Managing Postpartum Back Pain

This blog post offers a guide to managing postpartum back pain through core strengthening, pelvic floor exercises, and proper posture.

Managing Postpartum Back Pain

Postpartum back pain is a common issue that many new mothers experience. For some, back pain may exist as a result of the epidural administered during childbirth, for others it can be much more complex. This type of pain often begins during pregnancy and persists afterward due to factors such as core weakness, pelvic floor dysfunction, and poor posture. Understanding these factors and taking proactive steps can help alleviate and prevent postpartum back pain.

Common Causes of Postpartum Back Pain

Postpartum lower back pain can stem from various factors that affect the musculoskeletal system during and after pregnancy. During pregnancy, hormonal changes, increased weight, and changes in posture to accommodate the growing baby can strain the back muscles and lead to discomfort. Core muscles, including the abdominals, may weaken due to the stretching and separation (diastasis recti) and the strain of supporting the growing belly.

After childbirth, factors such as weakened core muscles, pelvic floor dysfunction (which can occur due to trauma during childbirth or strain during pregnancy), and lingering poor posture can exacerbate back pain. Understanding how pressure management can also play a role in the above factors is important. This pain varies in onset—some women experience it during pregnancy, while others notice it days, weeks, or even months after giving birth.

Recognizing the Symptoms

Postpartum back pain manifests differently for each woman, but there are common symptoms to watch out for. Many women experience pain or stiffness in the lower back, especially after long periods of sitting or standing. Some may notice discomfort when changing positions, such as getting up from a chair or lifting their baby. The pain may radiate down into the buttocks or thighs and can range from dull aches to sharp, stabbing sensations. Some women also report increased discomfort when performing daily activities that require bending or lifting.

Woman with lower back pain

Understanding Proper Posture

Proper posture is essential for managing and preventing postpartum back pain. It involves maintaining a neutral spine alignment throughout daily activities, including sitting, standing, and moving. Good posture starts with awareness of body positioning and alignment. When sitting, it's important to keep the spine straight, shoulders relaxed, and feet flat on the floor. Avoid slouching or leaning forward excessively, as this can strain the lower back muscles.

When standing, distribute your body weight evenly on both feet, with knees slightly bent and abdominals gently engaged. Imagine a straight line running through your earlobe, shoulder, hip, knee, and ankle—this is the "stacked" posture that promotes spinal alignment and reduces strain on the lower back.

Breathing and Relaxation Exercises

Breathing and relaxation exercises play a significant role in relieving postpartum back pain by promoting relaxation, reducing stress, and improving core muscle activation. Deep diaphragmatic breathing helps engage the transverse abs and pelvic floor muscles, essential for core stability and support.

Child's Pose Breathing

Kneel on the floor and lean forward with your arms extended, breathing deeply into your lower back and pelvis. This position encourages relaxation and stretches the muscles of the lower back and hips, relieving tension.

Woman practicing Child’s Pose Breathing

Deep Squat Breathing

Squat deeply with your feet flat on the floor, knees apart, and hands holding onto a counter or door knobs. Take deep breaths into your back, focusing on expanding the diaphragm and pelvic floor muscles.

Deep Squat Breathing exercise demonstration

Lengthening and Strengthening the Glutes and Pelvic Floor

Lengthening and strengthening the glutes and pelvic floor muscles are essential components of managing postpartum back pain. Tightness in the glutes and pelvic floor can contribute to imbalances in pelvic alignment and increase strain on the lower back muscles.

Exercises for the glutes, such as hinges, can help improve muscular balance and support around the pelvis and lower back while helping gain length and strength. They also enhance overall stability and reduce the risk of recurring back pain.

Gradual Progression to Advanced Exercises

As you build strength and stability in your core and pelvic floor, gradually progress to more challenging exercises and movements. Focus on maintaining proper form and alignment throughout each exercise to avoid exacerbating back pain or causing injury.

Advanced exercises can include weighted exercises such as deadlifts and squats to build strength in the glutes and lower back muscles. Ensure that you are engaging the core and pelvic floor muscles throughout these movements to provide optimal support for the spine.

Conclusion

Managing postpartum back pain requires a comprehensive approach that addresses core weakness, pelvic floor dysfunction, poor posture, and poor pressure management. By understanding the common causes and symptoms, practicing proper posture, incorporating breathing and relaxation exercises, and focusing on both strengthening and lengthening key muscle groups, you can alleviate and prevent back pain. Gradually progressing to more advanced exercises will further enhance your strength and stability, ultimately leading to a pain-free and active postpartum life. Remember, consistency and patience are key—every step you take brings you closer to full recovery and improved well-being.

Ready to start your journey to a stronger, pain-free postpartum life? 

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Live Life Confidently,

Jen

Categories: : Pain, Postpartum