Pregnancy brings a whirlwind of emotions and physical changes, one of which can be the discomfort of round ligament pain. As the body adapts to accommodate the growing baby, ligaments supporting the uterus stretch and shift, sometimes leading to sharp, jabbing pains. While round ligament pain is typically harmless, understanding what causes it and how to manage it can make a big difference in a mom’s comfort. Read on as we explore why round ligament pain occurs during pregnancy, common symptoms, home management techniques, and how physical therapy can offer relief.
What is round ligament pain?
Round ligament pain is a common and often uncomfortable experience during pregnancy. The round ligaments are rope-like bands of connective tissue that support the uterus and help keep it in place. These ligaments connect the front of the uterus to the groin area and stretch and thicken as the pregnancy progresses. However, as they stretch, the round ligaments can also become tight or strained, especially with sudden movements, leading to pain.
Round ligament pain typically begins in the second trimester when the uterus expands more rapidly. The discomfort can range from a mild ache to sharp, stabbing pain and is generally most noticeable on one side of the abdomen, though it can occasionally affect both sides. Although it’s normal, it’s always wise to speak with a healthcare provider if there’s any doubt about the cause of abdominal pain during pregnancy.
Symptoms of round ligament pain
Understanding the symptoms of round ligament pain can help pregnant women distinguish it from other abdominal pains that may require medical attention. Here are some common indicators:
- Sharp or stabbing pain: This pain often occurs on one side of the lower abdomen, though it may affect both sides. The pain is usually fleeting and sharp, catching moms off guard, especially with sudden movement.
- Triggered by movement: Round ligament pain is often brought on by sudden actions like standing up quickly, coughing, laughing, or even rolling over in bed.
- Localized to the lower abdomen: The pain generally starts deep in the lower belly or groin area and doesn’t radiate to other parts of the body, distinguishing it from conditions like sciatica.
- No associated symptoms: Round ligament pain doesn’t typically come with other symptoms, such as fever, chills, or gastrointestinal issues. If these symptoms are present, it’s essential to consult a healthcare provider to rule out other potential causes.
Why does round ligament pain occur during pregnancy?
Round ligament pain is a byproduct of the body’s natural adjustments to accommodate a growing baby. Several factors contribute to this discomfort:
- Hormonal changes: During pregnancy, hormones like relaxin cause the ligaments and joints to loosen in preparation for childbirth. This loosening, while essential, can make ligaments more prone to stretching and straining, especially those supporting the uterus.
- Uterine growth: As the baby grows, the uterus expands significantly, causing the round ligaments to stretch. This stretching, especially when sudden, can lead to sharp pains.
- Physical strain: Everyday activities such as walking, sitting, or shifting positions can put added strain on the round ligaments, leading to discomfort.
Understanding that round ligament pain is typically normal can help alleviate concerns. However, managing the pain is important for maintaining a comfortable and active pregnancy.
Home remedies for managing round ligament pain
While round ligament pain is generally harmless, it can be frustrating. Fortunately, there are several ways to manage this discomfort at home:
Practice gentle movements
Sudden movements can aggravate round ligament pain. When shifting positions, standing up, or sitting down, try to do so slowly and deliberately. This can prevent the sudden stretching of the ligaments that often triggers pain.
Apply warm compresses
A warm (not hot) compress applied to the lower abdomen can help ease ligament pain. Heat helps increase blood flow to the area, soothing tense muscles and ligaments. However, be cautious not to use too much heat, as excessive warmth can be harmful during pregnancy.
Try pregnancy-safe stretches
Gentle stretching exercises that target the pelvic and lower abdominal muscles can help relieve tension in the round ligaments. The cat-cow stretch, pelvic tilts, and hip flexor stretches can be beneficial. Stretching should be gentle and should never cause pain. Consulting a healthcare provider or physical therapist for appropriate stretches is wise to avoid overstretching.
