Postpartum Back Pain

14 min read

Postpartum back pain is a common complaint among new mothers. It is caused by the physical changes that occur during pregnancy and childbirth, and can be a source of discomfort and distress for many women. This article provides an overview of postpartum back pain, including its causes, risk factors, and prevention strategies.

What Causes Postpartum Back Pain?

Postpartum back pain is caused by the physical changes that occur during pregnancy and childbirth. During pregnancy, the body releases hormones that cause the ligaments and joints to relax, which can lead to back pain. Additionally, the extra weight of the baby can cause strain on the back muscles. After childbirth, the body must adjust to the sudden loss of weight, which can also cause back pain.

Risk Factors for Postpartum Back Pain

There are several risk factors that can increase the likelihood of experiencing postpartum back pain. These include: carrying multiple babies, having a large baby, having a long labor, having a cesarean section, and having a history of back pain prior to pregnancy. Additionally, women who are overweight or have poor posture may be more likely to experience back pain after childbirth.

Preventing Postpartum Back Pain

There are several strategies that can help to prevent or reduce postpartum back pain. These include: maintaining good posture, exercising regularly, using proper lifting techniques, and wearing supportive shoes. Additionally, women should be sure to get plenty of rest and take breaks throughout the day to give their bodies a chance to recover.

Conclusion

Postpartum back pain is a common complaint among new mothers. It is caused by the physical changes that occur during pregnancy and childbirth, and can be a source of discomfort and distress for many women. By understanding the causes, risk factors, and prevention strategies for postpartum back pain, women can take steps to reduce their risk and manage their symptoms.

Take the Postpartum Back Pain Assessment

Symptoms

Pain in the Lower Back

One of the most common symptoms of postpartum back pain is pain in the lower back. This pain can range from mild to severe and can be localized to one area or spread throughout the lower back. It may be accompanied by stiffness, tenderness, or a burning sensation.

Pain in the Upper Back

Pain in the upper back is also a common symptom of postpartum back pain. This pain may be felt in the shoulder blades, neck, or upper back. It may be accompanied by stiffness, tenderness, or a burning sensation.

Pain in the Hips

Pain in the hips is another symptom of postpartum back pain. This pain may be felt in the hips, buttocks, or groin area. It may be accompanied by stiffness, tenderness, or a burning sensation.

Pain in the Legs

Pain in the legs is also a common symptom of postpartum back pain. This pain may be felt in the thighs, calves, or feet. It may be accompanied by stiffness, tenderness, or a burning sensation.

Pain in the Abdomen

Pain in the abdomen is another symptom of postpartum back pain. This pain may be felt in the lower abdomen or around the navel. It may be accompanied by cramping, bloating, or a burning sensation.

Treatment for Postpartum Back Pain

If you are experiencing any of the symptoms of postpartum back pain, it is important to seek medical attention. Treatment for postpartum back pain may include rest, physical therapy, medications, or surgery. It is important to discuss your symptoms and treatment options with your doctor.

Causes

Hormonal Changes

Hormonal changes during pregnancy can cause postpartum back pain. During pregnancy, the body produces higher levels of the hormone relaxin, which helps to relax the ligaments and joints in the body. After childbirth, the levels of relaxin drop, causing the ligaments and joints to become stiff and painful.

Physical Strain

Physical strain can also cause postpartum back pain. During pregnancy, the body is carrying extra weight, which can cause the spine to become misaligned. After childbirth, the body is no longer carrying the extra weight, but the spine may still be misaligned, leading to back pain.

Emotional Stress

Emotional stress can also contribute to postpartum back pain. The stress of becoming a new mother can cause the body to tense up, leading to muscle tension and pain. Additionally, the lack of sleep that often accompanies new motherhood can lead to fatigue, which can also cause back pain.

Conclusion

Postpartum back pain can be caused by a variety of factors, including hormonal changes, physical strain, and emotional stress. If you are experiencing postpartum back pain, it is important to talk to your doctor to determine the cause and find the best treatment for your individual situation.

Getting a Diagnosis

Physical Exam

The first step in diagnosing postpartum back pain is to undergo a physical exam. During the exam, the doctor will assess the patient’s posture, range of motion, and strength. The doctor may also order imaging tests, such as an X-ray or MRI, to get a better look at the spine and surrounding structures. This will help the doctor determine if there is any structural damage or other underlying conditions that could be causing the pain.

