Common signs
- Pain in the lower back, on one side or both
- Pain that can spread to the buttocks, hips or thighs
- Pain over the pubic bone or in the groin
- Discomfort when bending, carrying or staying in the same position for a long time
- Pain on stairs, when turning over in bed or when getting out of a car
- Small clicks or rubbing in the pelvis
When to see a doctor
- Back pain in the 2nd or 3rd trimester, which can be a sign of a premature birth
- Back pain with fever, vaginal bleeding or pain when urinating
- Pain on one side or both, below the ribs
- Loss of feeling in one or both legs, the buttocks or the genitalscall emergency services
What physiotherapy does
The doctor or the midwife can refer you to a physiotherapist specialising in pregnancy care, who gives advice and can suggest exercises. For pelvic pain, they can have you work the muscles of the pelvic floor, abdomen, back and hips, and provide equipment if needed, such as a pelvic support belt or crutches. They also help you cope better with the pain, for example with relaxation techniques.
Techniques used at the practice
Gentle manual therapy techniques, massage adapted to pregnancy, mobilisation of the pelvis and lower back, mobility exercises, strengthening of the deep muscles, breathing work, pelvic mobility and stabilisation exercises for the lower back and pelvis.
How the sessions go
Assessment of the pain, the mobility of the pelvis and lower back, posture and functional limitations. A personalised programme depending on the trimester of pregnancy, combining gentle techniques, suitable exercises and advice to make daily activities easier.
My pain diaryFill it in every day, show it at your sessionAdvice
Adopt comfortable positions, avoid staying in the same posture for a long time, change position regularly and use suitable positions for sleeping, getting up and carrying out daily activities. Practise gentle breathing and mobility exercises as recommended by the physiotherapist.
Sources
- Back pain in pregnancy (new tab)NHS (nhs.uk), accessed October 26, 2026
- Pelvic pain in pregnancy (new tab)NHS (nhs.uk), accessed October 26, 2026
- Pelvic girdle pain and lower back pain (new tab)Leeds Teaching Hospitals NHS Trust, accessed October 26, 2026
Page reviewed on October 30, 2026
This page is for information and does not replace a consultation. Only a doctor can make a diagnosis.