Lower back and pelvic pain during pregnancy – causes and remedies

Many women experience this: as the belly grows, back and pelvic pain also arise. These are very common discomforts that often begin in the second trimester and become more pronounced as the pregnancy progresses. They are usually not concerning signals, but rather the natural consequence of the changes the body undergoes to welcome and support a new life.

The increasing weight and the enlarging belly overload the spine; hormones like relaxin make the pelvic ligaments more elastic to prepare for childbirth; the center of gravity shifts and posture changes, increasing muscle tension. In some cases, the sciatic nerve can also be compressed, causing pain that radiates down to the legs.

There are situations that make these discomforts more frequent or intense: twin pregnancies or very large bellies, long days spent standing, little physical activity, or pre-existing back problems before pregnancy. Not surprisingly, many women report that the pain worsens in the evening after a more active day.

The good news is that there are several useful tips for finding relief. Movement remains key: gentle activities like prenatal yoga, swimming, or simple walks help to relieve tension. During rest, support pillows become valuable allies, to be placed between the legs or behind the back. Posture also matters: it’s better to avoid high heels and heavy loads. Targeted stretching, done under the guidance of a gynecologist or physiotherapist, can provide great benefits, as can local heat with a warm heating pad. Some women also find relief through physiotherapy, osteopathy, or massages specifically designed for pregnancy.

Of course, one should not ignore signals that require attention. If the pain is very intense and continuous, if it is accompanied by regular contractions, bleeding, or fluid loss, or if fever and general symptoms appear, it is always important to consult a gynecologist. In these cases, it may not be just simple muscle pain, but conditions that need careful evaluation.

In summary, lower back and pelvic pain are part of the pregnancy journey for many women. With small daily adjustments, the right support, and a bit of listening to one’s body, it is possible to reduce the impact and face the months of waiting with greater comfort and serenity.
Note: The content of this page is for informational purposes and does not replace professional advice. In case of symptoms, doubts, or medical needs, always consult a qualified physician.

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