Management of Back Pain in Pregnancy

Fig. 1: Proper posture.
(larger view)

Fig. 2: Sleep on your left side.
(larger view)

Conservative treatment for back pain during pregnancy

Conservative management of back pain in pregnancy generally includes performance of appropriate exercise and use of proper body mechanics. These efforts promote and support proper posture, which is essential to avoiding unnecessary stress to supporting structures.

Often just one or two visits to a physical therapist experienced in pre/post partum treatment can be very helpful to help minimize or alleviate unwanted back pain during pregnancy. If more extensive treatment is required, a physical therapist should perform an individual evaluation and recommend a treatment program for you.

The main goal of treatment is for you to maintain an optimal level of function throughout your pregnancy and to have the least amount of discomfort.

Treatments to relieve back pain during pregnancy

Typical treatments from your healthcare professional may include:

1. Instruction in proper posture while pregnant (see Figure 1)
2. Instruction in specific body mechanics for routine activities, such as housework, job, sleeping (See Figure 2)
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3. Instruction in a home exercise program appropriate for your stage of pregnancy
4. Self help techniques for pain management and mobilization during pregnancy
5. Hands-on treatment (such as soft tissue work, gentle mobilization and stabilization exercises) as determined by evaluation by a health care professional

Remember, while back pain is fairly common during pregnancy, it should definitely not be accepted as just part of the process. To help make your pregnancy as pleasant as possible and facilitate an easier delivery, back pain should always be addressed as quickly as possible and managed throughout your pregnancy.

• Article written By:
• Linda Sawyer, PT
• Stephen Montgomery, MD

January 10, 2000

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