Back ache during early pregnancy

Back pain in pregnancy - NHS

It is very common to get backache or back pain during pregnancy, especially in the early stages.

During pregnancy, the ligaments in your body naturally become softer and stretch to prepare you for labour. This can put a strain on the joints of your lower back and pelvis, which can cause back pain.

Avoiding and easing back pain in pregnancy

Try these tips:

bend your knees and keep your back straight when you lift or pick something up from the floor
avoid lifting heavy objects
move your feet when you turn to avoid twisting your spine
wear flat shoes to evenly distribute your weight
try to balance the weight between 2 bags when carrying shopping
keep your back straight and well supported when sitting – look for maternity support pillows
get enough rest, particularly later in pregnancy
have a massage or a warm bath
use a mattress that supports you properly – you can put a piece of hardboard under a soft mattress to make it firmer, if necessary
go to a group or individual back care class

You can take paracetamol to ease back pain while you are pregnant, unless your GP or midwife says not to. Always follow the instructions on the packet.

When to get help for back pain in pregnancy

If your backache is very painful, talk to your GP or midwife. They may be able to refer you to an obstetric physiotherapist at your hospital, who can give you advice and may suggest some helpful exercises.

Non-urgent advice: Contact your GP or midwife urgently if:

You have back pain and you:

are in your second or third trimester – this could be a sign of early labour
also have a fever, bleeding from your vagina or pain when you pee
have pain in one or more of your sides (under your ribs)

Immediate action required: Call 999 or go to A&E if:

You have back pain and:

you lose feeling in one or both of your legs, your bum, or your genitals

Exercises to ease back pain in pregnancy

This gentle exercise helps to strengthen stomach (abdominal) muscles, which can ease back pain in pregnancy:

Credit:

Agencja FREE / Alamy Stock Photo https://www. alamy.com/stock-photo-pregnant-woman-doing-exercises-32344372.html?pv=1&stamp=2&imageid=FC98903A-AC65-4C38-BF96-00BB1F4352CB&p=29056&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dBTHBG4%26qt_raw%3dBTHBG4%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d387440%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d

1) Start on all fours with knees under hips, hands under shoulders, fingers facing forwards and stomach muscles lifted to keep your back straight.

Credit:

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2) Pull in your stomach muscles and raise your back up towards the ceiling, letting your head and bum relax downwards gently – do not let your elbows lock and only move your back as far as you comfortably can.

Credit:

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3) Hold for a few seconds then slowly return to the box position – take care not to hollow your back, it should always return to a straight, neutral position.

4) Do this slowly and rhythmically 10 times, making your muscles work hard and moving your back carefully.

Doing prenatal yoga or aquanatal classes (gentle exercise classes in water) with a qualified instructor can also help build your muscles to better support your back. Ask at your local leisure centre.

Page last reviewed: 15 March 2021
Next review due: 15 March 2024

First Trimester Pregnancy Back Pain: Causes, Treatments and More

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Medically reviewed by Kimberly Dishman, MSN, WHNP-BC, RNC-OB — By Jessica Timmons on October 27, 2016

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Early pregnancy

There are many contributors to the back pain you experience during pregnancy. For some women, it’s actually an early sign of pregnancy. If you’re experiencing back pain in the first trimester, there may be a few culprits.

Hormone increase

During your pregnancy, your body releases hormones that help ligaments and joints in your pelvis to soften and loosen. This is important for the delivery of your baby, later in your pregnancy. But the hormones don’t just work in your pelvis. They move throughout your entire body, affecting all of your joints. In the first trimester of your pregnancy, this softening and loosening can directly impact your back. You’ll often feel this in the form of aches and pains.

Stress

Stress can be a contributor to back pain, whether or not you’re pregnant. Stress increases muscle pain and tightness, particularly in areas of weakness. If hormones are already wreaking havoc on your joints and ligaments, a little bit of anxiety about work, family, your pregnancy, or anything at all can go a long way to making your back hurt.

Second and third trimester

As your pregnancy progresses, other factors can come into play to aggravate that sore back.

Shifting center of gravity

As your belly gets bigger, your center of gravity creeps forward. This can lead to changes in your posture that can affect how you sit, stand, move, and sleep. Bad posture, standing for too long, and bending over, can trigger or worsen back pain.

Weight gain

Your back must also support the growing weight of your baby, which can strain the muscles. Add poor posture to the mix, and back pain is essentially inevitable.

Women who are overweight or have had back pain before becoming pregnant are at a greater risk of back pain during their pregnancies.

Treatment for early back pain during pregnancy

No matter what stage of your pregnancy you’re in, there are ways to treat back pain. You probably won’t be able to prevent it completely, but you can help to minimize the pain.

Follow these tips for reducing back pain throughout your pregnancy.

