Pain-Free Pregnancy with 6 Essential Prenatal Physical Therapy Exercises

May 1st, 2024
A pregnant woman performing a yoga pose on a mat in a cozy living room, with a sofa, plants, and a bright window in the background.

Understanding the Role of Prenatal Physical Therapy in Treating Pregnancy-Related Conditions

Pregnancy is a wonderful experience, though it comes with various physical challenges. As the body prepares to nurture and give birth, many women experience a range of musculoskeletal pains. Prenatal physical therapy offers a targeted approach to managing these pains, ensuring both mother and child remain healthy and comfortable. Let’s delve into the specifics of how prenatal physical therapy can be a boon during pregnancy.

The Prevalence of Musculoskeletal Pain in Pregnancy

Musculoskeletal pain during pregnancy is not just common; it is expected due to the dramatic changes a woman’s body undergoes. Weight gain and shifts in posture can put unexpected stress on the body. This can lead to lower back pain, which is reported by a significant number of pregnant women. This kind of pain not only affects a woman’s quality of life but also limits her ability to perform daily activities, reducing her overall productivity.

Common Conditions Treated by Prenatal Physical Therapy

Lower Back Pain

Lower back pain during pregnancy can be attributed to factors such as increased weight, changes in posture, hormone fluctuations, and muscle separation. Physical therapy helps in managing this pain through exercises designed to strengthen the back and improve posture.

Hip Pain

Hip pain is another discomfort frequently reported by expectant mothers, often exacerbated by the hormone relaxin, which loosens connective tissues to prepare the body for childbirth. Physical therapists address this by teaching pain-relief exercises and improving hip joint stability.

Tailbone Pain

Often confused with lower back pain, tailbone pain arises as the pelvic floor relaxes and stretches, sometimes moving the coccyx. This specific pain is also managed through tailored physical therapy exercises that focus on pelvic alignment and strength.

How Prenatal Physical Therapy Offers Relief

Prenatal physical therapy starts with a comprehensive evaluation of the expectant mother’s health, which includes assessments of range of motion, strength, and balance. Following these evaluations, a personalized treatment strategy is crafted. This plan may involve:

  • Educational Resources: Understanding the changes happening in the body can be empowering for pregnant women.
  • Core Stability Exercises: Strengthening the core to better support the spine and reduce the strain on the back.
  • Relaxation Techniques: Learning methods to relieve tension and stress, which can exacerbate pain.
  • Manual Therapy: Hands-on techniques to improve mobility and decrease discomfort.
  • Visceral Manipulation: A gentle therapy that works with the internal organs to improve their function and reduce pain.
  • Electrical Stimulation: Occasionally used to reduce pain and facilitate muscle function.

Each plan is tailored to the individual’s needs, ensuring that they receive the most appropriate and effective treatment.

Safety and Efficacy of Prenatal Physical Therapy

It is crucial to address the concerns about the safety of physical therapy during pregnancy. It is not only safe but recommended for managing pain associated with pregnancy changes. Early intervention is key to preventing chronic pain conditions from developing and provides ongoing support as the body changes.

Why Early Treatment is Critical

Early intervention in prenatal physical therapy is essential for preventing symptoms from worsening, which can complicate birth and recovery after childbirth. Initiating treatment as soon as discomfort is noticed, or even preemptively, helps manage pain effectively, supports physical functioning, and makes the journey to motherhood smoother.

This proactive approach not only alleviates immediate discomfort but also enhances overall mobility and strength during pregnancy. By addressing musculoskeletal issues early, prenatal physical therapy ensures that expectant mothers can maintain an active lifestyle with minimal discomfort, setting the stage for a quicker and more comfortable postpartum recovery.

Enhancing Childbirth Readiness with Key Prenatal Physical Therapy Exercises

To seamlessly bridge between the detailed benefits of prenatal physical therapy and the specialized fitness movements designed for childbirth preparation, it’s crucial to recognize the interconnectedness of these components in ensuring a healthy pregnancy and delivery. Prenatal physical therapy not only addresses common discomforts such as lower back pain, hip pain, and tailbone pain but also equips expectant mothers with the strength and endurance needed for the challenges of labor.

Building on this foundation, let’s explore six recommended prenatal physical therapy exercises that are specifically tailored to enhance physical readiness for childbirth. These movements focus on strengthening key muscle groups, enhancing flexibility, and improving overall physical resilience, which are essential for a smoother and more efficient labor process. Engaging in these exercises as part of a comprehensive prenatal care program ensures that expectant mothers are not only managing pain but are also actively preparing their bodies for the demands of childbirth. 

Here are 6 Recommended Prenatal Physical Therapy Fitness movements to prepare for Childbirth 

To further enhance prenatal health, the following exercises are recommended to prepare for childbirth. Incorporating these exercises into a prenatal routine not only prepares the body physically for childbirth but also contributes to a woman’s overall well-being, making the process smoother and potentially less complicated. Engaging regularly in these activities ensures better preparedness for the demands of labor and delivery.

  1. Core Strengthening: Transverse Abdominis

The transverse abdominis is the deepest abdominal muscle, wrapping around your trunk like a corset. It plays a crucial role during labor by helping you push.

