This most commonly occurs within one to six weeks after labour.
The most likely cause is that the pelvis has not fully repositioned itself after labour, showing symptoms of pelvic girdle pain (See our previous post about pelvic girdle pain below)
- Abdominal and pelvic floor strengthening exercises may help your pubic symphysis pain.
- Seek advice from an osteopath about specific treatments available and when to begin exercising.
More information can be found about how we can help you at http://www.kaneandross.co.uk
You may experience back pain after a difficult delivery, caesarean section, a long second stage, if your baby was back to back (OP) or an assisted delivery with forceps or ventouse.
Back pain may be immediate or may start approximately six weeks after delivery.
The pelvis needs to open approximately 6cm during delivery. If the baby is not in a good position or there is a long second stage, the sacrum or coccyx can often be held down or injured.
A healthcare professional can give you exercises to strengthen your abdominal and pelvic floor muscles, which help to support the back.
If you know that your delivery was difficult, you should seek treatment from an osteopath within 2-3 weeks after delivery.
Continue with your exercise programme until advised to stop or modify your routine – the fitter you are the easier your pregnancy and delivery will be!
Exercise to strengthen the back and pelvis and to open the ribs.
Lift carefully by bending your knees and limit the amount of weight you carry.
Keep your pelvis above your knees when sitting.
Lie on your side when relaxing on the couch.
Put a pillow between your legs and under your bump when lying in bed.
Take walks after dinner and have small meals in the evening if you are suffering from heartburn.
Get someone to look at your ergonomics if you work in an office.
Stand in one position for too long, stick your bump out or wear high heels.
Cross your legs when seated.
Lift and twist putting additional strain on your back.
Sit for more than 20 minutes at a time.
Slouch when sitting on the couch.
Get a massage if you are in pain. Specialist help will be much more beneficial.
Drink coffee, tea or eat red meat, oranges or tomatoes if suffering from heartburn.
Pelvic girdle pain – local tenderness over the pubic bone or pain down the inside of your legs – usually occurs after 20 weeks.
It is due to instability and inflammation at the pubic symphysis joint.
Causes include current or previous lower back or sacra-iliac joint problems, ligament loosening due to the hormone relaxin, hyper-mobility or underlying issues such as scoliosis or unequal pelvic height.
To help reduce and avoid pain…
- Limit any heavy lifting or carrying.
- Avoid stairs when possible.
- Do not cross your legs & keep your legs together.
- Avoid long walks – it may not be painful at the time, but pain can occur later in the day.
- Use a maternity belt if on your feet for long periods of time.
- Avoid exercises that load the pelvis like squats, lunges and stretches with the legs apart.
- Inform your exercise instructor about your PGP.
- Use a sidelying position during sex.
KEY TIP: Get treatment as soon as symptoms arise to prevent pain increasing throughout your pregnancy.