Why Kegels Aren’t Enough for Postpartum Back Pain

Why Kegels Aren’t Enough for Postpartum Back Pain

After childbirth, many women are told one simple thing: “Just do Kegels.” While Kegel exercises can be beneficial, they’re often not enough to address postpartum back pain.

If you’re still experiencing discomfort weeks or even months after delivery, it’s not because you’re not trying hard enough – it’s because postpartum recovery is more complex than isolated pelvic floor exercises.

At Pulse Physical Therapy Clinic in Hinsdale, IL, we frequently see patients frustrated by lingering pain despite diligently doing Kegels. Let’s explore why this happens – and what actually works.

Understanding Postpartum Back Pain

Pregnancy and childbirth place significant stress on the body, especially the spine, pelvis, and core muscles.

Common causes of postpartum back pain include:

  • Hormonal changes (like relaxin loosening ligaments)
  • Weak or stretched abdominal muscles
  • Pelvic floor dysfunction
  • Postural changes from pregnancy and childcare

These changes don’t just affect one muscle group – they impact your entire core system.

Why Kegels Alone Arent Enough

1. The Core Is More Than Just the Pelvic Floor

Kegels target only the pelvic floor muscles, but your core is a team of muscles that includes:

  • Deep abdominal muscles (transverse abdominis)
  • Diaphragm
  • Back muscles
  • Pelvic floor

If one part is weak or not functioning properly, the entire system becomes imbalanced – leading to pain.

2. You Might Be Doing Kegels Incorrectly

Many women unknowingly perform Kegels with improper technique, which can:

  • Increase tension instead of relieving it
  • Worsen pelvic floor dysfunction
  • Contribute to back and hip pain

In some cases, the pelvic floor may actually be too tight, not weak.

3. Ignoring Diastasis Recti

A common postpartum condition, diastasis recti (abdominal separation), weakens the core and affects spinal stability.

Kegels don’t address this issue directly, which means back pain can persist even with consistent effort.

4. Posture and Movement Patterns Are Overlooked

New moms often adopt postures that strain the back, such as:

  • Hunching while breastfeeding
  • Carrying the baby on one side
  • Bending improperly during daily tasks

Without correcting these habits, pain continues regardless of exercise.

5. Lack of Functional Strength Training

Kegels are isolated exercises, but real-life movements require functional strength and coordination.

Without integrating full-body movements, your body doesn’t relearn how to move safely and efficiently.

What Actually Works for Postpartum Back Pain

physical therapy for postpartum recovery Hinsdale

1. Comprehensive Core Rehabilitation

A proper recovery plan focuses on rebuilding the entire core, not just the pelvic floor.

This includes:

  • Deep core activation exercises
  • Breathing techniques
  • Gradual strength progression

2. Pelvic Floor Assessment

Not all pelvic floors need strengthening – some need relaxation and coordination training.

A physical therapist can assess whether your muscles are:

  • Weak
  • Tight
  • Uncoordinated

3. Treatment for Diastasis Recti

Targeted exercises help close the abdominal gap and restore stability, reducing strain on the back.

4. Posture and Ergonomic Training

Learning how to:

  • Lift your baby correctly
  • Sit and feed with proper support
  • Maintain neutral spine alignment

…can significantly reduce daily strain.

5. Manual Therapy and Pain Relief Techniques

Hands-on treatment can relieve muscle tension, improve joint mobility, and accelerate recovery.

When to Seek Professional Help

You should consider physical therapy if:

  • Back pain persists beyond 6–8 weeks postpartum
  • You feel weakness or instability in your core
  • You experience pelvic pain or pressure
  • Daily activities become uncomfortable

Early intervention can prevent long-term complications.

Why Choose Pulse Physical Therapy Clinic

pelvic floor dysfunction treatment postpartum

At Pulse Physical Therapy Clinic, we specialize in postpartum recovery and women’s health rehabilitation.

Located at 522 W Chestnut Street, Suite GC, Hinsdale, IL, our clinic offers:

  • Personalized, one-on-one care
  • Evidence-based treatment plans
  • Focus on long-term recovery and prevention

We help new mothers regain strength, reduce pain, and return to their daily lives with confidence.

Move Beyond Kegels for Real Recovery

Kegels are just one piece of the puzzle. If you’re dealing with postpartum back pain, it’s time to look at the bigger picture – your entire core, posture, and movement patterns.

With the right guidance and a comprehensive treatment plan, you can achieve lasting relief and full recovery.

Request An Appointment Now