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As if there are not enough growing pains during pregnancy, we have to add back pain to the list. It is the most common musculo-skeletal problem during pregnancy causing mothers-to-be pain in the low back (low back pain – LBP), pelvis (pelvic girdle pain – PGP) or both. In order to decrease the risk of experiencing pregnancy-related low back pain, the optimal classification for your BMI is ‘Normal Weight’. The last postural change that occurs is one that maintains the mommy-to-be’s balance after the shift in their center of gravity. There are also a few hormonal culprits that contribute to back pain in pregnancy.  The most notable is relaxin. Similar to the mechanical changes that occur during pregnancy, these hormonal changes also lead to pain and dysfunction.
Despite the high incidence of pregnancy-related back pain, only about 50% of women actually seek care from their health care provider. Conservative treatments such as Chiropractic care, Acupuncture and Massage to help reduce pain and increase function. Postural and abdominal strengthening exercises to strengthen the abdominal, back and pelvic musculature.
Stabilization belts to provide stability and decrease laxity in the pelvis by pressing together the joint surfaces. If you are experiencing back pain during your pregnancy, please talk to your Chiropractor or healthcare provider to discuss treatment options and exercises that are appropriate for you. Pingback: To Crack or Not to Crack, That is the Question: Is Chiropractic Care Safe in Pregnancy?

Back pain is a common complaint of mothers-to-be with 50-80% of women reporting back pain during pregnancy and 50-75% during labour. The discomfort most commonly starts between the fifth and seventh month of pregnancy, however, some women can experience the pain as early as 16 weeks and for the odd few within the first month. This weight gain contributes to postural changes because as the baby grows, so does mommy’s tummy. In order to compensate, pregnant women rotate their legs outwardly (externally rotate) and ‘waddle’ to give them a wider base of support and overall more stability. Relaxin is a hormone that is produced in increased quantities by the ovaries during pregnancy. This is largely due to the lack of available safe tests during pregnancy.  Imaging studies such as x-rays are too harmful to the fetus and are therefore avoided, leaving a detailed history and thorough examination.
This is because most women assume that back pain is a “normal” part of pregnancy and they just grin and bear it. Mothers-to-be who engage in moderate strengthening exercise benefit in a multitude of ways including: improved abdominal strength, less weight gain, shorter and easier labors, fewer medical interventions, less fetal distress, faster recovery, more energy, fewer mood swings, more restful sleep, and more effective stress management. Most times the cause of back pain is multifactorial including a combination of mechanical and hormonal factors. To make room for the baby, mom’s abdominal muscles need to stretch, and in doing so, lose their ability to maintain proper posture. In doing so, the piriformis muscle (located in the buttock region, attaching to the sacrum and greater trochanter) remains in a contracted state and contributes to the pelvic pain experienced during pregnancy.
This hormone is responsible for relaxing the joints in the pelvis by increasing ligament laxity so the baby has room to pass through the birth canal.

Physical examination can help distinguish pain coming from the low back versus the pelvis via several tests and maneuvers and examining the musculature. Consultation with a Chiropractor or other primary care provider is recommended for anyone suffering from a health problem.
They also have a greater chance of experiencing back pain during a subsequent pregnancy and have more severe, long lasting pain. Women with an inactive lifestyle have an increased risk of developing back pain during pregnancy, as do those with a mostly active or physically demanding lifestyle. To compensate, the lower back musculature is stressed to support the increased weight of the torso leading to low back pain.
But, by increasing the movement in the pelvis, it makes the joints less stable and increases the forces going through them contributing to the pelvic pain experienced during pregnancy. Your chiropractor is trained to perform this examination and diagnose your pregnancy- related back pain. Therefore, moderation wins with moderate activity being the safest bet for battling the growing pains during pregnancy.

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