Focus on maintaining good posture when you’re seated or standing. Stand straight, with your chest high, and your shoulders back and relaxed.
Try to avoid standing for long periods of time. If you’re on your feet a lot, try resting one foot on an elevated surface.
If you need to pick something up, remember to squat instead of bending at the waist.
Avoid lifting heavy things.
Wear sensible shoes that offer support.
Try sleeping on your side, not your back, with pillows tucked beneath your belly and between your knees for gentle support.
Practice pregnancy-safe exercises designed to strengthen and support your abdomen and back.
As your abdomen grows, consider wearing a supportive garment or belt to help take some of the pressure off your back.
Research local chiropractors who specialize in pregnancy-related care and learn more about how an adjustment can help relieve back pain.
When seated, try to elevate your feet and make sure your chair offers good back support. Use a lumbar pillow for additional low back support.
Try to get plenty of rest.

If your back pain seems to be linked to your stress levels, things like meditation, prenatal yoga, and extra rest can all be helpful ways to manage your stress levels.

You can use ice packs to provide relief to back pain, and prenatal massages can be wonderfully relaxing and soothing, as well. If your back pain is excessive, speak to your doctor about medications to treat inflammation. You shouldn’t take any medication without approval from your doctor first.

When to contact your doctor

Back pain is typically a normal part of pregnancy. But in some cases, it can be a sign of serious problems, like preterm labor or a urinary tract infection.

Back pain that’s accompanied by fever, burning during urination, or vaginal bleeding shouldn’t be ignored. If you experience these symptoms, contact your doctor right away.

Next steps

Back pain is a normal, if uncomfortable, part of pregnancy for most women. In the first trimester, back pain is commonly linked to an increase in hormones and stress. You may be at a greater risk of back pain during your pregnancy if it’s something you’ve experienced before becoming pregnant, or if you’re overweight.

You can minimize back pain by avoiding excessive standing, wearing supportive shoes, and focusing on good posture. While you likely won’t be able to remedy back pain completely, you don’t have to suffer. Use ice packs for relief, and spring for a prenatal massage, if possible. Chiropractic care may also be effective at minimizing back pain during all stages of your pregnancy.

Q:

Are prenatal massages and chiropractic care safe during the first trimester of pregnancy?

Anonymous patient

A:

Chiropractic care and message therapy are usually OK during the first trimester of pregnancy. That being said, you should look for a chiropractor and a massage therapist who have been specially trained for caring for pregnant women. Some will specialize in prenatal and some in postnatal care. There are a few certifications, so do a little research to learn about the type certification that your practitioner holds or which type of certification you want your practitioner to hold when they care for you. A chiropractor will also offer exercises and stretches that are safe to use during pregnancy.

Debra Sullivan, PhD, MSN, RN, CNE, COIAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Last medically reviewed on October 27, 2016

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Back pain during pregnancy. (2015, July)
americanpregnancy.org/pregnancy-health/back-pain-during-pregnancy/
Mayo Clinic Staff. (2016, April 5). Back pain during pregnancy: 7 tips for relief
mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/pregnancy/art-20046080

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Medically reviewed by Kimberly Dishman, MSN, WHNP-BC, RNC-OB — By Jessica Timmons on October 27, 2016

causes of pain in the early stages and in the second trimester

From the moment of conception, the woman's body is rebuilt. The composition of the produced hormones changes, nutrients are distributed between the mother and the fetus. At an early stage, these changes are invisible to others. But the woman notices that menstruation did not begin at the appointed time. Taste preferences change, nausea appears in the morning, fatigue, drowsiness, irritability or unusual peace. If you notice signs of pregnancy, you need to see a doctor. A few days after the delay in menstruation, pregnancy can be confirmed by laboratory tests. The doctor will give advice on how to prevent the development of pathologies and bear a healthy child.

At the first appointment, the doctor will warn you about early symptoms that indicate a threat of miscarriage:

spotting appeared, as during menstruation;

the temperature has risen;

frequent vomiting - more than three times a day.

Lower back pain may occur during the first trimester of pregnancy. It is often encountered by women in the later stages. It arises due to increased weight and a shift in the center of gravity. But in the first trimester, the weight and size of the abdomen change slightly. You need to analyze your condition and understand if there is a danger.

Causes that do not cause concern

Pulling the lower back during pregnancy can be due to various processes occurring in the body. Some of them create inconvenience, but do not pose a threat.

Attachment of the ovum to the uterus

Attachment of the ovum to the wall of the uterus occurs 5-7 days after fertilization, even before the woman notices a delay in menstruation and thinks about a possible pregnancy. The process may be accompanied by an increase in vaginal discharge. They are not white, but pink. Women often believe that menstruation begins. Due to the production of various hormones, a few days can pull the lower back. These sensations are caused by natural, not pathological changes in the body. They are harmless, do not require treatment and disappear after 5-6 days.

