Exercises | Physiotherapy for coccyx pain during pregnancy

Exercises

1.) Stretch the spine and lower back Move to the four-footed position. Make sure that the hip does not sag.

Now slowly make a cat’s hump and move your chin towards your chest. Stay for 2 seconds and then lower your back down again to a slight hollow back while keeping your head in the neck. Repeat the exercise 5 times.

2.) Strengthen and stabilize the lower back Lie on your back and place your feet close to your buttocks. The arms lie loosely beside the body.

Now press yourself up so that thighs and back form a straight line. Hold this bridge position for 20 seconds. 3 repetitions.

3.) Stretch the lower back Sit on the floor with your legs angled slightly forward and to the side. Now reach with your hands under your calves and grasp the heel from the outside.

Now bend your upper body slightly forward so that you feel a stretch. Hold this for 20 seconds and then pause. 3 repetitions. For more exercises see the articles:

  • Exercises for back pain during pregnancy
  • ISG complaints during pregnancy – exercises
  • Pelvic floor training during pregnancy

Causes

The cause of coccyx pain during pregnancy is mostly due to anatomical changes and hormonal changes. In preparation for the forthcoming birth, the pelvic ring (consisting of the hip bones, sacrum and coccyx) loosens during pregnancy to make enough space for the child in the birth canal. The widening of the pelvic ring also causes a stretching of the surrounding structures, which in turn leads to increased muscle tension, which ultimately causes pain. Furthermore, a fracture can also be a possible cause for the pain in the coccyx, but this would be more likely to be caused by a fall or, during birth, when the child presses on the already strained coccyx. For treatment, it is important to diagnose the exact cause in advance.

36, 37.38 SSW

36th SSW: Here the pressure on the hip slowly increases as the unborn child slowly moves deeper into the pelvis. This process can lead to pain in the lower part of the back, but many pregnant women also see this as a relief, as breathing and eating is now easier again. At the end of the 36th week of gestation the baby is officially no longer premature.

37th SSW: The baby’s head is now normally completely in the pelvis. For many pregnant women this can be accompanied by increased pain in this area. An increased urge to go to the toilet is also often the case.

The birth can start at any time. 38th week of pregnancy: The baby now has a weight of about 3100g. This is also noticeable in a strong pressure on the pelvis. Usually the baby does not grow much further from this point on but gains about 20-30g of weight per day. Pregnant women should now expect to start giving birth at any time.