Sacral Pain Pregnancy Lower Back Pain Pregnancy First Trimester

Summary: Sacral pain during pregnancy is a common complaint among expectant mothers. This discomfort usually stems from the increased weight and pressure on the pelvis during pregnancy. The sacrum serves as an anchor for the spine, therefore any pain in this region can have a significant impact on mobility and quality of life. Fortunately, there are different treatments and ways to ease this pain.

1. Causes of Sacral Pain in Pregnancy

The sacrum is located at the base of the spine, between the two pelvic bones. During pregnancy, the sacrum may experience various types of stress that can lead to pain. One primary cause is the increased pressure and weight on the pelvis brought about by the growing fetus. Hormonal changes during pregnancy such as the release of relaxin can also lead to sacral pain. Additionally, women who have experienced previous injuries or imbalances in their pelvis may be more prone to sacral pain during pregnancy.

In some cases, the baby’s position during delivery can also lead to Sacral pain. Postpartum, pelvic instability may remain, which can further exacerbate sacral pain.

It is important to note that every pregnant woman experience Different degrees of sacral pain, varying from mild discomfort to severe pain.

2. Symptoms of Sacral Pain in Pregnancy

Sacral pain presents differently for each individual but typically occurs in the lower back and hips, and can extend down the legs. The pain can range from mild to intense, sharp, stabbing or dull. Standing, sitting, and walking positions are common triggers for sacral pain. Sitting for long periods or sudden movements can cause discomfort. Sacral pain may also produce symptoms such as numbness, tingling, weakness, or a burning sensation in the legs.

Moreover, some women may experience additional symptoms other than back pain such as difficulty with bowel movements and urination, which could lead to complications such as constipation and even a higher risk of urinary tract infections (UTIs).

If you experience severe or persistent sacral pain in pregnancy, it is important to discuss your symptoms with your healthcare provider.

3. Prevention of Sacral Pain in Pregnancy

There are different strategies recommended to prevent sacral pain during pregnancy. One of the most effective methods is regular exercise. This can include low-impact activities such as swimming, prenatal yoga, or walking. Engaging in these types of activities can help maintain the strength and flexibility of the pelvic muscles and the torso, reducing the risk of injury and consequent sacral pain.

Additionally, avoiding prolonged standing or sitting, and using supportive shoes and chairs, can help decrease pressure on the pelvis. Practicing good posture, especially while sleeping, such as sleeping on your side with a pillow between the legs, will also help maintain proper alignment. Prenatal massages are beneficial in increasing blood circulation and relieving the strained muscles of the pelvic region.

Finally, maintaining an appropriate weight with a healthy diet and staying hydrated can lessen the pressure added onto the pelvis, reducing sacral pain as a result.

4. Management of Sacral Pain during Pregnancy

Treatments for sacral pain during pregnancy focus mainly on symptom relief as the goal is not to medicate or mask discomfort during pregnancy. Physical therapy is among the primary approaches, this examines and resolves any underlying structural imbalances that could contribute to sacral pain and teach techniques for pain relief. Chiropractic care has also been proven effective in reducing sacral pain through the realignment of the spine manually.

Development of stretching and strengthening exercises that can be performed safely at home can also provide some relief. Pain relief methods such as ice or heat application, massages, and using a pregnancy support belt can significantly alleviate the discomfort of sacral pain. It is essential to consult your healthcare provider before undergoing any treatment options.

In more severe cases, ant-inflammatory and muscle relaxer may be prescribed to provide short term effects.

5. When to Seek Medical Attention

Occasionally, sacral pain in pregnancy may signify underlying health issues that require medical attention. If you experience severe, long-lasting pain where other management strategies are not helping, it is best to seek medical attention immediately. Prenatal check-ups play an important role as physicians monitor the sacral pain and report necessary medical attention as needed.

Additionally, if the sacral pain comes with symptoms such as fever, chills, vaginal discharge, or bleeding these are indicators of infections or more severe abnormalities and medical attention is crucial.

It is important to communicate consistently with your healthcare provider on how you are managing the sacral pain to ensure good maternal health and a healthy delivery.


Sacral pain during pregnancy is a common ailment that many expectant mothers tend to encounter. The weight and pressure on the pelvis through pregnancy and hormonal changes causes this pain. Seeking medical attention and finding appropriate treatments such as chiropractic care during pregnancy is very effective, especially in severe cases. Additionally, regular exercise, good posture, and stretching exercises can help relieve sacral pain. By continuing regular checkups and communicating with your healthcare provider, sacral pain can be managed effectively, leading to a safer delivery and maternal health.

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