Postural Assessment

The doctor may also perform a postural assessment to determine if poor posture is contributing to the pain. This assessment involves observing the patient’s posture while standing, sitting, and lying down. The doctor will look for any signs of misalignment or muscle imbalances that could be causing the pain. If any postural issues are identified, the doctor may recommend exercises or other treatments to help correct them.

Muscle Testing

The doctor may also perform muscle testing to determine if any muscles are weak or tight. This involves testing the strength and flexibility of the muscles in the back, abdomen, and hips. If any muscles are found to be weak or tight, the doctor may recommend specific exercises to help strengthen and stretch them.

Conclusion

Diagnosing postpartum back pain is an important step in finding the right treatment. A physical exam, postural assessment, and muscle testing can all help the doctor determine the cause of the pain and recommend the best course of treatment. With the right diagnosis and treatment plan, postpartum back pain can be managed and alleviated.

Questions for Your Doctor

What Causes Postpartum Back Pain?

Your doctor can help you determine the cause of your back pain. It could be due to the physical changes that occur during pregnancy, such as the loosening of ligaments and the increased weight of the baby. It could also be due to the strain of carrying the baby or the strain of labor and delivery. Your doctor can help you determine the cause of your back pain and recommend the best treatment.

What Treatment Options Are Available?

Your doctor can recommend a variety of treatments for postpartum back pain. These may include physical therapy, medications, or even surgery. Your doctor can help you decide which treatment is best for you based on the cause of your back pain and your overall health.

What Lifestyle Changes Can Help?

Your doctor can also recommend lifestyle changes that can help reduce your back pain. These may include exercises to strengthen your core muscles, stretching, and proper posture. Your doctor can also recommend ways to reduce stress, such as getting enough sleep and taking time for yourself.

When Should I See a Doctor?

If your back pain persists or gets worse, it is important to see your doctor. Your doctor can help you determine the cause of your back pain and recommend the best treatment. It is also important to see your doctor if you experience any other symptoms, such as fever, chills, or nausea.

Postpartum back pain can be a difficult issue to deal with, but talking to your doctor can help. Your doctor can help you determine the cause of your back pain and recommend the best treatment. They can also recommend lifestyle changes that can help reduce your back pain. If your back pain persists or gets worse, it is important to see your doctor.

Treatment

Exercise

Regular exercise can help strengthen the muscles in the back and abdomen, which can help reduce postpartum back pain. Low-impact activities such as walking, swimming, and yoga are all good options. It is important to start slowly and gradually increase the intensity of the exercise as the body adjusts.

Physical Therapy

Physical therapy can be an effective treatment for postpartum back pain. A physical therapist can help develop a personalized exercise program to target the specific areas of the body that are causing pain. They can also provide advice on posture and body mechanics to help reduce the strain on the back.

Massage

Massage therapy can be a great way to reduce postpartum back pain. Massage can help relax the muscles and reduce tension in the back. It can also help improve circulation and reduce inflammation. It is important to find a qualified massage therapist who is experienced in treating postpartum back pain.

Heat and Cold Therapy

Heat and cold therapy can be used to help reduce postpartum back pain. Heat therapy can help relax the muscles and reduce inflammation, while cold therapy can help reduce swelling and numb the area. It is important to use caution when using heat and cold therapy, as it can cause skin irritation.

Medication

Over-the-counter medications such as ibuprofen and acetaminophen can be used to help reduce postpartum back pain. It is important to talk to a doctor before taking any medication, as some medications may not be safe for breastfeeding mothers.

Alternative Treatments

There are a number of alternative treatments that can be used to help reduce postpartum back pain. Acupuncture, chiropractic care, and herbal remedies are all potential options. It is important to talk to a doctor before trying any alternative treatments.

Drugs & Medications

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are a type of medication that can help reduce inflammation and pain. Commonly used NSAIDs include ibuprofen (Advil, Motrin) and naproxen (Aleve). These medications can be taken orally or applied topically to the affected area. NSAIDs are generally considered safe for use during breastfeeding, but it is important to speak with your doctor before taking any medication while breastfeeding.

Muscle Relaxants

Muscle relaxants are medications that can help reduce muscle spasms and tension. Commonly used muscle relaxants include cyclobenzaprine (Flexeril) and carisoprodol (Soma). These medications can be taken orally or applied topically to the affected area. Muscle relaxants can cause drowsiness, so it is important to speak with your doctor before taking any medication while breastfeeding.

