Pain in the pelvic region or lower back is common during pregnancy. This pain is related to woman being pregnant and can have a variety of symptoms.
- Pain maybe felt at the back of the pelvis near your buttocks or at the front near your pubic bone.
- It can be sharp and at times stabbing pain which can extend down into the hips and legs.
- It can be aggravated by activities such as turning over in bed, walking, stairs, dressing and getting in and out of the car.
- Pain often eases with rest.
- It can begin as early as the first trimester but more typically towards the 2nd and 3rd
There a few reasons for the pain these include:
- The pelvic area is an area under constant change during pregnancy.
- Hormonal changes soften the soft tissues which can increase the mobility in the pelvis.
- The growing baby, placenta and additional fluid increase the load on the pelvis with reduced support from the abdominal and pelvic floor muscles being stretched
- Changes in your alignment can also create non optimal; loading of the pelvis
There are many things that can be done to reduce or eliminate the pain.You often will need to change some of your movement habits and take ownership of the problem by seeking professional advice and completing some exercises. This is not a dangerous condition for you or your baby and most likely you will make a good recovery by implementing good management strategies. The checklist below is a guide for you to follow:
- Maintain correct alignment in standing, sitting and walking
- Always stand on 2 feet
- Use your core muscles with transfers and when you feel your symptoms
- Remain active but combine this with restful periods
- Use pillows between your legs when sleeping
- Avoid heavy lifting
- Watch how you carry objects such as groceries, children
- Commence a pregnancy exercise class to regain strengthen and mobility and to prepare you for your labour.
A Physiotherapist with a special interest in pregnancy can assess you and help determine what the problem is and guide you through the childbearing year.