This is a patient education presentation. It gives a brief a description of causes of back pain during pregnancy. It also give tips for avoiding and managing back pain during pregnancy. Search terms for the article: Back pain in pregnancy, Lumbar pain, labour pain, back bone problems, pregnancy and back pain Dr.A.Mohan krishna M.s.Ortho., MCh Ortho(U.K) Consultant Orthopedic surgeon, Apollo Hospitals. Vcare Multispeciality Hospital, Apollo Clinic SR nagar,

1. Dr. A.MOHAN KRISHNA
M.S.ORTHO,
MCh ORTH(U.K)
Consultant Orthopaedic surgeon ,
Trauma, Arthroscopy, Arthroplasty
Surgeon
Apollo hospitals, Jubilee hills,
Hyderabad
Consultant Orthopaedic Surgeon at
www.healthyjointclub.comwww.healthyjointclub.com

4. Changes causes low back pain in pregnancyChanges causes low back pain in pregnancy

5. During PregnancyDuring Pregnancy
Hormone called RELAXINHormone called RELAXIN
Loosens all joints and ligaments in
body. Pelvic ligaments stretch &
makes room for growing baby &
helps during delivery also.
Loosens all joints and ligaments in
body. Pelvic ligaments stretch &
makes room for growing baby &
helps during delivery also.
Laxity of the ligaments which
support the spine results in the
instability which can cause back
pain.
Laxity of the ligaments which
support the spine results in the
instability which can cause back
pain.

6. Forward bending of lower
spine & compensatory
bending of upper spine
Forward bending of lower
spine & compensatory
bending of upper spine
Abdomen shifts
forwards &
downwards
Abdomen shifts
forwards &
downwards
Altered Biomechanics
of spine & strain to
back muscles
Altered Biomechanics
of spine & strain to
back muscles

8. Similar to back pain
as seen in non
pregnant women
Similar to back pain
as seen in non
pregnant women
Caused by sitting or
standing for prolonged
periods
Caused by sitting or
standing for prolonged
periods
Pain located above
the waist line
Pain located above
the waist line

9. Common pain in
pregnant women
Common pain in
pregnant women
Pain at back of pelvis,
below the waist line ,
across the buttocks &
near the tail bone
Pain at back of pelvis,
below the waist line ,
across the buttocks &
near the tail bone
Aggravated by
bending twisting,
climbing stairs
Aggravated by
bending twisting,
climbing stairs

11. As Pregnancy
progresses
Center of gravity
shifts forwards
To avoid following
back compensatory
leaning of back occurs
Strain to back
muscles & back
pain results
Stand up
right & tall
Hold your
chest high
Shoulder &
upper back
relaxed
Good chair
to support
the back

14. 1. Sleep on your side
2. Keep one or both knees
bent
3. Can also keep pillow
between your knees or
under abdomen
1. Sleep on your side
2. Keep one or both knees
bent
3. Can also keep pillow
between your knees or
under abdomen
1. Full length body pillow1. Full length body pillow