Why Does Lower Back Pain Happen During Pregnancy?
Lower back pain is one of the most common pregnancy complaints, affecting up to 75% of moms-to-be. As your body changes to accommodate your growing baby, extra weight, posture shifts, and hormone fluctuations can lead to back discomfort. The good news? While lower back pain can be frustrating, there are safe and effective ways to relieve it—so you can stay comfortable throughout your pregnancy.What Causes Lower Back Pain in Pregnancy?
Several factors contribute to back pain while expecting, including:1. Weight Gain
- During pregnancy, you gain extra weight, which puts more pressure on your lower back and spine.
2. Posture Changes
- As your belly grows, your center of gravity shifts forward, making you lean back to balance. This strains your lower back muscles.
3. Hormonal Changes (Relaxin Hormone)
- Pregnancy releases the hormone relaxin, which loosens ligaments and joints in preparation for labor. This can make your lower back less stable and more prone to pain.
4. Muscle Separation (Diastasis Recti)
- Your abdominal muscles stretch to make room for your baby, sometimes separating in the middle. This weakens your core, putting more strain on your back.
5. Stress and Tension
- Emotional stress can cause muscle tightness, especially in the lower back and shoulders.
How to Relieve Lower Back Pain During Pregnancy
While back pain is common, there are many ways to manage and reduce discomfort. Try these doctor-approved remedies:1. Practice Good Posture
✔ Stand up straight and avoid slouching.✔ Keep your shoulders back and relaxed.
✔ Use a supportive chair if sitting for long periods.
2. Use a Pregnancy Pillow
✔ A body pillow or wedge pillow can support your back while sleeping.✔ Sleep on your side with a pillow between your knees to align your spine.
3. Wear Supportive Shoes
✔ Avoid high heels and wear low-heeled, cushioned shoes with good arch support.4. Try Prenatal Yoga or Stretching
✔ Gentle stretches can help loosen tight back muscles.✔ Try a cat-cow stretch or pelvic tilts for back relief.
5. Use Heat and Cold Therapy
✔ Apply a warm compress or heating pad to relax muscles (but avoid overheating).✔ Use an ice pack for inflammation or swelling.
6. Get a Prenatal Massage
✔ A pregnancy-safe massage can relieve tension in your lower back.✔ Make sure you see a certified prenatal massage therapist.
7. Stay Active with Safe Exercises
✔ Low-impact activities like walking, swimming, or prenatal Pilates strengthen your back muscles.✔ Avoid heavy lifting and sudden movements.
8. Wear a Maternity Support Belt
✔ A belly support band helps distribute weight and reduce back strain.9. Consider Chiropractic Care
✔ A pregnancy-certified chiropractor can help adjust your posture and relieve pressure on your spine.When to Call Your Doctor
While lower back pain is normal, contact your doctor if you experience: Severe or sudden pain that doesn’t go awayPain that radiates down your legs (could indicate sciatica)
Tingling, numbness, or weakness in your legs
Pain accompanied by fever, vaginal bleeding, or contractions (could indicate a serious condition)
The Bottom Line
Lower back pain is a common part of pregnancy, but simple lifestyle changes, gentle exercises, and proper support can help keep it under control. If the pain becomes severe or persistent, always consult your doctor for further evaluation and treatment options.

Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.
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