What is chiropractic care and can I see a chiropractor when pregnant?
Chiropractic is a regulated healthcare profession focused on diagnosing and treating a range of joint, muscle and nerve issues. Chiropractors are trained to work safely with pregnant patients, using gentle techniques that adapt to the structural, postural and hormonal changes occurring during pregnancy. As part of their training, chiropractors are also equipped to screen for "red flags" (warning signs that may indicate more serious underlying conditions) and can refer you to other healthcare professionals if necessary.
How does pregnancy affect your body?
As your baby grows, the body’s centre of gravity shifts, causing postural changes. Many people experience an increased curve in the lumbar spine (lower back) and a forward rotation of the pelvis, which varies in degree depending on the individual. This shift, a response to the weight carried in the tummy, places additional strain on the body. As the baby grows, your muscles, ligaments and joints must support this extra weight.
During pregnancy, hormones are released to relax the spinal and pelvic ligaments and joints in preparation for childbirth. However, this can also alter movement and alignment, which may cause discomfort.
These physical changes can lead to knee or foot pain and compensatory upper back and neck pain as the chest and baby increase in size. Additionally, fluid retention and weight gain may increase susceptibility to muscle cramps, carpal tunnel syndrome and other nerve compression conditions.
What are the most common musculoskeletal (MKS) conditions during pregnancy?
Due to these physical changes, pregnancy-related low back pain and pelvic girdle pain (including pubic symphysis dysfunction) are common.
Pelvic girdle pain involves discomfort around the base of the spine and the front or back of the pelvis, sometimes affecting the hips and thighs as well. Symptoms can vary in severity and may impact daily activities such as walking, climbing stairs, turning over in bed, housework, exercise and other hobbies and leisure activities.
How can chiropractors help during pregnancy and is it safe?
Manual therapy, which includes hands-on techniques, is safe before, during and after pregnancy. Chiropractic treatment employs various techniques that practitioners can adapt based on your medical history and assessment results.
As your body undergoes changes, chiropractors can use gentler mobilisation and soft tissue techniques tailored to your needs, reducing unnecessary strain. Chiropractors will routinely reassess your pain and physical condition, adjusting techniques as necessary. Additionally, many chiropractic clinics have "pregnancy pillows" that provide comfort for patients lying on their front, ensuring inclusivity and comfort for pregnant patients. Your practitioner will always consider your comfort and preferences during treatment.
Research suggests that manual therapy is most effective when combined with exercise and patient education. Chiropractors can offer lifestyle advice on sleep, nutrition, posture and ergonomics and may recommend specific prenatal exercises to strengthen the core and pelvic floor. Maintaining your usual level of daily physical activity can also positively impact pregnancy and labour.
Conclusion
Chiropractic care during pregnancy provides a safe and effective way to manage common musculoskeletal discomforts. Using gentle, adaptive techniques customised to each patient, chiropractors can address the evolving needs of each stage of pregnancy. The goal is to reduce pain, improve mobility and enhance daily function. Chiropractors are also well-suited to support overall wellness with personalised treatment that considers physical, psychological and social factors. This approach helps pregnant patients stay as active and comfortable as possible, while empowering them with knowledge and supporting them throughout their journey.