When Back Pain is Actually A Problem in Your Pelvis

The pain is in your back, but the origin of the pain is often somewhere else in your anatomy.

Women have chronic pelvic pain more commonly than migraines, at about the same rate as they have back pain, or asthma.

Lower back pain is common, affecting approximately 1 in 10 people around the globe. But you may not realize how disabling it can be.

In women it may have to do with poor abdominal muscles. In women pregnancy and childbirth specifically can cause trauma to muscles and skeleton and this in tern cause lead to chronic pelvic and chronic lower back pain. The abdominal wall muscle disruption in pregnancy is called diastasis recti.

Pelvic floor disruption, poor conditioning going into pregnancy, both contribute to weakened pelvic floor, but the way to recover from these conditions increase strategies that will work to treat these chronic pains as well.

If during pregnancy you have pelvic floor or core disruption there is a way to prevent these problems from becoming chronic pain is to exercise according to experts, and yoga is one of the primary ways to keep flexible and strong while your body changes.

If when you are warming up your legs before exercise, and you feel twinges in your lower back, that may be a sign that pelvic pain is the issue.

With pain of the back many experts will advise rest, but gradually that thinking has changed. “Exercise may be the most effective way to speed recovery from low back pain and help strengthen back and abdominal muscles. Maintaining and building muscle strength is particularly important for persons with skeletal irregularities,” according to the National Institute of Neurological Disorders and Stroke.

Discuss with your gyno, your fitness instructor, your swim coach, they all will have input on how to increase and maintain the core strength to help control and prevent pelvic pain.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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