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Backache in Pregnancy

A woman during the gestation period feels a large amount of pain in the back, lower back, and neck. Back pain is caused mainly by the movement of internal organs, which changes the center of gravity and the work of the entire musculoskeletal system. The localization of such pain is concentrated mainly along the spine.

The more the uterus grows, the greater the likelihood of pain. Their intensity increases with each trimester. A sedentary lifestyle and a weak muscular frame complicate the situation.

When Does Backache Start in Pregnancy?

Back pain begins with a noticeable increase in the volume of the abdomen. This happens in the first weeks of the second trimester. Tension and pain are most felt in the third trimester. This is especially noticeable with multiple pregnancies, a large child, and existing problems with the spine in a woman.


Most pregnant women complain of back pain at the 17th, 23rd, and 24th weeks. Severe pain is observed in the later stages: from the 31st to the 38th week.

Symptoms will increase along with the increasing load on the spine. Pain will be stronger if the pregnant woman leads a sedentary lifestyle.

Backache weeks in pregnancy

When will it end?

The first pains end by the end of the second trimester by the 27th week of pregnancy. Their further appearance will depend on the condition of the woman, her physical form, and her lifestyle. Sometimes pain occurs only after a long walk or being in one position. They may disappear completely after childbirth.

How Backache Usually Feels during Pregnancy?

The spectrum of pain in the back is distinguished by its gradation in intensity. Pain can be sharp and barely perceptible. The woman feels stiffness in the back, pressure, and string tension. She may lose her former activity. It will be difficult for her to unbend, bend over and walk. Back pain is less often sharp and unbearable.


Severe and sharp back pain is felt with increased physical activity. A pregnant woman complains about a specific place in the spine that hurts the most. It is felt as a tingling, powerful pressure, a feeling of heaviness and constricting tension.


The symptom is mildly manifested as increased fatigue of the musculoskeletal system. A woman is more likely to feel back fatigued than in severe pain. The spine is tense, there is increased muscle tone and a slight burning sensation inside. These symptoms disappear after rest.

Severe pulling pain may be the beginning of delivery in late pregnancy.

Prevention methods

The most effective methods for preventing back pain are maintaining the health of the spine, strengthening the muscular frame, and proper rest. All this is necessary to provide for yourself long before pregnancy. It is worth getting rid of them before conception in the presence of problems with back pain. Consider the ways of preventive measures for back pain in more detail:

Regular muscle activity

Strengthen your back muscles with simple exercises at home. The most effective is the “cat pose”. This exercise, combined with proper breathing, becomes indispensable for the prevention of pain and tension in different parts of the spine.

Engage in light sports: running, brisk walking, swimming, yoga, Pilates. They do not require refraction of willpower and bring a lot of pleasure by strengthening the back muscles.

Massage course

Take a course in back massage as an obligatory part of the preparation for pregnancy. Tell the massage therapist if there is a problem with specific parts of the spine. He will make a professional massage using techniques to improve the health of the problematic department. Massage improves blood circulation, improves lymph flow, relieves spasms and muscle tone, and relaxes.

Don’t lift heavy things

It is not recommended to load your joints and vertebrae with heavyweight before and during pregnancy. Take care of your musculoskeletal system. Avoid improper load distribution: carrying a heavy bag on one shoulder and lifting heavy objects from a bent lower back position.

Why Backache Occurs in Pregnancy?

Most pregnancy symptoms are caused by hormones. Back pain can be triggered by the intense production of relaxin. This hormone relaxes the muscles and ligaments, which can cause severe pulling pains in the last weeks of pregnancy.

The main cause of pain in different parts of the spine is the growth of the uterus. The internal organs are displaced under its pressure. Many of them require more space. The spine slightly changes its shape, bending under the pressure of displaced organs. This greatly shifts the center of gravity and increases the load on the lumbar region.

Less obvious causes of back pain during pregnancy include kidney and cardiovascular disease, back injuries, and calcium and vitamin D deficiencies.


You can save yourself from pain in the back by conservative methods: exercises, stretching and swimming. If the pain syndrome is too strong, you should consult a doctor who will help you choose an adequate remedy. Self-medication is not recommended. We offer a list of the most effective options for helping with back pain:


There is a whole list of pain medications that are acceptable to take during pregnancy. These drugs are prescribed exclusively for very severe pain syndrome. Analgesics are taken only if the pain is unbearable and torments the woman for a long time. Check with your doctor before taking any medication.

Orthopedic mattress and pillow

Many problems with back pain can be solved by an orthopedic bed. The pillow with technogel will cool the cervical vertebrae and relax the muscles. Memory Foam will help to maintain the correct position of the body by unloading the spine. A medium-hard mattress made of modern innovative materials will prevent blood stasis, pinched nerves, and tension in the back muscles.


The doctor may prescribe physiotherapy treatment. Magnetic therapy, ultrasound therapy, massage of the collar zone, local pressure therapy, etc. are acceptable during pregnancy. The procedures should be approached with caution and not prescribed to yourself. Everything is exclusively under the strict supervision of the attending physician.


It is imperative to see a doctor if back pain is accompanied by bloody discharge from the vagina or painful urination. Especially if the color of the urine changes. This is a sign of pyelonephritis. You need to see a doctor if back pain does not go away even after taking analgesics.

The reason for consulting a doctor may be accompanying symptoms: a sharp headache, high blood pressure, and severe swelling of the extremities.

What Not to Do

You cannot become a doctor to yourself with severe back pain during pregnancy. Only a doctor can understand the causes of localized pain in a particular area of the spine. It is necessary to understand the anatomical or other causes of pain syndrome. Be careful when choosing pain relief products. What else not to do:

Wear a corset

This is an outdated form of back pain relief. It is only suitable for correcting posture. It is impossible to put on a corset correctly during pregnancy due to a large belly.

Lie down on a flat hard surface

An unjustified method of dealing with pain in the back. The position on the back will only increase the pressure on the spine for pregnant women.

Use warming

Warming up the back can provoke a strong expansion of the vessels of the small pelvis. There may be problems with high blood pressure. The use of warming can provoke preterm labor.

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