Let’s talk about a common pregnancy complaint – Low Back Pain

Pregnancy related low back pain is defined as pain between the 12th rib and gluteal region. The discomfort may present as a dull ache, sharp pain, stiffness, muscle spasms, or even pain radiating down the leg. Low back pain can often be aggravated by everyday movements such as bending, lifting, climbing stairs, or twisting movements. 

Low back and pelvic pain are the most common musculoskeletal complaints during pregnancy. In fact, 86% of perinatal women are expected to experience lumbopelvic pain during their third trimester of pregnancy.

Why does low back pain occur during pregnancy?

•  Hormonal changes: During pregnancy, your body produces more of the hormone Relaxin. Relaxin loosens the ligaments in the pelvis to prepare the body for childbirth. The ligamentous change can compromise the joints within the low back and pelvis region which results in pain.

• Body weight changes: As the baby grows, so does the load on the spine and joints, which can lead to discomfort.

• Postural changes: The centre of gravity shifts, and your lower back region naturally curves more (lumbar lordosis). This spinal change can place extra strain on your back muscles and joints.

• Core strength changes: During pregnancy the abdominal muscles may stretch and separate, this is called diastasis rectus abdominis. This can reduce core strength, which then increases pressure on the lower back region.

Common Conditions During Pregnancy, but not limited to:

• Sciatica 
• Pelvic girdle pain 
• Lumbar facet joint sprain 
• Sacroiliac joint dysfunction 

How Can An Osteopath Help?

Osteopaths are AHPRA registered allied health professionals who support women, with the potential to alleviate burden through providing women with evidence-based, patient-specific care during pregnancy.We focus on easing symptoms, improving movement, and helping you feel your best. Treatment might include manual therapy to improve range of motion, mobilise joint restriction, and release tight muscles. Osteopaths can assist with rehabilitation exercise programs to support your body in preparation for birth.  At Ascot Vale Osteopathy, our osteopaths use techniques that are safe and suitable for every stage of pregnancy. 

The good news…

There are ways to manage pregnancy related low back pain. 

• Keep Moving – Gently! Staying active is key, we encourage safe light physical activity daily. Not sure what is safe? Ask us for tailored advice.
• Exercise Rehabilitation
  • Prepares the body for childbirth
  • Helps maintain pelvic floor strength before and after birth
• Support your body: A supportive chair, a pillow between your knees when you sleep can make a big difference. Small tweaks = greater comfort.
• Hand-on Osteopathic Care: Osteopathic treatment can help relieve tension, improve mobility and overall function. Our osteopaths use gentle techniques suitable for all stages of pregnancy – tailored to you.
• Listen to your body: If something doesn’t feel right, reach out for help. Your comfort and safety are our priority.

Remember, you don’t have to put up with pain – help is available. If you have questions or want personalised advice, our team is here to support you every step of the way.

References: 

Franke, H., Franke, J.-D., Belz, S., & Fryer, G. (2017). Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies, 21(4), 752–762. https://doi.org/10.1016/j.jbmt.2017.05.014

Eroglu, S., & Karatas,`G. (2021). The effect of low back pain on quality of life and anxiety levels in pregnant women. Akdeniz Medical Journal, 7(2), 212–219. https://doi.org/10.53394/akd.964025

Gutke, A., Boissonnault, J., Brook, G., & Stuge, B. (2018). The severity and impact of pelvic girdle pain and low-back pain in pregnancy: A multinational study. Journal of Women’s Health, 27(4), 510–517. https://doi.org/10.1089/jwh.2017.6342

Mota, M. J., Cardoso, M., Carvalho, A., Marques, A., Sá-Couto, P., & Demain, S. (2015). Women’s experiences of low back pain during pregnancy. Journal of Back and Musculoskeletal Rehabilitation, 28(2), 351– 357.  https://doi.org/10.3233/bmr-140