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Back Pain During Pregnancy How do I manage?. By: Joyce Flores, MPT Cathy Villanueva, MPT. I’m pregnant…. “My back hurts.” “bloated” “constipated” “I have no energy at all & I’m exhausted all the time.” “I can’t fall asleep at night.”.
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Back Pain During Pregnancy How do I manage? By: Joyce Flores, MPT Cathy Villanueva, MPT
“My back hurts.” “bloated” “constipated” “I have no energy at all & I’m exhausted all the time.” “I can’t fall asleep at night.” “gaining weight like crazy” “I’m feeling extremely moody.” How am I feeling?
About 50% of women experience some kind of lumbopelvic (low back & pelvic girdle pain) during pregnancy. “Many of the physiologic and morphologic changes of pregnancy persist 4-6 weeks postpartum.” (ACOG, 2002) Most of the pain disappears within 1-3 months after delivery. (Stuge at al., 2004) Back Pain During Pregnancy
More mobility in pelvic joints Ligaments soften, joints loosen to prepare for birth Hormone relaxin Possible low back pain esp. with walking & stairs Center of gravity changes Uterus is heavier & larger Center of gravity shifts forward Naturally you adjust posture & movement to compensate Compensations puts new strain on low back & hips Why do I have back pain?
Poor posture Increased lordosis Poor muscle tone Tight hip flexors from sitting too long Abdominal muscles may separate Diastasis recti Why do I have back pain?
Practice correct posture Shift weight when standing long periods Sit with feet slightly elevated Lift correctly Don’t make sudden reaching movements Sidelying while sleeping/ resting Exercise pelvic stabilization, back stretches, abdominal strengthening What can I do?
Helps reduce backaches, constipation, bloating & swelling energy Improves mood Improves posture Improves circulation Promotes muscle tone, strength, endurance, stamina ↑ likelihood of having an easier, shorter & less complicated labor Benefits of Exercise
Benefits of Exercise • Helps you sleep better • Burns calories; maintains healthy & steady weight gain • Reduces risk of gestational diabetes • Helps control blood pressure • Accelerates postpartum weight loss & recovery time • Establishes permanent healthy lifestyle habits
Low back pain and Pregnancy Class Class will be offered every third Friday of the month (1000) & will encompass these topics: • Incidence of back pain during pregnancy • Why do I have back pain? • Posture & body mechanics • Exercise-Why it’s different during pregnancy? • Benefits of exercise • Contraindications/ reasons to discontinue exercise • ACOG recommendations/ general exercise guidelines • Exercise: safe choices, monitoring frequency/ intensity • Strengthening the pelvic floor- Kegel’s • Gentle abdominal strengthening, back stretches • Core strengthening • Please have your OB physician enter a CHCS consult to attend this class.