Back Pain During Pregnancy

The majority of musculoskeletal problems that arise during pregnancy can be prevented and treated with physiotherapy. Individualised physical therapy programs have been found to be more effective than group sessions for the reduction of pain and sick leave caused by back pain in pregnancy. Individualised session’s should include exercise therapy, postural training/advice, and ergonomics recommended once weekly over a 5 week period.

The 2003 joint statement of the Society of Obstetrician and and Gynaecologists (SOGC) and the Canadian Society of Exercise Physiology (CSEP) regarding exercise during pregnancy recommended resistance exercise in addition to aerobic exercise for pregnant women. “Women and their care providers should consider the risks of not participating in exercise activities during pregnancy, including loss of muscular and cardiovascular fitness, excessive maternal weight gain, higher risk of gestational diabetes or pregnancy-induced hypertension, development of varicose veins and deep vein thrombosis, a higher incidence of physical complaints such as dyspnea or low back pain and poor psychological adjustment to the physical changes of pregnancy.” (Wolfe et al 2003).

Back Pain During Pregnancy
Back Pain During Pregnancy

Pregnancy related problems that benefit with physiotherapy & exercises

The most common are musculoskeletal problems like back & pelvic girdle pain (approx. 50% prevalence in pregnancy [Britt et al 2004], thoracic pain and nerve compression syndromes (e.g. carpal tunnel, ulnar nerve neuritis, de Quervain’s tenosynovitis).

Pelvic girdle pain and back pain

According to Artal et al (2008) most of the musculoskeletal problems that pregnant women experience are related to the altered postures. Whilst it may not be possible to stop this process from occuring, it is possible to minimise these maladaptive postures. With posture advice and strengthening of the core muscles, the weakened structural integrity can be somewhat restored. This helps reduce or eliminate many of the common discomforts associated with pregnancy and improve postpartum recovery, particularly those associated with back problems (Artat et al 2008, Hammer et al 2000).

Nerve pathologies

Exercises to mobilise the nerves within nervous system can also be advised for women with nerve compression.

How does the doctor assess whether physiotherapy suits me?

Our doctor who specialise in back pain issues associated with pregnancy can recommend exercises for pregnant and post-partum women after an assessment which generally consists of an analysis of the following:

  • Joint mobility and symmetry
  • Muscle imbalances and strengths
  • Neurological evaluation
  • Evaluation of functional limitations
Physiotherapy treatment techniques in addition to exercise commonly include:
  • Pain management
  • Techniques to aid joint and soft tissue flexibility
  • Recommendations for sleeping and resting postitions
  • Posture correction and ergonomic advice
  • Postpartum rehabilitation

Call +65 64712674 for an appointment today to solve your back pain and enjoy pregnancy!

Back Pain During Pregnancy

Lower Back Pain During Pregnancy

Back Pain During Pregnancy
Back Pain During Pregnancy

Back pain or discomfort is common during pregnancy and should be expected to some degree by most women. Back pain may be experienced during any point of your pregnancy; however, it most commonly occurs later in the pregnancy as the weight of the baby increases. Back pain can disrupt your daily routine or interfere with a good night of sleep. The good news is there are steps you can take to manage the back pain that you experience.

How Common is Back Pain During Pregnancy?

You are not alone if you are experiencing back pain during your pregnancy. The prevalence varies with reports, showing between 50 to 70 percent of all pregnant women having back pain.

What Causes Back Pain During Pregnancy?

Back pain during pregnancy is related to a number of factors. Some women begin to experience lower back pain with the onset of pregnancy.  Women who are most at risk for back pain are those who are overweight or had back pain prior to pregnancy. Here is a list of potential causes of back pain or discomfort during pregnancy:

  • Increase of hormones – hormones released during pregnancy allow ligaments in the pelvic area to soften and the joints to become looser in preparation for the birthing process of your baby; this shift in joints and loosening of ligaments may affect the support your back normally experiences
  • Center of gravity – your center of gravity will gradually move forward as your uterus and baby grow, which causes your posture to change
  • Additional weight – your developing pregnancy and baby create additional weight that your back must support
  • Posture or position – poor posture, excessive standing, and bending over can trigger or escalate the pain you experience in your back
  • Stress – stress usually finds the weak spot in the body, and because of the changes in your pelvic area, you may experience an increase in back pain during stressful periods of your pregnancy

How can you prevent or minimize back pain during pregnancy?

Back pain may not be prevented completely, but there are things that you can do to reduce the severity or frequency. Here are a few steps you can take to help reduce the back pain you are experiencing:

  • Use exercises that we taught you that support and help strengthen the back and abdomen
  • Squat to pick up something versus bending over
  • Avoid high heels and other shoes that do not provide adequate support
  • Avoid sleeping on your back
  • Wear a support belt under your lower abdomen
  • Get plenty of rest. Elevating your feet is also good for your back

How can you treat back pain during pregnancy?

There are a number of things you can do to treat back pain during pregnancy. Some of the steps you take to avoid back pain may also be used to treat current back pain. Here are some other common interventions:

  • Ice or heat
  • Braces or support devices
  • Sleep on your left side and use a support pillow under your knees
  • Medications used to treat inflammation

When to contact your health care provider?

You want to contact us if you are experiencing any of the following:

  • Severe back pain
  • Increasingly severe or abrupt-onset of back pain

Your Next Steps:

  • Begin an approved exercise program to support your back and abdomen
  • Set aside a couple of times a day where you can take a nap or get off your feet
  • Purchase a support belt
  • Purchase a sleep aid pillow