Changes in the circulatory system

After the attachment of the fetal egg in the uterus, the fetus begins to grow. He needs more nutrients and oxygen every day. To deliver them, the circulatory system begins to work differently, directing more blood to the uterus. Vessels from the pelvic area overflow, increase in volume and come into contact with the nerve endings in the lumbar region. There is a pulling pain. It is felt at 5-7 weeks of pregnancy. If the pain symptoms are not very pronounced, you can not worry. The body will rebuild, and the pain will pass without treatment.

Softening of the joints, ligaments

During childbirth, the joints and ligaments in the spine and pelvis should be well stretched. The body prepares in advance for the upcoming work. He already at an early stage begins to produce the hormone relaxin, which softens the joints and ligaments. Due to a change in their density, it can pull the lower back.

Uterine growth

At 9-10 weeks of pregnancy, the volume of the uterus already noticeably increases. The woman feels that the lower abdomen has become more firm and convex. The growing uterus begins to come into contact with other organs. With increased sensitivity, its pressure can be felt at an early stage. But more often women experience discomfort, mild pressing back pain in the second trimester.

Braxton-Higgs contractions

At the end of the first and beginning of the second trimester, spontaneous uterine contractions may occur, resembling labor pains, but less intense. Drawing cramping pain is given in the lower back. They can periodically disturb 2-3 weeks. If there are no other dangerous symptoms, medication, restriction of motor activity is not required.

Drawing back pain in pregnant women often occurs from natural causes. They do not pose a threat to the health of the expectant mother and the development of the fetus, do not require treatment. But it is necessary to tell the doctor about them in the antenatal clinic. He correlates them with other symptoms and will not miss the signs of an incipient miscarriage, other pathologies.

Dangerous conditions

Drawing pain in the lower back is often one of the signs of dangerous conditions:

missed pregnancy, threatened miscarriage;
diseases of the genitourinary system;
osteochondrosis;
symphysite;
colds.

Missed pregnancy, threatened miscarriage

In case of missed pregnancy, threatened miscarriage, lower back pain is accompanied by bloody discharge from the vagina, cramping or constant aching pain in the lower abdomen. This is a dangerous condition. You need to immediately go to the hospital or call an ambulance. Do not refuse if the doctor suggests treatment in a hospital. To stop an incipient miscarriage, you need to administer drugs intravenously, limit physical activity, and constantly monitor the condition of the woman and fetus.

In case of miscarriage, examinations should be carried out to make sure that there are no particles of the fetus left in the uterus. This can cause a life-threatening inflammatory process or further infertility. Requires the introduction of drugs that enhance uterine contraction, relieve inflammation, or surgical intervention.

Diseases of the genitourinary system

Immunity in pregnant women is weakened. Hypothermia, malnutrition, increased stress can cause kidney disease. If the lower back is pulled during pregnancy on one side, on the right or on the left, check the functioning of the genitourinary system. Additional symptoms indicate problems with the kidneys: legs and arms swell, pressure and temperature rise, and pain occurs when urinating. Women with chronic kidney disease should be especially careful. They can worsen when the load on the diseased organ increases - in the second or third trimester, with a cold or eating salty, spicy, smoked, fatty foods. You cannot self-medicate. Taking the usual antibacterial drugs (Canephron, Levofloxacin, Furadonin) is undesirable for pregnant women. You need to see a nephrologist. He will prescribe a safe treatment.

Osteochondrosis

Starting from 7-8 weeks, the hormone relaxin begins to be produced, softening the joints and ligaments. If before conception a woman suffered from osteochondrosis, scoliosis, kyphosis, an exacerbation of diseases is possible even in the first or second trimester. An additional risk factor is rapid weight gain.

In women who have not previously suffered from osteochondrosis, it can develop in the later stages, when the spine is under a lot of stress due to a significant increase in body weight, a shift in the center of gravity, uterine pressure and softening of the joints and ligaments. The pain is pulling, exhausting, aggravated after a long stay in one position. With dystrophic tissue lesions, it can be felt on one side, left or right. Spinal problems can complicate childbirth. If you do not start treatment in a timely manner, do not engage in prevention, they will continue to progress after childbirth.

Symphysitis

If the production of the hormone relaxin is strongly activated, premature softening of the joints occurs, which can cause the pubic bones to diverge. This increases the risk of preterm birth. With the divergence of the pubic bones, the pain is shooting, sharp. She gives to the lower abdomen and lower back. There are swelling in the pubic area. To diagnose symphysitis, the doctor examines blood and urine tests, conducts an additional ultrasound examination, observes the dynamics of the development of the disease and decides on the possibility of natural childbirth or the need for a planned caesarean section. In the later stages, motor activity may be limited, strict bed rest is recommended.

