Back Pain during Pregnancy
By Dr. Hayley McPherson
Shanghai East International Medical Center
Many women report back pain or discomfort during pregnancy. Back pain is more common later in the pregnancy as your posture changes rapidly to adapt to the increasing size and weight of the baby. Fortunately, there are steps you can take to prevent or reduce your pain or discomfort.
How common is back pain during pregnancy?
Recent evidence suggests that approximately 50%-70% of pregnant women experience back pain and discomfort and many of these do not seek relief measures to manage their condition.
What are the causes of pain during pregnancy?
Postural Changes – Pregnancy causes a shift in your center of gravity which places stress on the spine.
Hormonal Changes – Pregnant women produce a hormone called Relaxin which softens the joints in your pelvis to aid in the birthing process. This softening can make your joints more prone to strain and injury.
Weight Gain – The weight of your baby places additional strain on the joints and muscles of your back.
What increases the risk of back pain during pregnancy?
- A previous history of back pain
- A large lumbar lordosis or ‘sway back’
- Strenuous jobs
- Having had more than one pregnancy
- Smoking
- Short stature
How can you prevent or reduce back pain during pregnancy?
- Exercises – To strengthen the back and pelvic and abdominal muscles. These should be approved by your physician.
- Therapy – Seek the care of a licensed healthcare professional that has experience treating pregnant women.
- Bend carefully –Remember to squat with a straight back rather than bending at the hips
- Supportive Shoes – Avoid high heels during pregnancy
- Supportive Belts – these can be recommended if necessary by your healthcare provider
- Change Position – Don’t sit or stand in the same position for too long.
- Rest – Your body needs more time to recover from the demands of everyday life during pregnancy.
What can an osteopath do for your pain?
- An osteopath can assist your body to adapt to the rapid changes occurring in order to prevent and minimize pain and discomfort.
- Prepare a safe home exercise program tailored to your needs
- Massage and muscle stretching for tight muscles
- Gentle but effective joint stretching and mobilization for stiff areas.
- Rebalance your posture
- Advise you on self help measures such as ice, heat, supportive belts and correct bending/lifting techniques
Remember to take back pain seriously
Back pain during pregnancy is very common but it shouldn’t be ignored. Dull low back pain can be a sign of preterm labor particularly if it worsens or is accompanied by bleeding. If you are concerned about your back pain contact your health care provider.