For back pain in pregnancy, there is much that can be done, and most women respond very well to treatment. During a visit, Dr. Swedan devotes time to listening to patients about what causes and relieves the pain and how it relates to activity levels, sleep, work and overall health. A thorough exam is performed including posture and gait, range of motion, strength, reflexes, sensations, and evaluation of tender areas. A diagnosis is made, and in the discussion of the best treatment protocol, the OB is consulted if needed. Pain relieving techniques are discussed and individualized to each patient and stage of pregnancy. Techniques include topical applications, exercise and positioning, bracing, injections if appropriate, and lifestyle and activity modifications. Referrals to physical therapists (or sometimes other health and wellness practitioners) experienced in treating pregnant women are also extremely beneficial.

Exercise Recommendations

Dr. Swedan is a proponent of appropriate amounts and types of exercise before, during, and after pregnancy. This must be individualized to each woman and stage of pregnancy. Exercise plans are different for each patient, and can even vary from day to day, depending on other activities that occurred. In addition to back pain, there are other ailments common to pregnancy, such as carpal tunnel syndrome and plantar fasciitis that need to be considered when developing an exercise prescription. For women planning on becoming pregnant, a back pain prevention program is also recommended. For those in the postpartum, postural exercises are key to reducing neck and back strain associated with child care. Dr. Swedan is well-versed in physical therapy exercises and techniques that a woman can do at home, and also has a network of exercise specialists who are competent at working with women around the time of pregnancy.