Extreme Lower Back Pain After Pregnancy? Here’s What To Do

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back pain after pregnancy

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Being a mama to a new baby means you have a lot going on, whether you are a first time mama or you’ve been down that road before, the 4th trimester is a time to slow down, settle into a new routine, and care for not only your baby but yourself as well. 

Your body worked hard to get your baby here and focusing on a few small and simple ways to support your body in recovery is important. Back pain after pregnancy is a common issue that mamas face, so here’s some ways you can support your body even if you’re experiencing extreme back pain after giving birth.

What you can do to help extreme lower back pain after pregnancy

1. Reconnect to important parts of your body

Your body has been pretty busy for the better part of the last year growing a human. Regardless of how much you exercised during your pregnancy there is vital reconnecting that needs to happen postpartum. 

Our body is a dynamic system that is all interconnected. Back pain after pregnancy is not just an isolated issue with your back, the entire system needs to be addressed. For new mamas the core, pelvic floor, and glutes need some TLC. Yes, they need to be strengthened but before you strengthen a muscle you need to be connected to it. How can you strengthen a muscle your mind is not talking to? You can’t! 

First step, reconnecting to these muscles through gentle activation. This is perfect for the 4th trimester as well because you are not going to be jumping straight back into a gym routine, but you can support your body through movement (more on that in just a minute).

Core and Pelvic Floor Reconnection

Your core and pelvic floor are a dynamic duo that work hand in hand. They both went through quite a lot during pregnancy and birth, and are absolutely in need of some love and care! For some quick and easy postpartum exercises for back pain to help to start to gain that connection back check our free resource. 

2. Walking Daily for back pain after pregnancy

Never underestimate the power of walking! For so many walking seems like the yellow starburst that no one wants to eat unless all the pink starbursts are gone – it is a ‘last resort’ exercise. Now is the time to turn that mindset around! Walking IS the pink starburst 😉 and should be a ‘go to’ exercise!

Walking is a functional and foundational movement, we need to walk. Our bodies need it and our minds need it! Especially postpartum, walking has countless benefits. Back pain after pregnancy can be tied to less movement – you are physically recovering from birth (C-section mamas who are experiencing back pain after a c-section make sure you check this post out) so your activity level is less than normal, you are sitting down to feed your baby a lot, and daily hustling and bustling about is less during this time. This can lead to aches and pains (especially back pain) because your body was made to move.  

Start walking as soon as you feel you can after birth. Your walks at first will most likely be a very short distance and very short in time, that is great, this is not a race! Build up slowly. Make it a goal to walk to the end of your driveway and back. Next, set your sights on walking around your block. As you start to feel up for it add more time, more distance, and different scenery to your walks. 

HERE is a great read that goes more into guidance for making the most of your walks. 

3. Exercises for back pain after pregnancy

It is important to consciously support your body better during this time. Quality of movement matters, especially to help back pain after pregnancy and help in overall postpartum healing. 

The way you lift things up (tiny humans and stuff!), changing positions (getting out of bed..standing up..etc), positions during feeding (breast and bottle!), and more. For some quick tips on moving better watch this video and also see a selection of our best postpartum exercises for back pain.

4. Sleep

The thing you took for granted for far too many years before motherhood, that is now the rarest most precious resource on the planet. Sound relatable?! Sleep matters. Plain and simple. To help your body feel its best (goodbye back pain) you need rest. 

Some things in life and motherhood are negotiable and some are non-negotiable. 

  • Negotiable:
    • Dishes
    • Laundry
    • Bra
  • Non-negotiable
    • Sleep
    • Sleep
    • Sleep

Please make this a priority, during healing and recovery you need good rest. I know it can feel impossible but do everything you can to make the time to rest.

5. Additional support if needed 

We all just need some extra support at times! Yes, social support but no that is not what I am talking about right now (but after you finish reading this, pick up your phone and call a loved one. Be open and honest about how you are doing and take a few minutes to connect with another grown adult!). 

The kind of support I am talking about right now is physical support. Remember that disconnect we talked about? The need to strengthen and activate weak muscles?  Back pain after pregnancy is not something you should just suffer through. Sometimes having some gentle support as you carry your baby, lift things, and go through your day can make the world of difference. 

Support through special kinds of postpartum garments are a great option (many options out there in the form of leggings, shorts, tank tops) or a binder can also add some needed support and stability. Let’s be very clear about something here though – this is NOT about wearing a binder tight to improve the appearance of your tummy. Wearing tight binders can actually have a negative impact on core and pelvic floor help and is not a true solution for diastasis recti.

Wendy Powell
Wendy Powell
Wendy Powell, Dip PT is Founder and CEO of MUTU System. Wendy is a highly certified postpartum specialist and master trainer, as well as a speaker, Femtech entrepreneur and mentor.

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Where you see the Medically Reviewed link, our MUTU editorial content has been checked by one of our qualified medical ambassadors for accuracy.