Pregnancy back pain is very common. At least 50 percent of pregnant women and up to 80 percent will experience back pain at some point during their pregnancy. This is completely natural from the added weight of the baby. However, combined with all the other issues that arise during pregnancy ranging from:
This can cause uncomfortable symptoms and take a serious toll on the body. Severe back pain during pregnancy is rare. Weβll look at why you could develop pregnancy back pain, along with steps and proven ways to feel better.
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Pain can occur in any trimester, but it usually arises in the later months as the baby and belly grow. Pain can be mild to severe and usually happens in the lower back. There do not have to be pre-existing back problems.
Pregnancy itself changes the body in ways that can lead to back pain. Example: As the uterus gets heavier, there is an added strain on the back muscles. This can alter proper posture and cause discomfort/pain. Pregnancy changes the center of gravity and accentuates the spineβs curve in the lower back. When the abdominal muscles and core are weak and not strong enough, the changes in the curvature worsen since it is these muscles that stabilize the back.
When pregnant, the body releases a hormone called relaxin that loosens ligaments, which is the tissue that connects the bones inside the pelvis. The ligament loosening can affect back support and be a cause of pain. Other reasons women experience pregnancy back pain include:
There are ways to ease pregnancy back pain without medical intervention. Hereβs how:
When standing up, make sure to stand straight with the shoulders held back. If you must remain standing for a long time, elevate one foot on a box, chair, or stool to relieve the pressure on the spine. Try to avoid standing for long periods. Remember to take regular breaks and get off your feet. Maintain proper posture when sitting, as well.
Both at home and at work offer plenty of support for the back. Also, a small cushion or pillow placed behind the lower back and a stool or footrest for elevating the feet can be highly beneficial.
Of course, do not lift heavy objects; avoidΒ bending at the waist to pick up items off the floor. Instead, squat, bend the knees, and lift with the legs, not the back.
The best time to start an exercise regimen is before conception. Regular physical activity/exercise can help prevent and ease back pain, along with all of the other benefits.
Simple exercises before getting pregnant can improve core strength, which can go a long way. Try getting as close to a healthy weight before getting pregnant. This has the added benefit of reducing pregnancy risks and cesarean delivery.
Once pregnant, mild or moderate exercise can help get a handle on back pain and prep the body for childbirth. Gentle workouts are the way to go. These will strengthen the back, core, and leg muscles. Recommended for pregnant women are:
Ask your provider which exercises and stretches are best for you. Remember, movement is far better than resting too much. Also, working with a physical therapist or chiropractor in back strength will help immensely.
Wear comfortable, spine-supportive shoes. High heels should be removed altogether, and caution with flats, as these can and often lack arch support. Shoe inserts/orthotics can help.
Maternity support belts for back pain relief can also be an added tool. Currently, there is not much scientific proof that they work. But many women swear by them when they were pregnant.
Try sleeping on one side with the knees bent and a pillow between the knees or under the abdomen. Another possibility is using a firmer mattress. This can support the back better than a soft sinking mattress. If a firm mattress is not possible, consider placing a stiff board under the mattress for added firmness.
Take naps, ensuring the proper sleep that the body needs. This is especially true as the later weeks of pregnancy approach. This is easier said than done, but a warm bath can help the body relax before bed.
Some women have found alternative medical approaches like acupuncture and prenatal massage to be quite helpful in easing pregnancy back pain. Before trying it out, talk to your OB/GYN. Once discussed, you can decide if itβs a healthy choice. Make sure the masseuse or alternative practitioner has experience working with pregnant women.
Pregnant back pain is a leading cause of opioid prescriptions. Regarding medication, a critical issue is a potential for opioid abuse. Some over-the-counter meds can help ease back pain.
However, Non-steroidal anti-inflammatory drugs or NSAIDs have been linked to pregnancy complications, and most doctors recommend not using them. Instead, try acetaminophen, which is just as effective and safe during pregnancy. Using hot and cold compresses and pain relief creams/ointments can also help. Pregnant women should always speak with a healthcare provider before starting any medication.
During pregnancy, some back pain is normal. This could signify a more serious condition when there is severe pain, sudden pain, or pain that lasts longer than two weeks. It could indicate preterm labor, a urinary tract infection, or kidney stones.
Call a doctor if you experience any of the following:
Pregnancy back pain usually fades away once the baby is born; these steps can be taken in the meantime to ease any discomfort. Donβt forget to ask your OB/GYN for recommendations.
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The information herein on this entire blog site is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: coach@elpasofunctionalmedicine.com
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Dr. Alex Jimenez DC, MSACP, MSN-FNP, RN* CIFM*, IFMCP*, ATN*, CCST
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