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Back Pain During Pregnancy

Overview

The size and weight of a growing belly can change your posture and strain your back.

These tips may help your back feel better.

  • Stand with your ears, shoulders, and hips in a straight line.

    Try not to arch your back.

  • Try not to stand for too long.

    When you stand, try resting one foot on a small box, yoga block, or stool.

  • Support your back.

    Use a pillow behind your low back when you sit.

  • Sleep on a firm mattress.

    If your mattress is soft, you can try putting plywood under it.

  • Sleep on your left side.

    Use a pillow between your knees.

  • Wear supportive, low-heeled shoes.

    Avoid flat or high-heeled shoes.

  • Try a heating pad or cold pack on your back.

    A warm bath or shower can also feel good.

  • Try a belly band.

    Supporting your belly can take the strain off your back.

  • Talk to your doctor or midwife about your pain.

    They may recommend physical therapy or acetaminophen (Tylenol).

  • Stay active.

    Regular exercise such as swimming, pool exercise, walking, and stretching can help with back pain. Ask your doctor about exercises to stretch, strengthen, and relax your muscles.

  • Avoid heavy lifting.

    Lift only by raising from a squat, keeping your waist and back straight. Avoid stretching to reach something, such as on a high shelf.

When should you call for help?

See your doctor or midwife if you have back pain that gets worse or doesn't go away. It could be a sign of a serious problem, such as a kidney infection or preterm labor.

What are some exercises that can help?

Back press

slide 1 of 11
    
slide 1 of 11, Back press,
  1. Stand with your back 10 to 12 inches away from a wall.
  2. Lean into the wall until your back is against it. Press your lower back against the wall by pulling in your stomach muscles.
  3. Slowly slide down until your knees are slightly bent, pressing your lower back against the wall.
  4. Hold for at least 6 seconds, then slide back up the wall.
  5. Repeat 8 to 12 times.

Over time, work up to holding this position for as much as 1 minute.

Backward stretch

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slide 2 of 11, Backward stretch,
  1. Start on your hands and knees with your knees 8 to 10 inches apart, hands directly below your shoulders, and arms and back straight.
  2. Keeping your arms straight, slowly lower your buttocks toward your heels and tuck your head toward your knees. Hold for 15 to 30 seconds.
  3. Slowly return to the starting position.
  4. Repeat 2 to 4 times.

Donkey kick

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slide 3 of 11, Donkey kick,
  1. Start on your hands and knees. Place your hands directly below your shoulders, and keep your arms straight.
  2. Tighten your belly muscles by pulling your belly button in toward your spine. Keep breathing normally, and don't hold your breath.
  3. Lift one knee and bring it toward your elbow.
  4. Slowly extend that leg behind you without completely straightening it. Be careful not to let your hip drop down. Avoid arching your back.
  5. Hold your leg behind you for about 6 seconds.
  6. Return to your starting position.
  7. Repeat 8 to 12 times for each leg.

Forward bend

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slide 4 of 11, Forward bend,
  1. Sit comfortably in a chair, with your arms relaxed.
  2. Slowly bend forward, allowing your arms to hang down. Lean only as far as you can without feeling discomfort or pressure on your belly.
  3. Hold for 15 to 30 seconds and then slowly sit up straight.
  4. Repeat 2 to 4 times or to your comfort level.

Hip hinge (pregnancy)

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slide 5 of 11, Hip hinge (pregnancy),
  1. Stand with your hands on your hips, feet hip-width apart, and knees slightly bent.
  2. Keeping your upper back straight, bend forward slowly.
  3. Use your back and buttocks muscles to return to the starting position.
  4. Repeat 8 to 12 times.

Pelvic rocking on hands and knees

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slide 6 of 11, Pelvic rocking on hands and knees,
  1. Start on your hands and knees. Place your wrists directly below your shoulders and your knees below your hips.
  2. Breathe in slowly. Tuck your head downward and round your back up, making a curve with your back in the shape of the letter C. Hold this position for about 6 seconds.
  3. Breathe out slowly and bring your head back up. Relax, keeping your back straight. (Don't allow it to curve toward the floor.) Hold for about 6 seconds.
  4. Repeat 8 to 12 times, gently rocking your pelvis.

Pelvic tilt

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slide 7 of 11, Pelvic tilt,
  1. Lie on your back with your knees bent and your feet flat on the floor.
  2. Tighten your belly muscles by pulling your belly button in toward your spine. Press your lower back to the floor. You should feel your hips and pelvis rock back.
  3. Hold for 6 seconds while breathing smoothly, and then relax.
  4. Repeat 8 to 12 times.

Do this exercise only during the first 4 months of pregnancy. After this point, lying on your back is not recommended, because it can cause blood flow problems for you and your baby.

Tailor press (pregnancy)

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slide 8 of 11, Tailor press (pregnancy),
  1. Sit on the floor, and put the bottoms of your feet together in front of you. Bring your heels as close to your body as you can.
  2. Cup your hands under your knees.
  3. Press your knees toward the floor. At the same time, resist that force by pulling upward with your hands.
  4. Hold for about 6 seconds. Relax.
  5. Repeat 8 to 12 times.

Tailor sitting

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slide 9 of 11, Tailor sitting,
  1. Sit on the floor.
  2. Bring your feet close to your body while crossing your ankles.
  3. Keep your back straight. Relax your legs and let your knees drop toward the floor.
  4. Hold this position for as long as you are comfortable.

Toe reach

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slide 10 of 11, Toe reach,
  1. Sit on the floor with your back straight, legs about 12 inches apart, and feet relaxed outward.
  2. Stretch your hands forward toward your right foot, then sit up.
  3. Stretch your hands straight forward, then sit up.
  4. Stretch your hands forward toward your left foot, then sit up.
  5. Hold each stretch for 15 to 30 seconds.
  6. Repeat 2 to 4 times.

Trunk twist

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slide 11 of 11, Trunk twist,
  1. Sit on the floor with your legs crossed. If that's not comfortable, you can sit on a folded blanket so your bottom is a few inches off the floor. Or you can sit on a chair with your knees hip-width apart and your feet flat on the floor.
  2. Reach your left hand toward your right knee. You can place your right hand at your side for support.
  3. Slowly twist your body (trunk) to your right.
  4. Relax and return to your starting position.
  5. Repeat 2 to 4 times.
  6. Switch your hands and twist to your left.
  7. Repeat 2 to 4 times.

Credits

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

5115 Fannin, Suite 801
Houston, TX 77004

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Interventional Cardiology Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded ICA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary