Lower back pain in women is ubiquitous, particularly during pregnancy. Pregnancy back pain occurs where the pelvis meets your spine, in the joints of the lumbar spine or at the joint between the two halves of the pelvic rim.
Many pregnant women start experiencing lower back pain around the second half of pregnancy. It is triggered due to several factors.
Hormonal Changes: During pregnancy, your body makes Relaxin – a hormone that relaxes ligaments in the pelvic area and loosens the joints preparing the woman for the birth process.
It also loosens the ligaments that support the spine, resulting in instability and pain. This particularly happens if there was already some weakness in muscles supporting this region prior to pregnancy.
Muscle Separation: As the uterus expands, two parallel sheets of muscles, which run from the rib cage to the pubic bone, may separate along the centre seam. This parting worsens lower back pain.
Weight Gain: Women typically gain weight during pregnancy. The weight of the mother and the growing fetus puts stress on the blood vessels and nerves in the pelvis and lower back.
Posture Changes: Pregnancy shifts the centre of gravity in women leading to a gradual shift in their posture and the way they move, resulting in lower back pain.
Stress: Emotional stress can cause muscle tension in the back, ensuring back pain or back spasms. A pregnant woman may experience an escalation in back pain during stressful periods of her pregnancy.
Physiotherapy can help address lower back pain in pregnancy
Meanwhile, there are many things you can do to treat lower back pain, home physiotherapy turns out to be an effective way of minimising musculoskeletal back pain and dysfunction during pregnancy.
The home physiotherapist will devise a personalized program depending on your needs and the stage of your pregnancy. A home physiotherapy for lower back pain in pregnancy generally includes:
- Assessing and addressing the cause of back pain
- Joint and soft tissue mobilisation
- Performance of appropriate & specific exercise, and
- Education on use of proper body mechanics.
These efforts promote proper posture in pregnant women, which is essential in avoiding unnecessary stress to supporting structures. Slouching strains the spine.
A home physiotherapist will assess your home environment and suggest tips for proper posture when working, sitting, or sleeping etc.
After a thorough examination and evaluation, the home physiotherapist will design an exercise program that will safely restore strength to the core muscles; as well as safely guide the pregnant woman in both weight bearing and non-weight bearing exercise for a healthy pregnancy and birth.
Certain exercises like pelvic floor exercises when performed under the guidance of physiotherapists can decrease the strain on the pelvic girdle; as well as minimise the problem of incontinence both during pregnancy and post-partum.
A home physiotherapist will recommend and also safely assist you with regular exercises like walking, swimming and stationary cycling.
Measures adopted to ease pregnancy induced lower back pain
Your home physiotherapist may recommend you accessories like a sacral belt to strengthen your muscles around your lower back and increase the functionality.
This enables the pregnant woman to perform her physiotherapy regime with much confidence and safety. If need be, physiotherapy treatment may also include:
Whatever be the cause, lower back pain during pregnancy should not be ignored. Opting for personalised, supervised home physiotherapy can work wonders in alleviating lower back pain and promoting healthy pelvic muscles during pregnancy.
To avail expert physiotherapy services in the comfort of your home, contact us at 1800-102-4224.
Also, get a FREE telephonic consultation at our Physiotherapy Helpline 0120-6783277, from our expert team of physiotherapists.
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