Back pain can be a consequence of giving birth post-pregnancy. Here’s how:

• Birth positions: Many women spend a good bit of birth in positions which put added strain on their vertebra and muscle strain in the back. Long pushing stages and/or a particularly difficult labour can also lead to discomfort during recovery. 
• Anaesthesia: The placement of an epidural or spinal block can sometimes cause muscle tightness and bruising which can lead to lingering back pain in postpartum.

• Pelvic pain and pelvic floor issues: This is because the muscles in the pelvic floor are weakened leading to instability as they can no longer provide the same support to the spine
• Incontinence: Incontinence after birth can cause back pain. A pelvic floor that’s either too loose or too tight can cause urinary or faecal incontinence and can be painful. 
• Postpartum mood disorders: PMADs can cause muscle tension, which many new mums feel in their backs after birth.
• Feeding positions: There’s so much emphasis on positioning baby correctly for feeding that often mum winds up in odd and not usually comfortable shapes. It’s a lot to keep mind of, but slouching and hunching over during feedings (breast or bottle) can cause back problems. 

• Weak or sore muscles
• Spasms and cramps
• Sciatic nerve pain/damage
• Herniated discs 
• Osteoarthritis
• Posture issues
• Neuropathic (nerve) damage
• Spinal cord pain

From postpartum exercises and physical therapy to improved posture and pelvic floor health. There are a number of natural and complimentary care options for relieving postpartum back pain:

• Strength training: Strength training can help to strengthen your core muscles and improve your posture, both of which help. 
• Stretching: Gentle stretching can help to improve your flexibility and reduce back pain.
• Massage therapy: Massage therapy can help ease the tense or spasmodic back muscles. It can also help with c-section scar tissue, which can often help relieve pain.
• Acupuncture: Acupuncture is thought to relieve inflammation and treat overall discomfort. It can also speed up your body’s ability to recover. 
• Yoga: Postpartum yoga can help to improve your flexibility, strength, and balance, all of which can help to reduce back and hip pain.

Yes! Stretching, bending and exercise can help improve back pain and hip discomfort after birth (even after long periods of time). We have some great exercises to help relieve your back pain in postpartum here.

Be mindful that some exercises may be unsuitable and best to avoid if you have persistent back pain. Common core exercises such as sit-ups, crunches or excessive twisting can exert too much pressure which may exacerbate low-back pain further.

Well, it’s certainly related. Our Core is so much more than our just our abs. It’s our lower back, pelvic floor, all our abdominal muscles, our glutes, and our hips – it’s our entire trunk or centre. 

If that central vital muscle system is compromised, and by that, I mean, not as functional or strong as we want it to be, then another body part has to take the strain. Usually our lower back. 

If you’re experiencing diastasis recti and weak connective tissue at the front of your abs, that’s one part of your trunk not able to stabilise as well, so your lower back takes the strain. 

If you’re bending over to pick up your child or anything else heavy, and you’re not stabilising your deep core muscles and using your glutes effectively as you stand upright… your lower back takes the strain. 

If you’re bending over, pushing, pulling, twisting, turning (As mums, we do this all the time) grabbing an escaping toddler, picking up toys, and your core is not flexible, strong and switching on… your lower back takes the strain.

So core strength and back pain are definitely related.

Generally speaking, yes. You are more likely to have back pain if you have a c-section versus a vaginal birth. This is because a c-section is a major surgery that involves cutting through the abdominal muscles and uterus. Healing from this can cause pain and inflammation in the back muscles and nearby ligaments. 

Additionally, the scar from a c-section can put strain on the muscles, which can cause problems. Also, as mentioned above, it’s possible that the spinal block administered for a caesarean can cause discomfort in the back after birth. 

Often a c-section occurs after longer labours, particularly if there was a lengthy pushing phase. In that case, your chances of having lingering back pain in postpartum go up, also. Having to be more cautious during your recovery time, restful, and slower to get back into more movement after this surgery can also add up to back pain. Be mindful to move your body frequently, but gently after a caesarean birth to help lower your risk.

Due to the frequency of occurrence we’ve put together some more in-depth resources for back pain after c-section and long term back pain after c-section specifically.

In most cases, post-birth back pain is mild and goes away on its own within a few weeks. However, many mums ask us how they will know when it’s normal or when it’s an issue.

If your discomfort is severe or doesn’t improve with home treatment, you should see a doctor, healthcare provider or physical therapist. There may be an underlying medical condition that is causing the issue

Here are some signs that you may have a more serious problem:

• Postpartum back pain that is severe or that gets worse over time
• Back pain after birth that is accompanied by fever, chills, or other symptoms
• Back pain after pregnancy that makes it difficult to walk, sit, or stand
• Back pain after delivery that is accompanied by numbness or tingling in your legs

Daily movement and core strengthening

This doesn’t mean doing 100 crunches as fast as you can, BTW. It means moving your body in a way that makes you feel good and reconnecting with the deep core muscles and that starts with ‘finding’ them. For some gentle movement exercises to help relieve postpartum back pain check out these.

Change your shoes

Yup seriously, your shoes are affecting how optimally your core can do its job, and when they hinder your core from doing its job, your back will hurt. High heels are not helping. They are skewing your alignment, throwing all the stacked parts out of kilter and your back is taking the strain. In MUTU we talk shoes a lot and encourage minimal or barefoot shoes. But for the purposes of this blog… I’m just gonna say, lose the heels as often as you can and if you are suffering from lower back pain – definitely try it. 

Squat, baby!

Your glutes play a big role in your core strength and confidence. If your glutes are not doing their job, your pelvic floor suffers, and so does your back. Gluteal muscles not only stabilise around your tailbone, but they also help support your low back muscles. If the glutes are weak, the low back muscles have to work harder, which makes them fatigued and sore. Squats, baby. We squat a lot in MUTU too. MUTU teaches you to protect your back, and build glutes as you squat.