Pubic symphysis separation
• Mechanical thoracic spine dysfunction

These conditions are mentioned in search result [1] as potential working differential diagnoses.

Additionally, other musculoskeletal pains encountered during pregnancy can be classified into lumbar, pelvic and joint pain, with lower back pain being a common complaint (search results [2], [5]).

It's also worth noting that the sacroiliac joint dysfunction and arthritis, facet joint syndrome and arthritis, internal disk disruption, failed back surgery syndrome, causes such as disk herniation, spinal stenosis, arachnoiditis, local pathology that mimics radiating low back pain, osteoarthritis of the hip, and aseptic necrosis of the femoral head may also be considered in the differential diagnosis (search results [12], [14]).

However, it's essential to note that these conditions are not directly related to pregnancy, childbirth, or the puerperium. The specific condition being referred to is likely an obsolete code and should be re-evaluated based on current medical knowledge.

References: [1] ER Howell · 2012 [2], [5] F Fiat · 2022 [12] Various authors [14] Various authors