  • Exercise: Pelvic Tilts
    • Position: On hands and knees (quadruped position).
    • Movement: Using an exhale, tuck your tail under while drawing your belly button towards your spine. Exhale as long as you can to tighten your abdominal muscles. Release your tail tuck to neutral and release your breath to allow air to naturally draw in.
    • Duration: Hold for tuck and exhale for 5-10 seconds, relax, and repeat 5-10 times.
    • Frequency: 3-6 days per week.
Prenatal Physical Therapy
Core Strengthening: Transverse Abdominis


  1. Pelvic Floor Fortitude

The pelvic floor muscles support the abdomen and are crucial for managing the different stages of childbirth. Strengthening these muscles can facilitate an easier delivery and quick recovery.

  • Exercise: Involuntary Kegels 
    • Method: Sit in a chair with your feet on the floor and your hips and knees at 90 degrees. Put your feet and knees together, then open your toes about 30 degrees keeping heels together. Your knees should open a little as well. Then put your toes together and separate your heels, knees should follow your toes and come together.
    • Variability: Perform up 10 repetitions 3 times daily lying down with legs over a pillow or sitting in a chair – do not exceed 10 repetitions in a session. 
Prenatal Physical Therapy
Pelvic Floor Exercise in Seated Position


  1. Cardiovascular Endurance: Heart Health

Maintaining cardiovascular health is essential for the stamina required during labor.

  • Exercise: Walking
    • Details: Aim for 20+ minutes per session, reaching your target heart rate.
    • Frequency: 3-5 days per week.
    • Tip: Wear comfortable shoes and consider compression stockings to reduce swelling.
Prenatal Physical Therapy
Cardiovascular Endurance: Heart Health


  1. Lower Body Strength: Quadriceps and Hamstrings

Squatting helps open the pelvic outlet, providing more room for the baby during delivery.

  • Exercise: Squats
    • Technique: With feet shoulder-width apart, squat down slowly, keeping knees over toes and back flat.
    • Duration: You may hold the squat for 5-10 seconds or return directly to the starting position.
    • Repetitions: 5-10 reps, 3-6 days per week.
Prenatal Physical Therapy
Lower Body Strength: Quadriceps and Hamstrings


  1. Inner and Outer Thigh Stability: Hip Adductors and Abductors

Strong thigh muscles aid in maintaining leg positions during labor.

  • Exercise: Hip Abduction and Adduction Sidelying
    • Position: Lie on your side, head resting on your arm, spine aligned.
    • Movement: For abduction, extend the hip slightly, lift the upper leg 12-18 inches, then lower. For adduction, lift the bottom leg about 6 inches.
    • Repetitions: 5-10 times for each leg, switching sides.
    • Frequency: 3-6 days per week.
Prenatal Physical Therapy
Inner and Outer Thigh Stability: Hip Adductors and Abductors


  1. Back Muscle Support

Back strength is vital for comfort and support during pregnancy and labor.

  • Exercise: Alternate Arm and Leg Lifts 
    • Position: Hands and knees aligned under shoulders and hips.
    • Movement: Gently lift opposite arm and leg keeping your back flat.  Hold briefly and lower slowly.
    • Repetitions: 5-10 times.
    • Frequency: 3-6 days per week.
Prenatal Physical Therapy
Back Muscle Support


Incorporating these exercises into your prenatal routine can significantly enhance your physical readiness for childbirth. Each exercise targets crucial muscle groups that support effective labor and delivery, ensuring both the health and comfort of the expectant mother. Regular practice of these exercises will not only prepare you physically but also boost your confidence as you approach the big day.

Take Action to Improve Your Pregnancy Experience

If you are experiencing musculoskeletal discomfort during your pregnancy, consider prenatal physical therapy as a proactive step toward enhancing your comfort and well-being. Treating your pain early with “prenatal physical therapy near me” services not only helps you but also benefits your baby by contributing to a healthier gestational environment. Our clinic in Newport, OR. offer specialized prenatal and postpartum physical therapy services, custom-tailored to address and meet the needs of each unique mother-to-be.

Do not let pain dampen the joy of your pregnancy. Our expert therapists are ready to assist you every step of the way with targeted exercises, hands-on therapy, and educational support designed to ensure your comfort and health throughout this special time. Reach out today to schedule your consultation and begin your journey towards a healthier, more comfortable pregnancy with the support of our specialized prenatal physical therapy team.

FAQs: Prenatal Physical Therapy

  1. Is prenatal physical therapy safe? Yes, it is safe when conducted by a licensed therapist with experience in prenatal care. Therapists tailor exercises to the expectant mother’s needs, ensuring safety.
  2. When should I start prenatal physical therapy? Prenatal physical therapy can begin at any point during pregnancy. Early intervention can help manage discomfort and prepare the body for childbirth.
  3. Can I continue regular exercise with prenatal physical therapy? Yes, but modifications may be necessary. Consult your therapist to create a safe exercise plan that accommodates your pregnancy.
  4. Will prenatal physical therapy benefit postpartum recovery? Absolutely. Prenatal physical therapy strengthens the body, making it easier to recover after childbirth.
  5. How often should I attend prenatal physical therapy sessions? The frequency depends on individual needs. Consult your therapist to create a schedule that works for you.