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Back Pain During Pregnancy: Physiotherapy Support

Nhlamulo Khosa, BSc Physiotherapy (UCT)
HPCSA registered physiotherapist, N S Physiotherapy, Eco Park, Centurion
Published 23 June 2026

Back pain during pregnancy is common but not something you have to just endure. Safe, effective physiotherapy can dramatically reduce pain and help you enjoy your pregnancy.

Why pregnancy back pain happens

A growing bump shifts your centre of gravity forward, tips the pelvis and loads the lower back. Hormonal changes also relax the ligaments around the pelvis, which increases movement and sometimes pain.

What safe physiotherapy looks like

Positioning, gentle joint mobilisation, soft tissue work, pelvic girdle stabilisation exercises and posture coaching. Every technique we choose is safe for pregnancy.

Self care between sessions

Use a pregnancy pillow at night, sleep on your left side with a pillow between the knees, avoid heavy lifting, and take short frequent walks rather than long ones on hard surfaces.

When to seek help urgently

Severe pain, pain with bleeding, sudden onset of pain into the leg or any signs of preterm labour need urgent medical review, not physiotherapy first.

Related physiotherapy services

Frequently asked questions

Is physiotherapy safe in the first trimester?+

Yes, with appropriate techniques chosen for pregnancy.

Can you help with pelvic girdle pain?+

Yes. Pelvic girdle pain responds very well to structured physiotherapy.

Should I use a pregnancy belt?+

A well fitted belt can help many patients, though it is only part of the plan.

Medical disclaimer: this article is general education and does not replace a personal assessment. If your pain is severe, worsening, or accompanied by numbness, weakness or loss of bladder or bowel control, seek care promptly.

Book with N S Physiotherapy

In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.

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