Wear a maternity support belt
A maternity support belt can help relieve strain on the round ligaments by providing gentle compression and support to the lower abdomen. These belts are available in various styles, and they help distribute the weight of the growing belly more evenly, reducing ligament stress.
Hydrate regularly
Adequate hydration supports muscle and ligament health and can help reduce the intensity of round ligament pain. Dehydration can lead to muscle cramps, which may worsen ligament discomfort, so drinking plenty of water throughout the day is essential.
Practice deep breathing techniques
Stress and tension can exacerbate physical discomfort, including round ligament pain. Practicing deep breathing exercises can help keep moms calm and reduce muscle tension. Gentle yoga, meditation, and other mindfulness practices can also contribute to relaxation.
While these home remedies are generally safe and effective, every woman’s experience is unique. Consulting with a healthcare provider before starting any new exercise or remedy during pregnancy is always recommended.
How physical therapy can help with round ligament pain
Physical therapy can play a valuable role in managing round ligament pain during pregnancy. Physical therapists trained in prenatal care can provide safe, targeted interventions to alleviate discomfort and promote overall well-being throughout pregnancy.
Customized stretching and strengthening exercises
Physical therapists can design a personalized stretching and strengthening routine to help support the pelvis and abdomen. These exercises target muscles that support the uterus, reducing ligament strain and alleviating pain. Strengthening the core muscles also prepares the body for labor and helps promote faster postpartum recovery.
Manual therapy techniques
Manual therapy can help reduce ligament tension and improve circulation in the pelvic region. Gentle manipulation of the abdominal and pelvic muscles can relieve tightness and help alleviate pain. Techniques are adapted to each mom’s comfort level and are performed with a high degree of caution to ensure safety.
Education on body mechanics
Physical therapists provide valuable guidance on proper body mechanics that help minimize discomfort during everyday activities. Learning how to bend, sit, stand, and even sleep with correct posture can make a significant difference in ligament strain. These tips are especially helpful as pregnancy progresses and movement becomes more challenging.
Pelvic floor therapy
Since the pelvic floor muscles play a critical role in supporting the uterus, pelvic floor therapy can also help alleviate round ligament pain. Physical therapists can assess the strength and flexibility of the pelvic floor and recommend specific exercises to support the growing uterus. Pelvic floor health is essential not only for comfort during pregnancy but also for labor and postpartum recovery.
Prenatal massage
Some physical therapy clinics offer prenatal massage as part of their services. This massage focuses on relieving muscle tension and promoting relaxation, which can benefit moms experiencing round ligament pain. Massage should be performed by a therapist trained in prenatal techniques to ensure safety for both mom and baby.
When to consult a healthcare provider
While round ligament pain is typically normal and harmless, certain symptoms may indicate a need for medical attention. Moms should consult a healthcare provider if they experience:
- Severe, constant abdominal pain
- Pain accompanied by fever, chills, or bleeding
- Pain that doesn’t improve with rest
- Any unusual symptoms, such as vomiting or difficulty breathing
These symptoms may indicate other conditions, such as preterm labor, appendicitis, or a urinary tract infection, that require medical intervention.
Round ligament pain is an expected part of pregnancy for many moms, but that doesn’t mean it needs to overshadow the experience. By understanding the causes of this discomfort and incorporating home management techniques, pregnant women can find relief and continue enjoying the journey toward motherhood. Physical therapy offers personalized support, making it a valuable option for moms looking for a safe, non-invasive way to manage ligament pain.
Pregnancy is a time of transformation, both physically and emotionally. Knowing how to manage discomforts like round ligament pain can make the journey smoother. With the right care and strategies, moms can embrace the growth and joy of pregnancy while keeping discomfort at bay. We consider it a privilege at EW Motion Therapy to walk alongside our clients at every stage of their pregnancy journey. To learn more about how women’s health physical therapy can address your needs, click the button below to download our answers to 20 frequently asked questions.
