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First Trimester Pregnancy Back Pain: Causes and Treatments

- Causes
- Treatment

For many women, one of the biggest complaints during pregnancy is that aching back! Somewhere between half and three-quarters of all pregnant women will experience back pain.

While it’s easy to pinpoint the cause of back pain in the later stages of your pregnancy (hint: blame the belly), what’s behind back pain in the first trimester? Here’s what to expect.
Causes of back pain during early pregnancy
Early pregnancy

There are many contributors to the back pain you experience during pregnancy. For some women, it’s actually an early sign of pregnancy. If you’re experiencing back pain in the first trimester, there may be a few culprits.
Hormone increase

During your pregnancy, your body releases hormones that help ligaments and joints in your pelvis to soften and loosen. This is important for the delivery of your baby, later in your pregnancy. But the hormones don’t just work in your pelvis. They move throughout your entire body, affecting all of your joints. In the first trimester of your pregnancy, this softening and loosening can directly impact your back. You’ll often feel this in the form of aches and pains.
Stress

Stress can be a contributor to back pain, whether or not you’re pregnant. Stress increases muscle pain and tightness, particularly in areas of weakness. If hormones are already wreaking havoc on your joints and ligaments, a little bit of anxiety about work, family, your pregnancy, or anything at all can go a long way to making your back hurt.
Second and third trimester

As your pregnancy progresses, other factors can come into play to aggravate that sore back.
Shifting center of gravity

As your belly gets bigger, your center of gravity creeps forward. This can lead to changes in your posture that can affect how you sit, stand, move, and sleep. Bad posture, standing for too long, and bending over, can trigger or worsen back pain.
Weight gain

Your back must also support the growing weight of your baby, which can strain the muscles. Add poor posture to the mix, and back pain is essentially inevitable.

Women who are overweight or have had back pain before becoming pregnant are at a greater risk of back pain during their pregnancies.

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