What Should I Do If I Have Back Pain During Pregnancy?

Back pain is one of the most common complaints during pregnancy. If you’re feeling it right now, you’re definitely not alone. As your body changes and your baby grows, your muscles and posture shift, and that can lead to soreness—especially in your lower back.

The good news? There are several easy and safe ways to manage it. You don’t have to just “deal with it.” Let’s talk about why it happens, what you can do, and when you should call your doctor.

Why does back pain happen in pregnancy?

There are a few reasons your back starts to hurt when you’re pregnant. First, your growing belly changes your posture. Your center of gravity shifts, and you might lean backward without realizing it. That puts pressure on your lower back.

Second, your body makes a hormone called relaxin, which loosens your joints and ligaments to prepare for childbirth. That’s a good thing—but it can also make your back less stable and more prone to pain.

Plus, your muscles are working harder to support the extra weight. Add in things like poor posture, standing too long, or even stress, and it’s easy to see how back pain sneaks in.

When does back pain usually start?

Back pain can start as early as the first trimester, but it’s most common during the second half of pregnancy. That’s when your belly really starts to grow and shift your balance.

You might feel it as a dull ache in your lower back, sharp pain after standing too long, or stiffness when you wake up in the morning. Some women even feel it in their hips or tailbone.

Simple things you can do to ease the pain

Here are a few tips that can help:

  • Watch your posture: Try to stand tall and avoid slouching. When sitting, use a chair that supports your back. A small pillow behind your lower back can make a big difference.
  • Don’t stand or sit for too long: Change positions often. If you’ve been sitting, take a short walk. If you’ve been standing, try sitting with your feet up.
  • Sleep with support: Sleeping on your side with a pillow between your knees can help align your spine. A pregnancy pillow that supports your belly and back is also a great option.
  • Use heat or cold: A warm compress or heating pad on your back can ease sore muscles. Some moms find relief from cold packs too. Just make sure not to use anything too hot.
  • Wear the right shoes: Avoid heels and go for shoes that offer support. Flat shoes without arch support can actually make the pain worse.
  • Stay active: Gentle movement helps keep your muscles strong and flexible. Even a short walk can help. And one of the best ways to stay active during pregnancy is through yoga for pregnant women.

How yoga helps with back pain

Yoga is safe and very effective for many pregnancy discomforts, including back pain. It stretches tight muscles, strengthens weak ones, and helps improve posture. The breathing exercises also help you relax, which can ease tension and reduce pain.

Yoga poses like cat-cow, child’s pose, and pelvic tilts are especially helpful for lower back pain. These movements gently stretch your spine and ease pressure. Just remember, don’t push yourself or do any poses that feel uncomfortable.

If you’re new to yoga, don’t worry. There are special prenatal yoga classes designed just for expecting moms. These classes are guided by trained instructors who know which movements are safe and helpful during pregnancy.

Massage and physical therapy

If the pain is getting worse, you might consider prenatal massage or physical therapy. A certified prenatal massage therapist knows how to work with your body safely. Physical therapists can also show you special exercises and stretches that target the exact muscles causing pain.

When to call your doctor

Most back pain in pregnancy is normal, but you should contact your doctor if:

  • The pain is very sharp or severe
  • It lasts more than a few days without getting better
  • You have pain along with fever, bleeding, or burning when you pee
  • You feel numbness, tingling, or weakness in your legs

These could be signs of something more serious, and it’s better to be safe.

Take care of yourself

Back pain can be annoying, but it doesn’t have to take over your pregnancy. A few small changes in your routine can make a big difference. Try to move often, stretch gently, sleep in a supportive position, and use heat or massage when needed.

And don’t underestimate the power of slowing down. Your body is doing amazing work every single day, growing a whole new person. It’s okay to rest, to stretch, and to ask for help.

Whether it’s a warm shower, a walk around the block, or a relaxing session in one of your prenatal yoga classes, give yourself permission to feel better.

In conclusion

Back pain during pregnancy is common—but manageable. It happens for a mix of reasons, including weight gain, posture changes, and loosened joints. The good news is, you have plenty of safe options to ease the discomfort.

Simple daily habits, supportive sleep, and gentle movement like yoga can really help. If you ever feel unsure, your doctor is always there to guide you.

So stretch it out, breathe deeply, and take it one day at a time. You’ve got this—and relief is totally possible.