Managing Back Pain During Pregnancy and Postpartum
Pregnancy and postpartum are transformative times, but they often come with challenges, including low back pain. This discomfort, caused by hormonal changes, postural shifts, and strain on core muscles, can make exercising feel overwhelming. However, staying active with thoughtful modifications is key to managing pain, rebuilding strength, and supporting long-term recovery.
Below, Adela, a pregnancy and postpartum coach at APEX PWR, shares tips for navigating back pain while staying safely on track with your fitness goals.
Why Back Pain Happens During Pregnancy and Postpartum
- Hormonal Changes
- During pregnancy, your body releases relaxin, a hormone that loosens ligaments and joints to prepare for childbirth. While this flexibility is essential, it also reduces stability in the pelvis and spine, leading to discomfort.
- Postural Adjustments
- As your baby grows, your center of gravity shifts forward. This often causes an exaggerated lower back curve (lumbar lordosis), putting additional pressure on the spine and surrounding muscles.
- Weakened Core
- The abdominal muscles stretch significantly during pregnancy, which reduces their ability to support the spine. Postpartum, rebuilding core strength takes time, leaving the lower back more susceptible to strain. Not to mention, constantly holding your child in awkward positions, rocking them and picking them up and down, especially while tired, can cause strain on the back.
Exercise Tips for Reducing Back Pressure
Regular exercise is crucial for managing back pain, but certain adjustments can make it safer and more effective during pregnancy and postpartum.
1. Deadlifts
Deadlifts are a fantastic way to strengthen your posterior chain, but proper form is critical to avoiding additional back strain.
- Form Tip: Keep your shoulders stacked over the bar throughout the lift, and avoid overextending your hips at the top.
- Core Engagement: Exhale strongly as you stand to activate your core and reduce spinal pressure.
- Modifications: Adjust your range of motion (e.g., use blocks to raise the bar) or switch to a kettlebell deadlift for more control.
2. Squats
Squats are a functional movement, but they can be tough on the lower back if not properly adjusted.
- Modify as Needed: Elevate your heels using a plate or wedge. This shifts the load to your quads and decreases lower back strain.
- Range of Motion: If deep squats feel uncomfortable, reduce your squat depth while maintaining proper alignment.
3. High-Impact Activities (Running, Jumping, Plyometrics)
These activities are more demanding on the body and may need to be scaled back during early postpartum recovery. As a pregnancy & postpartum personal trainer, and having had 2 kids myself, I TOTALLY understand the challenges that come with these exercises – BUT – there are plenty of modifications and progressions to get back to feeling great while doing these.
- When to Reintroduce: High-impact movements are often better suited for later postpartum stages once core and pelvic stability have improved.
- Technique Tip: Lean slightly forward and keep your chest over your toes to redistribute pressure and reduce strain on your lower back.
4. Farmers Carries
Most women I’ve worked with over the years have thought this exercise to be CRAZY before getting pregnant and sometimes while pregnant. But, after giving birth and having to hold their child and move around or lug them around in a car seat, they quickly understand the real-world application of this simple exercise! It’s a great way to build stability throughout the body but especially through the core and allow each mama to feel more comfortable and confident walking with any type of weight in one arm.
- When to Reintroduce: Depends on the pregnancy and birth. Best to consult with pelvic floor physical therapist, doctor or with me, especially if we’ve worked together throughout pregnancy (which this exercise would be a part of the weekly routine).
- Technique Tip: Maintain posture as you walk with weight and avoid swaying. Start with a lighter weight and shorter distance if you’ve never done it before. As you get comfortable, increase distance and/or weight while maintaining the same upright, calm posture.
When to Seek Additional Support
Back pain can be complex, but as your coach, I’ll help take the guesswork out of your workouts. If needed, we can connect you with one of our expert physical therapists here at Apex PWR to provide additional support for:
- Creating a fitness plan tailored to your stage of recovery.
- Adjusting exercises to prioritize form, comfort, and safety.
- Gradually reintroduce higher-impact activities when your body is ready.
For persistent or severe back pain, working with a physical therapist can provide even more specialized care. At Apex PWR, we love the collaboration between the training staff and our expert physical therapists who can assess your biomechanics and offer targeted strategies to support your recovery.
Build Confidence, Strength, and Resilience
Your body goes through incredible changes during pregnancy and postpartum. While back pain is a common part of this journey, it doesn’t have to hold you back. With the right strategies and expert support, you can stay active, manage discomfort, and feel stronger than ever.
Let Adela and the Apex PWR team help you navigate this journey with confidence. Whether you need a customized workout plan or additional physical therapy support, we’re here to help you every step of the way.
Contact us today to learn more about our pregnancy and postpartum fitness programs and take the first step toward reclaiming your strength!
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