Why does my back hurt during pregnancy? Back pain is a common discomfort during
pregnancy, affecting about 40% of all pregnant women at some point. Having pain
in your back or lower back happens for many reasons, like changing hormones or a
shifting center of gravity. Pain in your back can strike at any point in
pregnancy, but it’s more common in the second and third trimesters. The pain can
range from slightly annoying to debilitating. While it can be hard to prevent
back pain, there are steps you can take to reduce your discomfort. Possible
Causes What causes back pain during pregnancy? Back pain in pregnancy happens
for the following reasons: Hormonal changes. Ligaments in your body become
softer and more flexible to prepare you for labor and delivery. This can put a
strain on the joints in your lower back, pelvis and hips. Changes to your center
of gravity. Back pain can happen when the extra weight you’re carrying in the
front of your body strains your back muscles and pulls you forward. Posture and
position. Your abdominal muscles stretch and weaken, which can lead to poor
posture. Your back muscles try to support your abdomen, which causes more back
strain. Typical movements like standing for long periods of time or bending over
can also trigger back pain. You may be more at risk for back pain during
pregnancy if you had back pain before pregnancy or in a previous pregnancy. Does
the baby’s position cause back pain? Yes, it can. If the fetus is in a position
where its head is against your tailbone or lower back, you could feel more back
pain. You may also feel more pain if the fetus is larger than average. Get
regular exercise. Exercise can help with aches and pains by strengthening your
muscles. Walking and swimming are great options. Be careful, though. Changes to
your abdominal muscles can increase your risk of hurting your back during
exercise. Support your back. Use a lumbar pillow behind your lower back or wear
a maternity belt to help with back pain. Find comfortable positions. Try not to
stay in one position for too long, and shift if you’re starting to feel
uncomfortable. Elevating your feet can also help with back pain. When lifting
objects, bend at your knees and not at your waist. Wear comfortable shoes. Wear
shoes that support you. Low-heeled shoes or sneakers are best. Use heat or cold
therapy. You can loosen tight, painful muscles by using hot water bottles and
heating pads on your lower back. Warm baths or showers can help, too. Get a
massage. Pregnancy is a good time to treat yourself to a massage. It can relax
you and help with tight muscles. See a physical therapist or a chiropractor. See
a physical therapist to learn specific exercises to help with back pain and
discomfort. One gentle stretch that may help is cat-cow. Chiropractors who
specialize in pregnancy care can be helpful in realigning your pelvis.
Prioritize rest. Allow your body time to rest. Avoid standing for long periods
of time, if possible. If none of these treatments work, ask your healthcare
provider if medications that help with inflammation are safe to use. Don’t take
any medications without talking to your pregnancy care provider. Is it safe to
use a heating pad on your back during pregnancy? It’s OK to use a heating pad on
your back. Be mindful of how hot it is and how long you use it, though. You
shouldn’t use enough heat that it raises your body temperature too high. Keep
the heating pad on a low setting and limit your time to about 15 minutes. What’s
the best way to sleep during pregnancy if you have back pain? Healthcare
providers recommend sleeping on your left side and using a pillow under your
knees. Some people find their mattress feels too hard or too soft. It might be
worth it to invest in a mattress topper to find something more comfortable. Many
pregnant women find their back hurts worse at night, mostly due to all the work
their bodies did throughout the day. When should I worry about back pain in
pregnancy? Mild back pain isn’t typically a reason to worry or call your
healthcare provider. You should let them know at your next prenatal appointment,
though. You should contact your provider if any of the following happen, as they
could be a sign of labor: The pain is intense or severe and keeps you from
completing normal everyday activities or chores. The pain starts suddenly and
sharply. The pain feels more like cramping, and you feel it in your hips or
abdomen. Advertisement You should also contact your provider if back pain is
accompanied by a fever, pain when you pee or vaginal bleeding. These could be
signs of a urinary tract infection (UTI). A note from Cleveland Clinic Pregnancy
comes with a lot of happy and exciting moments. Having back pain isn’t one of
them, especially when it prevents you from doing what you want to do. While it
can be uncomfortable, the good news is that it usually goes away after you give
birth. Until then, things like stretching, resting with your feet propped up and
wearing supportive garments can help relieve your discomfort. Let your pregnancy
care provider know that your back hurts. They may have other ideas to help you
feel better. While it’s usually not worrisome, if the pain is intense or
accompanied by other symptoms, your provider may want to take a closer look.
Why does my back hurt during pregnancy
Reviewed by Sedat Metin
on
June 28, 2025
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