Where is the pain? 

The most common sites are: 

• Groin pain/Pubic Symphysis pain 

• Lower back pain

• Buttock pain/Sacroiliac joint pain 

Why do the changes in her body cause back pain? 

Understanding the normal musculoskeletal changes that occur during pregnancy is vital for targeting and treating the sites of pain. 

The pelvis consists of two iliac bones joined at the back to a wedge-shaped bone, called the sacrum. The two bones are connected at the front by a firm joint called the pubic symphysis. The joints between the sacrum and the iliac bones at the back are called sacro-iliac joints. These joints are stabilised by a solid arrangement of ligaments which allows very little movement to occur. 

During pregnancy, the hormone Relaxin prepares the pelvis for delivery of the baby by loosening the strong ligaments that control the function of the sacroiliac joints.    

Common conditions: 

• Sacro iliac joint dysfunction or Sacroiliitis: The changes in the pelvis allow the joints to move more than usual and in some cases the ligaments can be strained and can send shooting pains into the buttocks or down the back of the legs.   

• Pubic Symphysis dysfunction/PSD or Osteitis Pubis: abnormal movement of the pubic symphysis joint can lead to pain and difficulty walking. PSD and Osteitis Pubis can range from mild discomfort to extreme pain and unfortunately interfere with the daily routine activities of life. 

• Lumbar joint sprain: As the abdominal muscles stretch with foetal growth, their ability to help stabilize the pelvis decreases. The burden shifts to the lower back joints which may become sprained. Muscles may also be strained leading to lower back pain and discomfort 

How can my Osteopath help? 

Osteopaths understand that the structure of the body directly affects the functioning of the body. By appreciating how the structure of the body changes during pregnancy, your osteopath can aim to alleviate the pain as well as improving the function of muscles and joints in preparation for delivery. The gentle soft tissue and stretching techniques are carefully selected to minimise risk for mother and baby.  

We also consult with many women after the birth of their baby. We are able to treat and manage the musculoskeletal complications that may arise after childbirth as well as educate you on when   

Remember, whilst back pain is common during pregnancy, it should definitely not be accepted as just part of the process. To help make your pregnancy as pleasant as possible and facilitate an easier delivery, back pain should always be addressed as quickly as possible and managed throughout your pregnancy. 

For further information regarding pregnancy and related issues please contact us at Bulleen Osteopathy.