Albert Science International Organization

ABSTRACT

Pain is known to steal the joy out of anyone’s life but it can be even more devastating for mothers-to-be. Pregnancy is considered a health risk because of the tremendous changes that occurs in normal physiology of body. Aches being, the commonest discomfort felt by about 80% of pregnant. The severity ranges from mild discomfort to unbearable pain. Joint laxity, weight gain, poor posture and hormonal changes have a collective effect, contributing pain. Modern therapy involves use of analgesics besides physiotherapy. Over 50% of pregnant women use these analgesics for pain. Management of pain during pregnancy is still challenging for several reasons. Most concerning are the potential effects of medications on the fetus. It’s the today after hundreds of researches, modern physicians advised that physiotherapy/massage is safe for pregnant to alleviates the pain, whereas Unani physicians mentioned this under section “tadabeer-e-hawameel”, thousands of years ago as evident by classical Unani literature. Unani system states pregnancy is a condition of accumulation of morbid matters which results in pain. Various therapeutic massages are indicated and mechanism of action is based on holistic approach of fundamental concept of imaale-mawad. The present appraisal is an earnest effort to highlight the description of massage/dalak for pain during pregnancy as enunciated in Unani literature.

Keywords: tadabeer-e-hawameel, dalak, pain, pregnancy, women, health

1. C. Kisner, LA. Colby, Therapeutic Exercise (4), Foundations and techniques, (Philadelphia:FA Davis, 2003).681, 687, 690-694.
2. J Mantle, J Haslam, S Barton. Physiotherapy in Obstetrics and Gynecology. (New Delhi: Elsevier, 2005) 141-159.
3. WH Wu, OG Meijer, K Uegaki, JM Mens, JH van Dieën, PI Wuisman,HC ostgaard, Pregnancy-related pelvic girdle pain (PPP): Terminology, clinical presentation and prevalence. Eur Spine J 2004,13(7),575–89.
4. A Vleeming, HB Albert, HC Ostgaard, B Sturesson, B Stuge. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008, 17, 794-819.
5. J Perkins, RL Hammer, PV Loubert. Identification and management of pregnancy-related low back pain. J Nurse Midwifery, 1998, 43, 331-340.
6. B Stuge, G Hilde, N Vollestad. Physical therapy for pregnancy related low back and pelvic pain: a systematic review. Acta Obstet Gynecol Scand, 2003, 82, 983-990.
7. J Sabino, JN Grauer. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008, 1, 137-141.
8. A Henry, C Crowther. Patterns of medication use during and prior to pregnancy: the MAP study. Aust N Z J Obstet Gynaecol, 2000, 40,165-72.
9. K Debra, Analgesics and pain relief in pregnancy and breastfeeding, AustPrescr, 2011,3,4,8–10
10. V Fogarty. Intradermal sterile water injections for the relief of low back pain in labour - a systematic review of the literature. Women Birth. 2008, 21, 157-163.
11. A Bailey. Risk factors for low back pain in women: still more questions to be answered. Menopause. 2009, 16, 3-4.
12. S. Nirupma, D Ona P. Prevention and management of low backache in pregnant women through the use of exercise program and education booklet. The Indian Journal of Occupational Therapy : vol. XXXIX : No. 3 (December 2007 - March 2008)
13. Yates, Suzzanne. Pregnancy and Childbirth: a holistic approach to massage and bodywork. (Churchill Livingstone: Elsevier 2010).
14. P.M Carsor, Handbook of Clinical Massage. 2(Elsevier:Delhi, 2002)57-91.
15. M.A Tanwir, et al. Dalk (Therapeutic Massage) & Their Indication for Musculoskeletal Disorder in Unani Medicine. International Journal of Advanced Ayurveda, Yoga, Unani, Siddha and Homeopathy. 2013,2 (1) 59-70
16. B Ahmad and J. Akhtar, Pharmacogonosy Reviews. Review Article Unani System of Medicine. 2002, 1 (2) 210-212.
17. S.R. Young, Massage Therapy. Utah, Woodland Publishing, USA, 2009, 1-23.
18. I Rushd,  Kitab -al-Kulliyat (Urdu Translation . CCRUM, New Delhi, 1987) 346, 350-51.
19. I Sina, Al-Qanoon Fit Tibb (Urdu Translation by Kantoori. IdaraKitab-al- Shifa, New Delhi, 2007) 150-154, 211-212, 232.
20. AH. Lone, T. Ahmad, M. Anwar, S. Ghulamuddin, MS Akhtar. Role of Massage Therapy in the Management and Prevention of Diseases: A Case Series of Medicated Massage. International Journal of Research in Ayurveda and Pharmacy. 2011, 2 (5) 1474-1477.
21. I Sina, Kulliyat-e-Qanoon (Urdu Translation by Hakim Kabeeruddin, Eijaz Publishing House, New Delhi. 2006) 147-54.
22. A.B.M.B.Z., Razi Kitab al Mansuri.( CCRUM, New Delhi, 1991) 320, 322-24, 392.
23.  A.B.M.B.Z Razi, Kitab-al-Hawi. Vol. I. (CCRUM, New Delhi 1996) 34.
24. MA Khan, Al akseer (Urdu translation,Vol. 2. New Delhi: Ejaz publishing house, 2003) 210.
25. http://www.gotosee.co.uk/therapies/Pregnancy-Massage.htm#History. 7th Jan 2010.
26. T Field, M Diego. Cortisol: the culprit prenatal stress variable. Intl J Neuroscience.2008,118(8), 1181-1205.
27. T Field, Diego, RM Hernandez, B Figueiredo, MS Schanberg, C Kuhn, Sleep disturbances in depressed pregnant women and their newborns. Infant Behavior & Development.2007,30(1), 127-133.