Colds

Pregnancy increases the risk of complications from colds. Especially dangerous is the early period when the organs of the fetus are formed. A significant increase in temperature, infection, uncontrolled use of antibiotics can provoke serious pathologies.

It is necessary to consult a doctor and start treatment at the first symptoms of a cold. Lower back pain and body aches can occur when the temperature rises. It passes if it is knocked down using traditional medicine recommended by a doctor. But if it hurts in the lower back on the right or left, the temperature rises to 39degrees, there was a strong cough, shortness of breath - pneumonia is possible. You need to call a doctor at home or an ambulance.

Prevention and treatment

If you have pain in your lower back during pregnancy, do not take painkillers. If the pain is severe, but examinations have not shown dangerous pathologies, consult a doctor. After studying the causes and symptoms of pain, he will choose safe ways to alleviate the condition.

In the first trimester, you need to be especially careful. A woman may still not know about pregnancy, but pain is already appearing. With a delay in menstruation, even for 2-3 days, you need to coordinate drug treatment with your doctor.

The second trimester is the time when a woman intensively gains weight and the load on the musculoskeletal system increases, pressure on the internal organs. The doctor will advise you to wear a bandage for pregnant women and other non-drug ways to relieve and prevent pain.

The third trimester - the body prepares for childbirth, the joints soften, the bones in the pelvic area diverge. If it pulls the lower back, the lower abdomen hurts, you need to lie down. If the pain intensifies, becomes cramping, childbirth may begin. If the period is less than 38 weeks, call the doctor who manages the pregnancy and describe the symptoms.

Prevention of pain in the lower back

To reduce the risk of lower back pain, the development of diseases of the musculoskeletal system:

do not lift heavy loads, in the early term, power loads can provoke a miscarriage, in the late term - premature birth;
do not wear tight shoes, shoes and boots with high heels, they create an additional load on the spine;
watch your weight, no need to eat "for two";
Eat more foods containing calcium, a mineral-vitamin complex recommended by your doctor;
consult a doctor and start herbal medicine at the first sign of a cold, avoiding a significant increase in temperature;
do not slouch, keep your back straight so that the load is distributed evenly;
do not overwork, do not work for a long time in one position.

Keep fit. The muscular frame will reduce the load on the spine. Regular, but not too intense exercise, walks in the fresh air will strengthen the immune system, help control weight. Useful swimming in the pool or ponds with clean running water. Learn and regularly do a set of exercises for pregnant women.

Symptoms and treatment of back pain in early pregnancy in St. Petersburg

Make an appointment

In the early stages of pregnancy, women usually suffer from very painful sensations in the lumbar region. Practice shows that this pain may disappear after the twentieth week of the term. This is due to the fact that back pain in early pregnancy is associated with softening of the supporting ligaments and discs and due to an increase in progesterone, a hormone. If during pregnancy a young mother falls ill with any infectious disease of the bladder, then this can also cause pain in the back and lower back. Constant discomfort and back pain in pregnant women most often occurs due to a shift in the center of gravity of the abdomen, where the baby develops and grows.

The best way to relieve yourself of back pain during pregnancy is to do special physical exercises. The earlier you start classes and training, the faster you will achieve a positive result and eliminate pain. Moreover, thanks to physical education, you will keep your body in constant tone, which will ensure that it is ready for attempts during childbirth and facilitate them. Be sure to pay attention to your posture. If the doctor has determined that your posture has become the source of lower back pain, then carefully monitor it. How do you sit and walk during pregnancy. Thanks to the advice of a specialist and your observations, it will be much easier for you to cope with pain and minimize discomfort from it. Do not neglect such seemingly insignificant moments. It is posture that plays a huge role in early pregnancy.

Whenever you stand or sit down, pay attention to the position of your back. In relation to your shoulders, it should be absolutely straight and not slouched. In the last weeks of pregnancy, women feel sharp or aching back pain due to the fact that the stomach becomes truly large. The child develops much more intensively and you have to unconsciously slouch in order to somehow cope with the growing tension and additional weight. This again leads to excessive tension and becomes a source of pain.

If you want to minimize pain, make sure you get enough rest and sleep. You must avoid any stress, nervous tension and experiences that can significantly worsen not only your back pain, but also have an extremely negative impact on the baby.

Another way to make the fight against pain more effective is to include exercises from yoga or exercise therapy in your regular activities. Only your doctor and exercise therapy specialist will be able to choose the right set of exercises and choose the right load. In this matter, any initiative is severely suppressed. Do not risk your child's health and well-being.

If the pain has become chronic and does not stop, consult your doctor and ask him to prescribe you a special physiotherapy treatment that will help relieve tension and soothe the pain.

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