RT Journal Article SR Electronic T1 Optimizing pain relief during pregnancy using manual therapy JF Canadian Family Physician JO Can Fam Physician FD The College of Family Physicians of Canada SP 841 OP 842 VO 59 IS 8 A1 Christopher Oswald A1 Ceara C. Higgins A1 Demetry Assimakopoulos YR 2013 UL http://www.cfp.ca/content/59/8/841.abstract AB Question Many of my pregnant patients have muscle and joint aches, and are reluctant to use analgesics. What is known about chiropractic care during pregnancy? Answer As pregnant women move into their second and third trimesters, their centres of mass shift anteriorly, causing an increase in lumbar lordosis, which causes low back and pelvic girdle pain. Increasing recent evidence attests to the effectiveness and safety of treating this pain using manual therapy. Massage therapy and chiropractic care, including spinal manipulation, are highly safe and effective evidence-based options for pregnant women suffering from mechanical low back and pelvic pain.