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September 17, 2019
Pregnancy brings momentous physical changes to a woman's body - not all of them welcome. But it is possible to be comfortable. While all expectant mums experience an array of changes to their bodies, including weight gain, softening of the joints and breathlessness, some experience debilitating pain.  
Words Rebecca Williamson

Up to 80 per cent of women suffer back pain in pregnancy – and that’s just one area of the body. Hormones are usually to blame. When a baby is on board, the hormone relaxin runs rampant through the body, loosening up joints, muscles and ligaments in preparation for birth. Another contributing factor, besides obvious weight and posture changes, is the extra fluid retained: a mum-to-be carries 50 per cent more blood and fluid than a non-pregnant woman.


Osteopath Jin Ong of Metamed says previous injuries or weaknesses in the body can often lead to those niggly or unbearable aches and pains. “If you’re planning a pregnancy, I recommend getting treatment beforehand to identify if you have any issues. If you have any weaknesses in the body, these can be exacerbated in pregnancy. Our bodies have the ability to compensate for issues so we don’t actually feel pain or discomfort until we aren’t coping, which is often too late.”


Often problems show in the 22-week mark, particularly if a woman has no pre-existing musculoskeletal disorders. The good news, however, is that most ailments disappear as soon as – or not long after – the baby is born. It’s another reason why mum-of-two Leanne Saunders can’t wait for her third child to arrive. She has been suffering from symphysis pubis dysfunction (SPD), a painful condition which affects one in 300 women, for much of her pregnancy. “I didn’t experience SPD with my first pregnancy but it has caused excruciating pain in my second and third pregnancies,” she says. “The pain is in my pelvis, particularly the pubic bone. It feels like someone has kicked me and the bones are breaking. Sometimes it’s a dull ache and other times it will take my breath away, but it’s always there.”


During her second pregnancy, Leanne had to give up her job as a warehouse store person due to the pain. “This time around I’m managing it by resting as much as possible, not moving too quickly and taking lots of lukewarm baths.” Treatments such as osteopathy, massage, acupuncture, chiropractic, and physiotherapy can help alleviate the symptoms of SPD and other conditions, and are generally considered safe in pregnancy. 



While some practitioners – particularly massage therapists – tend to avoid treating pregnant women in the first 12 weeks due to the risk of association with spontaneous miscarriage, others may avoid certain areas of the body or slightly modify their techniques. Because of this, it’s essential to choose a specialist who is knowledgeable and experienced in treating pregnant women.



“Osteopathy is hands on and very safe in pregnancy,” says Jin. “I personally use a bit of acupuncture/dry needling which is great for getting to the muscles without stirring up the joints. We also have a very holistic approach in listening to the mind-body connection and how the body can be a manifestation of our emotional experiences.”


Depending on your diagnosis, other remedies can include heat and ice packs (wheat packs or a bag of frozen peas can work wonders), specialised pregnancy belts, support bandages and hydrotherapy (immersing your body or a body part in hot or cold water). Nikki Sparrow found ice-cold water to be particularly helpful in her quest for relief from carpal tunnel syndrome, which she was diagnosed with at 16 weeks. “I was working as a caregiver and noticed my wrists were becoming very painful at the end of long shifts,” she says. Nikki’s symptoms became worse in the late second and third trimesters, and she tried to keep on top of the pain by using ice packs and splints, as well as elevating her wrists or running them under cold water. The pain did subside after Nikki finished breast feeding.

“A lot of people just say, it’s ‘part of pregnancy’ but I definitely think women can feel really healthy and comfortable in pregnancy,” she says. “It’s about making the body feel as best as it can feel as it changes during pregnancy. This is the time in your life that’s about creating a stress-free environment for your baby to thrive.”

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