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Back Pain During Pregnancy How do I manage? - PowerPoint PPT Presentation
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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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Presentation Transcript
“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?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 PregnancyMore 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?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?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?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 ExerciseBenefits 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
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.
