March 18th, 2025
Physical Therapy for Pregnant Women: Easing Back and Pelvic Pain
Pregnancy is a transformative experience, but it can also bring discomfort, particularly in the back and pelvic region. As the body adapts to support a growing baby, changes in posture, weight distribution, and hormone levels can lead to pain and reduced mobility. Physical therapy (PT) offers a safe, non-invasive way to relieve discomfort, improve movement, and prepare the body for labor and postpartum recovery.
At ProMotion Rehab & Sports Medicine, we specialize in helping pregnant women stay active, manage pain, and feel their best throughout all stages of pregnancy.
Common Causes of Back and Pelvic Pain During Pregnancy
Many pregnant women experience pain due to:
- Postural Changes – The growing belly shifts the center of gravity, increasing strain on the lower back.
- Hormonal Changes – Relaxin, a hormone released during pregnancy, loosens ligaments and joints, leading to instability.
- Weight Gain – Extra weight places stress on the spine, hips, and pelvis.
- Pelvic Girdle Pain (PGP) – Dysfunction in the sacroiliac joints (SI joints) or pubic symphysis can cause pelvic discomfort.
- Sciatica – Pressure on the sciatic nerve can lead to pain radiating down the legs.
- Weak Core Muscles – Abdominal stretching and weakening can reduce support for the lower back.
How Physical Therapy Helps Pregnant Women
At ProMotion Rehab & Sports Medicine, we design gentle, pregnancy-safe programs to alleviate pain and improve mobility. Our approach includes:
- Postural Training
- Teaching proper alignment to reduce strain on the spine and pelvis.
- Modifying daily movements like standing, sitting, and lifting to minimize discomfort.
- Pelvic Floor Therapy
- Strengthening pelvic floor muscles to support the uterus and reduce bladder issues.
- Preparing the body for labor and postpartum recovery.
- Core and Back Strengthening
- Gentle exercises to support the spine and prevent excessive arching of the lower back.
- Activating deep core muscles to improve stability.
- Manual Therapy and Soft Tissue Techniques
- Hands-on therapy, stretching, and myofascial release to reduce muscle tension.
- Dry needling and gentle mobilization to relieve pain in the lower back and pelvis.
- Safe Flexibility and Mobility Work
- Stretching tight hip flexors, hamstrings, and lower back muscles to ease discomfort.
- Improving movement in the SI joints and pelvis for better mobility.
- Education and At-Home Strategies
- Teaching safe sleeping positions and ergonomic tips for daily activities.
- Recommending pregnancy-friendly exercises to stay active without strain.
When to See a Physical Therapist During Pregnancy
You should consider physical therapy if you:
- Experience persistent back or pelvic pain that affects daily activities.
- Have difficulty walking or changing positions due to discomfort.
- Feel pressure or instability in the pelvic area.
- Want to strengthen your core and pelvic floor before delivery.
- Need guidance on safe exercise routines during pregnancy.
Feel Stronger, Move Better, Enjoy Pregnancy
Pregnancy should be a time of joy, not constant discomfort. With physical therapy, you can reduce pain, stay mobile, and prepare your body for childbirth and postpartum recovery.
At ProMotion Rehab & Sports Medicine, we offer personalized care to help you feel your best throughout pregnancy.
Schedule an appointment today and take the first step toward a more comfortable pregnancy!
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