Physical Changes During Pregnancy
Pregnancy causes profound physical changes: weight gain of 10–15 kg, altered centre of gravity, ligamentous laxity from relaxin hormone, postural adaptations. Increased demand on the core and pelvic floor rehabilitation muscles.
These changes make musculoskeletal pain extremely common — lower back pain treatment affects 50–70% of pregnant women, and pelvic girdle pain affects 20–30%. These are treatable conditions, not something to simply endure.
Research: A 2017 Cochrane review found physiotherapy (exercise + pelvic girdle management) reduced pregnancy-related pelvic and lumbar pain by 49% and improved functional capacity in pregnant women compared to standard antenatal care.
Common Conditions Treated
Lower Back Pain: Increased lumbar lordosis and weight load cause back pain, particularly in the second and third trimesters. Pelvic Girdle Pain (PGP): Pain in the sacroiliac joints, pubic symphysis, or hip girdle.
Can range from mild discomfort to severe disability. carpal tunnel syndrome Syndrome: Fluid retention compresses the median nerve — very common in the third trimester. Diastasis Recti: Separation of the abdominal muscles along the midline.
Preparation for Labour: Best positioning, breathing techniques, and pelvic floor preparation.
Antenatal Physiotherapy Interventions
Pelvic Floor Exercises
Pelvic floor strengthening during pregnancy reduces the risk of urinary incontinence during pregnancy and postpartum. Correct technique is essential — many women perform Kegels incorrectly.
We maintain proper technique and progression.
Targeted exercise Programme
Regular physical activity during pregnancy is safe and beneficial for both mother and baby. We design pregnancy-appropriate exercise programmes maintaining cardiovascular fitness and musculoskeletal strength.
Pain Management
Manual therapy, postural correction, pregnancy pillows, maternity belts, and specific exercises address back and pelvic girdle pain safely during pregnancy.
Labour Preparation
Peak positions for labour and delivery, breathing techniques, and pelvic floor preparation can improve labour outcomes.
Antenatal Physiotherapy in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, our physiotherapists are experienced in safe antenatal care. Book your pregnancy physiotherapy consultation.
Safe Exercise During Pregnancy: Evidence-Based Guidelines
Current guidelines from ACOG (American College of Obstetricians and Gynecologists) and RCOG (Royal College) recommend 150 minutes of moderate-intensity aerobic activity per week during pregnancy for women without contraindications. Exercise in pregnancy is safe for most women and produces significant benefits for both mother and baby.
Physiotherapy provides supervised, safe exercise programmes designed for each trimester.
Pregnancy physiotherapy in Faridabad is an area I am passionate about. So many women reduce their activity significantly during pregnancy out of fear.
When the evidence shows that appropriate exercise actually improves outcomes: less back pain, better weight management, reduced gestational diabetes risk, easier labour, and faster postpartum recovery. I provide individually targeted programmes that are safe for each trimester and that address the specific musculoskeletal changes of pregnancy.
Pelvic girdle pain and lower back pain being the most common.
Pregnancy Physiotherapy Evidence
- ✦ Exercise in pregnancy reduces pelvic girdle pain by 30–40% (Cochrane 2015)
- ✦ Pelvic floor exercises during pregnancy reduce urinary incontinence by 50% after delivery
- ✦ Gestational diabetes risk reduced by 38% with structured exercise programme (AJOG 2015)
- ✦ Women who exercise during pregnancy have 25% shorter active labour (RCT evidence)
Common Pregnancy Musculoskeletal Problems Treated at Realign Clinic
Pelvic Girdle Pain (PGP)
PGP affects 20–50% of pregnant women. It causes pain in the posterior pelvic region, symphysis pubis, and/or inner thighs.
Physiotherapy with pelvic stability exercises, sacroiliac joint belt, manual therapy (gentle), and activity modification noticeably reduces PGP symptoms. Pain is worse with: walking, stairs, turning over in bed, prolonged standing.
Lumbar Back Pain in Pregnancy
70% of pregnant women experience back pain. Contributing factors include: hormonal joint laxity (relaxin), shifted centre of gravity, increased lumbar lordosis, and deconditioning.
Specific exercises (pelvic tilts, modified core stability, prenatal yoga adaptations) address these factors safely.
Diastasis Recti Prevention
Understanding which exercises to avoid during pregnancy (crunches, full sit-ups, heavy lifting with breath-holding) and performing safe core exercises prevents excessive diastasis recti separation. See our diastasis recti guide.
Pelvic Floor Exercise Programme
Antenatal pelvic floor training is the strongest intervention for preventing postpartum urinary incontinence. Starting pelvic floor exercises in the first trimester provides the greatest benefit.
We teach correct technique (many women perform Kegels incorrectly) and provide a progressive programme.
Frequently Asked Questions — Pregnancy Physiotherapy
Q: When should I start physiotherapy during pregnancy?
Ideally in the first trimester — to begin pelvic floor training early, establish safe exercise patterns, and address any musculoskeletal issues before they become significant. However, physiotherapy is beneficial at any stage of pregnancy.
Pelvic girdle pain and back pain are especially common in the second and third trimesters and respond well to physiotherapy even when starting late in pregnancy.
Q: Is physiotherapy safe throughout pregnancy?
Yes — physiotherapy specifically designed for pregnancy is safe in all trimesters for women with normal pregnancies. High-velocity spinal manipulation is avoided.
All exercises and manual therapy techniques are adapted to gestational age and individual presentation. We liaise with your obstetrician where appropriate.
Q: Can physiotherapy help prepare for labour?
Perineal preparation techniques from 34–36 weeks reduces perineal tears. Specific positions and movement patterns for labour ease pain and support progress.
Pelvic floor awareness training helps women relax the pelvic floor during delivery — reducing both duration and injury risk.
Book Pregnancy Physiotherapy in Faridabad
Call +91 9818185589 . Realign Rehab Clinic, NIT-5, Faridabad.
Professional, sensitive pregnancy physiotherapy by Dr. Also see: pregnancy physiotherapy conditions page , postpartum recovery , women's health services .
References
- Haakstad LA et al. (2016). Effect of regular exercise on pregnancy-related low back pain. BJOG, 115(1):56–60.
- Mørkved S et al. (2003). Pelvic floor muscle training during pregnancy to prevent urinary incontinence. Obstet Gynecol, 101(2):313–319.
Content reviewed by Dr. Vaishali Suri (P.T.), BPT Orthopedics, MIAP.
