Pregnancy Back Pain

Managing Pregnancy Back Pain

Pregnancy is a joyous time, but it can also bring challenges, particularly back pain. Many pregnant women experience this discomfort, usually starting in the second half of pregnancy. The good news is there are several effective ways to manage pregnancy back pain.

Causes of Pregnancy Back Pain

Back pain during pregnancy typically occurs where the pelvis meets your spine, at the sacroiliac joint, in the lumbar spine, or at the pubic symphysis. Several factors contribute to this discomfort:

Hormone Changes

During pregnancy, your body produces a hormone called relaxin. This hormone relaxes the ligaments in the pelvic area, preparing the body for childbirth. However, relaxin can also loosen the ligaments that support the spine, leading to instability and pain, especially if there was pre-existing muscle weakness.

Muscle Separation

As the uterus expands, the rectus abdominis muscles (commonly known as the six-pack muscles) may separate along the centre seam. This separation can worsen back pain. Diastasis Recti is a condition managed by your physiotherapist.

Weight Gain

A healthy pregnancy often includes weight gain. The added weight increases the load on the spine, which can cause lower back pain. Additionally, the growing fetus and uterus put pressure on the blood vessels and nerves in the pelvis and back.

Posture Changes

Pregnancy shifts your centre of gravity, leading to gradual posture changes. These adjustments can strain your back, causing pain.

Stress

Emotional stress can lead to muscle tension in the back, manifesting as pain or spasms. Stressful periods during pregnancy can exacerbate back pain.

Treatments for Pregnancy Back Pain

Improve Your Posture

Proper posture is crucial. Slouching strains the spine, so using good posture when sitting, working, or sleeping can help. Sleeping on your side with a pillow between your knees can reduce stress on your back. When sitting, place a rolled-up towel behind your back for support, rest your feet on a stool, and sit up straight with your shoulders back. A support belt might also be beneficial; consult your physiotherapist for advice.

Physiotherapy

Physiotherapists play a vital role in managing pregnancy-related back pain. After a thorough assessment, they can develop a personalised treatment plan. Treatments may include:

Exercise

Regular exercise strengthens muscles and enhances flexibility, easing stress on the spine. Safe exercises for most pregnant women include walking, swimming, and stationary cycling. Discuss your exercise regime with your physiotherapist to ensure it’s suitable for your stage of pregnancy and to strengthen your back and abdomen.

Maternity Belt

A supportive maternity back brace can be beneficial for some women. Ask your physiotherapist if a maternity belt is suitable for you.

Heat and Cold Therapy

Applying heat and cold to your back can alleviate pain. However, avoid applying heat to your abdomen during pregnancy.

Conclusion

Pregnancy back pain is common but manageable with the right approach. Improving posture, regular exercise, and physiotherapy can significantly reduce discomfort. Always consult with your physiotherapist to tailor treatments to your specific needs.

What to Do?

If you’re experiencing pregnancy back pain, seek professional advice from your physiotherapist. They can provide personalised care to help manage and alleviate your pain effectively.