New Challenges During Pregnancy That Can Interfere with Being Active
In This Article:
Symptoms, causes, and treatment of back painSymptoms of Back or Pelvic Pain Due to Ligament Looseness at the Pelvis
- Pain stepping off a curb
- Pain turning in bed
- Pain climbing or descending stairs
- Pain walking on uneven surfaces
- Feelings of looseness or sliding in your joints
Symptoms of Back Pain Due to Muscle Strain
- Dull, achy
- Worse at the end of the day
- No specific area that hurts
- Better in the morning
- Begin an abdominal- and spine-strengthening program before becoming pregnant.
- Allow yourself to recline when your back muscles feel tired (lay on your side on the 3rd trimester).
- Wear comfortable, well-cushioned shoes when walking or standing.
- Do gentle back stretches daily (see the end of this chapter).
- Do strengthening exercises at least three or four times a week.
- Avoid bending, lifting, twisting (no "BLT").
- Consider swimming or water aerobics to unload the spine.
Severe, continuous back pain can be a sign of fetal distress. If back pain is associated with fever, bleeding, severe cramping, or fluid leaks, call your doctor at once. Other internal causes that can lead to back pain include urinary tract infections; stomach or digestive disorders, including constipation; lung or heart problems; or other organ problems. Having pain that is persistent and not relieved by changing position, activity, or rest needs to be evaluated by your doctor. Neurologic symptoms including numbness, weakness, and loss of reflexes require close medical supervision. Do not exercise if you are experiencing any of these dangerous symptoms.
WARNING Call your doctor immediately if you have severe back pain, bleeding, severe cramping, or fluid leaks.
Most back pain can be relieved with modifications in posture, positioning, and activity schedule. Avoid bending, lifting, and twisting without bending your knees and stabilizing your spine (suck in your lower belly with these movements). Avoid activities that make the discomfort worse (such as jogging). Do not wear high heels, and preferably wear walking shoes with extra cushioning. Be aware of sitting, sleeping, and activity positions and posture, and use lumbar cushions and pillows as needed. Using a wedge-shape pillow to support you abdomen while lying on your side can be helpful to relieve back and pelvic pressure. Relaxation techniques and 10 minutes of ice or heat packs to the painful area (not over the front of the abdomen or pelvis) can be helpful. Exercising or swimming in a pool can be very effective to prevent and treat back pain. An SI brace can be helpful with back and pelvic pain due to ligament looseness; a more supportive maternity brace can be worn for general back pain due to postural and muscle strain. The supportive "mother to be" brace may also be worn while exercising to prevent jostling.
More aggressive, active treatment for back pain in pregnancy includes physical therapy, which is recommended for back pain that persists for more than a few weeks, seems to be worsening, or interferes with sleep or activities. Accepted alternative therapies include acupuncture, acupressure, and gentle manipulations. Do not use whirlpools, saunas, or heat over the abdomen and pelvis. The safest medication to take for pain relief is Tylenol; do not take any other medications, even those without a prescription, unless you ask your doctor first.
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From The Active Woman's Health and Fitness Handbook by Nadya Swedan. Copyright © 2003 by Nadya Swedan. Used by arrangement with Perigee, a member of Penguin Group (USA) Inc.
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