Opioids

Opioids are a type of medication that can help reduce pain. Commonly used opioids include codeine, hydrocodone (Vicodin), and oxycodone (OxyContin). These medications can be taken orally or applied topically to the affected area. Opioids can cause drowsiness and can be habit-forming, so it is important to speak with your doctor before taking any medication while breastfeeding.

Acetaminophen

Acetaminophen (Tylenol) is a medication that can help reduce pain and fever. It can be taken orally or applied topically to the affected area. Acetaminophen is generally considered safe for use during breastfeeding, but it is important to speak with your doctor before taking any medication while breastfeeding.

Conclusion

Postpartum back pain can be a difficult issue to manage, but there are a number of medications available to help relieve the pain and discomfort associated with it. It is important to speak with your doctor before taking any medication while breastfeeding, as some medications can cause drowsiness or can be habit-forming. With the right medication, postpartum back pain can be managed and new mothers can get back to enjoying their new lives.

Diet

Eat Nutrient-Dense Foods

Eating nutrient-dense foods is important for overall health, and it can also help reduce postpartum back pain. Nutrient-dense foods are those that are high in vitamins, minerals, and other essential nutrients. Examples include fruits, vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of nutrient-dense foods can help ensure that your body is getting the nutrients it needs to stay healthy and reduce postpartum back pain.

Limit Processed Foods

Processed foods are often high in sugar, sodium, and unhealthy fats, and they can contribute to postpartum back pain. Limiting processed foods can help reduce inflammation and improve overall health. Instead, focus on eating whole, unprocessed foods such as fruits, vegetables, whole grains, and lean proteins.

Stay Hydrated

Staying hydrated is important for overall health, and it can also help reduce postpartum back pain. Drinking plenty of water can help keep your body hydrated and reduce inflammation. Aim to drink at least 8 glasses of water per day.

Eat Small, Frequent Meals

Eating small, frequent meals can help reduce postpartum back pain. Eating smaller meals more often can help keep your blood sugar levels stable and reduce inflammation. Aim to eat 3-5 small meals throughout the day, and include a variety of nutrient-dense foods in each meal.

Limit Caffeine and Alcohol

Caffeine and alcohol can both contribute to postpartum back pain. Caffeine can increase inflammation and disrupt sleep, while alcohol can interfere with nutrient absorption and cause dehydration. Limiting caffeine and alcohol can help reduce postpartum back pain.

Lifestyle

Exercise

Regular exercise can help strengthen the muscles in your back and abdomen, which can help reduce postpartum back pain. Low-impact activities such as walking, swimming, and yoga are all great options. Be sure to start slowly and gradually increase the intensity of your workouts as your body adjusts.

Good Posture

Good posture is essential for reducing postpartum back pain. Make sure to stand up straight and keep your shoulders back. When sitting, use a chair with good back support and keep your feet flat on the floor. When lifting, bend at the knees and keep your back straight.

Proper Lifting Techniques

When lifting your baby or any other heavy object, be sure to use proper lifting techniques. Bend at the knees and keep your back straight. Avoid twisting your body and use your legs to lift the object. If the object is too heavy, ask for help.

Stretching

Stretching can help reduce postpartum back pain by increasing flexibility and range of motion. Try to do some light stretching every day, focusing on the muscles in your back and abdomen. Be sure to stretch slowly and gently, and never force a stretch.

Heat and Ice

Applying heat or ice to the affected area can help reduce postpartum back pain. Heat can help relax the muscles, while ice can help reduce inflammation. Try alternating between the two for best results.

Rest

Getting enough rest is essential for managing postpartum back pain. Make sure to get plenty of sleep and take breaks throughout the day. If possible, try to take a nap when your baby is napping.

Massage

Massage can help reduce postpartum back pain by increasing circulation and relaxing the muscles. Ask your partner or a professional massage therapist for help. Be sure to use gentle pressure and avoid any areas that are too painful.

Conclusion

Postpartum back pain can be a difficult and uncomfortable experience, but there are some lifestyle tips that can help. Exercise, good posture, proper lifting techniques, stretching, heat and ice, rest, and massage can all help reduce postpartum back pain. Be sure to talk to your doctor if the pain persists.