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Why are back and pelvic pain so common in pregnancy?
Your body changes during pregnancy: hormones loosen the ligaments, the growing womb shifts your weight and the curve of your back, and the muscles of your abdomen, back and pelvis tire more easily. So you may feel pain in the lower back, or in the pelvic joints at the back or the front, and it may get worse with long walks, stairs, turning over in bed or standing on one leg. It usually appears in the second half of pregnancy, but can start earlier.
What is normal and what needs attention?
- Usually normal: aching or tightness in the lower back or pelvis that is worse with activity and eases with rest and a change of position
- Worth telling your doctor or midwife about: any new pain, pain that keeps getting worse, or pain that stops you walking or sleeping
- Regular pain like labour contractions, or pain in the upper abdomen, is not ordinary back pain and should be seen by a doctor
- We do not assume that every pain is just «pregnancy pain», so we ask and examine first
What usually helps?
In most cases staying as active as your body allows helps. Gentle exercises that strengthen the back, pelvis and deep abdominal muscles, movement and flexibility exercises, and several short walks instead of one long tiring one usually help. Practical tips include changing position often and not sitting or standing for long, sitting with your back supported, carrying things close to your body instead of bending, sleeping on your side with a pillow between the knees and another under the belly if needed, rolling onto your side before getting out of bed, and keeping your knees together when getting in and out of a car. A Cochrane review suggests that exercise and some other treatments may ease pain and improve function during pregnancy, although the evidence is limited.
How we treat you at Revibe
- We listen: how many weeks pregnant you are, when the pain started, what makes it better or worse, and how it affects sleep and work
- We examine movement, strength and the pelvic and back joints to understand the source of the pain
- We identify what keeps the pain going
- We treat in a way that suits pregnancy: gentle manual therapy and suitable exercises, and we avoid methods that are not suitable during pregnancy. Always tell us you are pregnant and how many weeks
- We progress with a home exercise programme and advice on sitting, sleeping and daily activity, and adjust it as your pregnancy advances. A female therapist is available on request
When do you need urgent medical care?
- Leg pain with swelling and tenderness in one calf, or chest pain or shortness of breath — call an ambulance: 911 in Jordan or 122 in Iraq and Kurdistan
- Vaginal bleeding or leaking fluid — go to the hospital or call your doctor or midwife straight away
- Severe or sudden abdominal pain — go to the hospital or see your doctor straight away
- Severe headache with changes in vision, or swelling of the face or hands — go to the hospital or see your doctor straight away
- Reduced baby movements or a fever — contact your doctor or midwife or go to the hospital straight away
In these cases go to the nearest emergency department or a doctor straight away — instead of booking physiotherapy.
FAQ
Is physiotherapy safe during pregnancy?
In most cases yes, when the plan is adapted to pregnancy. We ask how many weeks pregnant you are and about your health, avoid methods that are not suitable, and advise you to tell your doctor or midwife about any new pain.
Should I keep exercising and walking?
Often yes, in a way that suits your body and after speaking to your doctor or midwife. Gentle regular movement usually helps, and we agree with you what suits you and what to put off.
Can I be treated by a female therapist?
Yes, a female therapist is available on request. Mention it when you book through the Rivo assistant or WhatsApp.
How many sessions will I need?
It depends on your condition and how long you have had it; after the first assessment we explain the plan and the expected number of sessions.
More common questions: Pregnancy and after-birth questions — 13 questions
Ready to start?
Book your first session at Revibe Clinic in Amman (it starts with an assessment), or message us on WhatsApp.
Related pages
Reviewed by Ahmed AlKhatib, licensed physiotherapist — 22 October 2026
This information is general education and does not replace a clinical assessment.