Back Pain During Pregnancy
Overview
The size and weight of a growing belly can change your posture and strain your back.
These tips may help your back feel better.
- Stand with your ears, shoulders, and hips in a straight line. 
Try not to arch your back.
 - Try not to stand for too long. 
When you stand, try resting one foot on a small box, yoga block, or stool.
 - Support your back. 
Use a pillow behind your low back when you sit.
 - Sleep on a firm mattress. 
If your mattress is soft, you can try putting plywood under it.
 - Sleep on your left side. 
Use a pillow between your knees.
 - Wear supportive, low-heeled shoes. 
Avoid flat or high-heeled shoes.
 - Try a heating pad or cold pack on your back. 
A warm bath or shower can also feel good.
 - Try a belly band. 
Supporting your belly can take the strain off your back.
 - Talk to your doctor or midwife about your pain. 
They may recommend physical therapy or acetaminophen (Tylenol).
 - Stay active. 
Regular exercise such as swimming, pool exercise, walking, and stretching can help with back pain. Ask your doctor about exercises to stretch, strengthen, and relax your muscles.
 - Avoid heavy lifting. 
Lift only by raising from a squat, keeping your waist and back straight. Avoid stretching to reach something, such as on a high shelf.
 
When should you call for help?
See your doctor or midwife if you have back pain that gets worse or doesn't go away. It could be a sign of a serious problem, such as a kidney infection or preterm labor.
What are some exercises that can help?
Back press

- Stand with your back 10 to 12 inches away from a wall.
 - Lean into the wall until your back is against it. Press your lower back against the wall by pulling in your stomach muscles.
 - Slowly slide down until your knees are slightly bent, pressing your lower back against the wall.
 - Hold for at least 6 seconds, then slide back up the wall.
 - Repeat 8 to 12 times.
 
Over time, work up to holding this position for as much as 1 minute.
Backward stretch

- Start on your hands and knees with your knees 8 to 10 inches apart, hands directly below your shoulders, and arms and back straight.
 - Keeping your arms straight, slowly lower your buttocks toward your heels and tuck your head toward your knees. Hold for 15 to 30 seconds.
 - Slowly return to the starting position.
 - Repeat 2 to 4 times.
 
Donkey kick

- Start on your hands and knees. Place your hands directly below your shoulders, and keep your arms straight.
 - Tighten your belly muscles by pulling your belly button in toward your spine. Keep breathing normally, and don't hold your breath.
 - Lift one knee and bring it toward your elbow.
 - Slowly extend that leg behind you without completely straightening it. Be careful not to let your hip drop down. Avoid arching your back.
 - Hold your leg behind you for about 6 seconds.
 - Return to your starting position.
 - Repeat 8 to 12 times for each leg.
 
Forward bend

- Sit comfortably in a chair, with your arms relaxed.
 - Slowly bend forward, allowing your arms to hang down. Lean only as far as you can without feeling discomfort or pressure on your belly.
 - Hold for 15 to 30 seconds and then slowly sit up straight.
 - Repeat 2 to 4 times or to your comfort level.
 
Hip hinge (pregnancy)

- Stand with your hands on your hips, feet hip-width apart, and knees slightly bent.
 - Keeping your upper back straight, bend forward slowly.
 - Use your back and buttocks muscles to return to the starting position.
 - Repeat 8 to 12 times.
 
Pelvic rocking on hands and knees

- Start on your hands and knees. Place your wrists directly below your shoulders and your knees below your hips.
 - Breathe in slowly. Tuck your head downward and round your back up, making a curve with your back in the shape of the letter C. Hold this position for about 6 seconds.
 - Breathe out slowly and bring your head back up. Relax, keeping your back straight. (Don't allow it to curve toward the floor.) Hold for about 6 seconds.
 - Repeat 8 to 12 times, gently rocking your pelvis.
 
Pelvic tilt

- Lie on your back with your knees bent and your feet flat on the floor.
 - Tighten your belly muscles by pulling your belly button in toward your spine. Press your lower back to the floor. You should feel your hips and pelvis rock back.
 - Hold for 6 seconds while breathing smoothly, and then relax.
 - Repeat 8 to 12 times.
 
Do this exercise only during the first 4 months of pregnancy. After this point, lying on your back is not recommended, because it can cause blood flow problems for you and your baby.
Tailor press (pregnancy)

- Sit on the floor, and put the bottoms of your feet together in front of you. Bring your heels as close to your body as you can.
 - Cup your hands under your knees.
 - Press your knees toward the floor. At the same time, resist that force by pulling upward with your hands.
 - Hold for about 6 seconds. Relax.
 - Repeat 8 to 12 times.
 
Tailor sitting

- Sit on the floor.
 - Bring your feet close to your body while crossing your ankles.
 - Keep your back straight. Relax your legs and let your knees drop toward the floor.
 - Hold this position for as long as you are comfortable.
 
Toe reach

- Sit on the floor with your back straight, legs about 12 inches apart, and feet relaxed outward.
 - Stretch your hands forward toward your right foot, then sit up.
 - Stretch your hands straight forward, then sit up.
 - Stretch your hands forward toward your left foot, then sit up.
 - Hold each stretch for 15 to 30 seconds.
 - Repeat 2 to 4 times.
 
Trunk twist

- Sit on the floor with your legs crossed. If that's not comfortable, you can sit on a folded blanket so your bottom is a few inches off the floor. Or you can sit on a chair with your knees hip-width apart and your feet flat on the floor.
 - Reach your left hand toward your right knee. You can place your right hand at your side for support.
 - Slowly twist your body (trunk) to your right.
 - Relax and return to your starting position.
 - Repeat 2 to 4 times.
 - Switch your hands and twist to your left.
 - Repeat 2 to 4 times.
 
Credits
Current as of: July 15, 2025
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: July 15, 2025
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.