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Back Pain During Pregnancy How do I manage?. By: Joyce Flores, MPT Cathy Villanueva, MPT. I’m pregnant…. “My back hurts.” “bloated” “constipated” “I have no energy at all & I’m exhausted all the time.” “I can’t fall asleep at night.”.

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back pain during pregnancy how do i manage
Back Pain During Pregnancy How do I manage?

By: Joyce Flores, MPT

Cathy Villanueva, MPT

how am i feeling
“My back hurts.”

“bloated”

“constipated”

“I have no energy at all & I’m exhausted all the time.”

“I can’t fall asleep at night.”

“gaining weight like crazy”

“I’m feeling extremely moody.”

How am I feeling?
back pain during pregnancy
About 50% of women experience some kind of lumbopelvic (low back & pelvic girdle pain) during pregnancy.

“Many of the physiologic and morphologic changes of pregnancy persist 4-6 weeks postpartum.” (ACOG, 2002)

Most of the pain disappears within 1-3 months after delivery. (Stuge at al., 2004)

Back Pain During Pregnancy
why do i have back pain
More mobility in pelvic joints

Ligaments soften, joints loosen to prepare for birth

Hormone relaxin

Possible low back pain esp. with walking & stairs

Center of gravity changes

Uterus is heavier & larger

Center of gravity shifts forward

Naturally you adjust posture & movement to compensate

Compensations puts new strain on low back & hips

Why do I have back pain?
why do i have back pain6
Poor posture

Increased lordosis

Poor muscle tone

Tight hip flexors from sitting too long

Abdominal muscles may separate

Diastasis recti

Why do I have back pain?
what can i do
Practice correct posture

Shift weight when standing long periods

Sit with feet slightly elevated

Lift correctly

Don’t make sudden reaching movements

Sidelying while sleeping/ resting

Exercise

pelvic stabilization, back stretches, abdominal strengthening

What can I do?
benefits of exercise
Helps reduce backaches, constipation, bloating & swelling

 energy

Improves mood

Improves posture

Improves circulation

Promotes muscle tone, strength, endurance, stamina

↑ likelihood of having an easier, shorter & less complicated labor

Benefits of Exercise
benefits of exercise9
Benefits of Exercise
  • Helps you sleep better
  • Burns calories; maintains healthy & steady weight gain
  • Reduces risk of gestational diabetes
  • Helps control  blood pressure
  • Accelerates postpartum weight loss & recovery time
  • Establishes permanent healthy lifestyle habits
low back pain and pregnancy class
Low back pain and Pregnancy Class

Class will be offered every third Friday of the month (1000) & will encompass these topics:

  • Incidence of back pain during pregnancy
  • Why do I have back pain?
  • Posture & body mechanics
  • Exercise-Why it’s different during pregnancy?
  • Benefits of exercise
  • Contraindications/ reasons to discontinue exercise
  • ACOG recommendations/ general exercise guidelines
  • Exercise: safe choices, monitoring frequency/ intensity
  • Strengthening the pelvic floor- Kegel’s
  • Gentle abdominal strengthening, back stretches
  • Core strengthening
  • Please have your OB physician enter a CHCS consult to attend this class.