Lower back pain early pregnancy 5 weeks

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If pregnancy is becoming a pain in your back, you’re not alone — back pain is one of the most common symptoms among the expecting set.

What is back pain during pregnancy?

Back pain during pregnancy typically takes the form of aches, stiffness and soreness in the upper or lower back and hips that can sometimes extend into the legs and buttocks.

When does back pain during pregnancy start and end?

Unfortunately, back pain can start fairly early on in your pregnancy. Some women experience it in the first trimester, but for many women, back pain starts up around week 18, early in the second trimester. It can persist or sometimes worsen as the second trimester progresses and especially in the third trimester, up until you give birth (when it's sometimes replaced by postpartum back pain!).

What causes back pain during pregnancy?

Throughout your pregnancy, a hormone called relaxin is released, causing the ligaments of the otherwise stable joints in your pelvis to loosen up in order to allow easier passage of your baby during delivery.

Add to that the weight of your growing uterus, and your balance gets thrown off as your center of gravity shifts forward.

In turn, your lower back curves more than usual to accommodate the load — resulting in strained muscles and, you guessed it, soreness, stiffness and pain.

Is pregnancy back pain the same as sciatica?

It can be. If you’re feeling sharp, shooting pain that starts in your back or buttocks and radiates down your legs, you may be experiencing sciatica.

The good news about back pain during pregnancy is that it's usually as resolvable as it is common. Plus, there are many ways to relieve it — so if one solution doesn’t work, another probably will.

Treatments for back pain during pregnancy

Try the following remedies to relieve your pregnancy backaches:

  • Watch your posture when you’re sitting. Lounging around in a chair all day actually puts more strain on your spine than anything else. At home and at work, make sure the chairs you use most provide good support — preferably with a straight back and arms, and a firm cushion. Use a footrest to elevate your feet slightly, and don’t cross your legs. That can cause your pelvis to tilt forward, exacerbating those strained back muscles.
  • Take breaks. Walk or stand and stretch frequently, at least once an hour if possible. Sitting too long can make your back hurt even more. Try not to stand too long, either. If you work on your feet, try to place one foot on a low stool to take some pressure off your lower back.
  • Avoid lifting heavy loads. And if you must, do it slowly. Stabilize yourself by assuming a wide stance; bend at the knees, not at the waist; squat down and lift with your arms and legs, not your back. Better yet, ask for help!
  • Pace your pregnancy weight gain. Steadily gaining pregnancy weight will make it easier on your back.
  • Wear the right shoes. Extremely high heels are out — as are completely flat ones. Experts recommend a low-heeled shoe with good arch support to keep your body in proper alignment. You might also consider orthotics, special shoe inserts designed for muscle support.
  • Get a firm mattress. If yours isn’t, place a board underneath it for the duration of your pregnancy. A body pillow (at least 5 feet long) can also help you find stress-minimizing sleeping positions.
  • Consider getting a crisscross support sling or belly band. Designed specifically for a pregnant figure, these support bands can help take the burden off your lower back.
  • No reaching for the stars. Or items on the top shelf, for that matter. Use a low, stable step stool to avoid putting any additional strain on your back.
  • Think happy thoughts. A calm mind leads to a looser back. You can also try some prenatal yoga, which will relax both your mind and your back.
  • Strengthen your stomach. Do pelvic tilts to strengthen your abs, which in turn support your back. Or sit on an exercise ball and rock back and forth.
  • Go hot and cold. Soothe sore muscles by applying cold compresses, then warm compresses in 15-minute intervals.
  • Take a warm bath. Or, if you have a pulsating showerhead, turn it on for a free back massage.
  • Get a massage. Speaking of massages, go get one (after the first trimester and with a licensed massage therapist who knows you’re pregnant and is trained in the art of prenatal massage).
  • Talk to your doctor. Ask your practitioner about physical therapists, alternative medicine specialists such as acupuncturists, or chiropractors who might be able to help. You should also call your practitioner if you have severe back pain. 

  • What to Expect When You're Expecting, 5th edition, Heidi Murkoff.
  • WhatToExpect.com, Sciatica During Pregnancy, December 2020.
  • WhatToExpect.com, Prenatal Massage, March 2021.
  • WhatToExpect.com, 18 Weeks Pregnant, June 2021.
  • American College of Obstetricians and Gynecologists, Back Pain During Pregnancy, May 2020.
  • Mayo Clinic, Back Pain During Pregnancy: 7 Tips for Relief, November 2021.
  • Mayo Clinic, Sciatica, August 2020.
  • National Institutes of Health, National Library of Medicine, Aches and Pains During Pregnancy, January 2022.
  • National Institutes of Health, National Library of Medicine, National Center for Biotechnology Information, Pregnancy and Low Back Pain, February 2008.
  • KidsHealth From Nemours, What Can I Do to Relieve My Pregnancy Backaches?, January 2021.
  • American College of Obstetricians and Gynecologists, Exercise During Pregnancy, July 2019.

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The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. This educational content is not medical or diagnostic advice. Use of this site is subject to our terms of use and privacy policy. © 2005-2022 Everyday Health, Inc., a Ziff Davis company.

A property of

You just found out you are pregnant, but now you're experiencing symptoms that leave you concerned, such as backache and cramping. You might fear that these common PMS symptoms might signal a problem with your pregnancy and the early stages of a miscarriage. These symptoms, however, can be common during early pregnancy for many women.

It is possible that you will deal with backache throughout your pregnancy. During your third trimester, the increased weight from your belly can result in lower back pain. Early on, even as early as five weeks, backache is also common. Many early pregnancy symptoms mimic premenstrual symptoms, and backache falls into this category. Thus, a dull--but tolerable--backache is not cause for concern by itself at five weeks pregnant.

Cramping

Cramping at five weeks pregnant in a healthy pregnancy is caused by implantation. When the egg implants itself into your uterine wall, it is possible you will experience some dull cramping similar to premenstrual cramps. Extremely painful cramps can signal a problem with the pregnancy, so contact your obstetrician or midwife if you have debilitating cramps at five weeks pregnant.

At five weeks pregnant, the best treatment for backache and cramps is no treatment. If you had experienced these symptoms leading up to your period, you might have used a heating pad or ibuprofen to dull the pain. During this fragile stage of early pregnancy, it is best to kick up your feet, relax and deal with these uncomfortable symptoms without any treatment.

Since backache and cramping are often normal around five weeks pregnant, you do not have to rush to your doctor if you experience these symptoms. If, however, the backache or cramps intensify and become unbearable, give your provider a call. If they are accompanied by any bleeding, also call you doctor. While implantation can cause spotting, heavy, red, period-like bleeding can indicate a miscarriage.

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