Dealing with back pain

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Published 22 May 2025 | Written by Dr. Ryan Mitchell

Pregnancy is a beautiful journey, but it also brings physical changes that can cause discomfort one of the most common being back pain. As your baby grows, your body adapts in miraculous ways, but these changes can also lead to strain on your back, especially in the second and third trimesters. In this blog, we’ll explore why back pain happens during pregnancy and share self-care tips to help you feel more comfortable and supported.


Why Does Back Pain Occur During Pregnancy?

Back pain during pregnancy is usually caused by a combination of factors, including:

  • Weight gain: Extra weight puts pressure on your spine and lower back.

  • Postural changes: Your center of gravity shifts as your belly grows, which can change your posture.

  • Hormonal changes: The hormone relaxin loosens joints and ligaments to prepare for birth, but it also reduces joint support in the spine.

  • Muscle separation: The growing uterus may cause the abdominal muscles to separate, which can reduce core support.

  • Stress: Emotional stress can cause tension in the back muscles, leading to pain.


Self-Care Tips to Relieve Back Pain

1. Practice Good Posture

Stand tall and avoid slouching. Try to:

  • Keep your shoulders back and relaxed.

  • Use a footrest when sitting to elevate your legs.

  • Avoid locking your knees when standing.

2. Use Supportive Gear

  • Wear low-heeled, supportive shoes.

  • Consider a maternity support belt to take pressure off your lower back.

  • Use a firm mattress or place a board underneath your mattress for better support.

3. Apply Heat or Cold

  • Use a warm compress or heating pad (not too hot!) on your lower back.

  • A cold pack wrapped in a towel can help reduce inflammation.

4. Exercise Safely

Gentle physical activity can strengthen your back and abdominal muscles:

  • Prenatal yoga and pelvic tilts can improve flexibility and posture.

  • Swimming is great because it supports your weight and relieves joint pressure.

  • Always consult your doctor before starting any new exercise routine.

5. Sleep Smart

  • Sleep on your side, especially the left side, with a pillow between your knees.

  • A pregnancy body pillow or extra cushions can support your belly and back.

  • Avoid sleeping on your back after the first trimester.

6. Massage Therapy

A prenatal massage from a trained therapist can help relax tense muscles and improve circulation.

7. Chiropractic Care

Some women find relief with chiropractic adjustments from professionals experienced in prenatal care. Again, always check with your doctor before scheduling.


When to Call Your Doctor

While back pain is normal in pregnancy, severe or sudden pain should never be ignored. Contact your healthcare provider if:

  • The pain is persistent and not relieved by rest or self-care.

  • You experience numbness or tingling.

  • There’s pain that radiates down one or both legs (sciatica).

  • You have cramping, bleeding, or fever along with the back pain.


Embrace Your Body With Compassion

Your body is doing incredible work growing new life. Instead of fighting discomfort, try to listen to your body and give it the care it needs. Acknowledge your strength and practice self-love every step of the way.

Remember: back pain is common, but it doesn’t have to control your pregnancy experience. With the right posture, support, and self-care, you can feel more at ease and enjoy the beauty of this phase.