4 of The Best Muscles to Strengthen During Pregnancy

Ahhh pregnancy, such a beautiful time. But boy oh boy, does it come with some challenges. And with nausea, fatigue, and an ever growing belly exercise, might seem like the last thing on your mind during pregnancy. But exercise throughout pregnancy has numerous benefits for mom and baby. You can read my previous post about Exercise & Pregnancy to learn why it is so important to stay physically active during pregnancy. With pregnancy comes a whole slew of physical changes. Between a growing uterus, increasing weight gain, loosening ligaments, and other physiological changes, pregnancy can be a lot on the body. A great way to manage these changes and to continue to stay active during pregnancy is to strengthen several main muscle groups. If you’re looking to feel better throughout your pregnancy and even help prepare your body for childbirth and postpartum you definitely want to incorporate strengthening or stabilization exercises into your routine. So what muscles are important to strengthen and why? 

Physical Changes During Pregnancy

important muscles for strengthening during pregnancy

When you stop and think about it, pregnancy is crazy. In a matter of 9-10 months a woman’s body grows another 6, 7, 8 (maybe even 10) pound human. That’s insane. During this time the body releases a hormone known as relaxin to loosen the ligaments and help the pelvis make room for a growing baby. Unfortunately this leads to joint laxity and instability which can cause discomfort and pain, especially in the back, hips, and pelvic region.

Speaking of this growing baby, a pregnant woman tends to gain a decent amount of weight in a short amount of time. Between the increase in fluid, blood volume, placenta, and the baby itself a pregnant woman gains on average 25-35 lbs. Most of this weight is in the midsection which can cause further stress and pressure on the abdomen, hips, pelvis, and pelvic floor.

Some of the common musculoskeletal related complaints experienced by pregnant women include:

  • Low Back Pain
  • Tailbone Pain
  • Hip Pain
  • Pelvic Pain
  • Sciatica
  • Pubic Symphysis pain
  • Core Weakness/Instability

Remember this post if for informational purposes only and should not substitute medical advice. If you are experiencing pain during pregnancy you should always speak with the appropriate health care provider. But a good place to start when experiencing muscle aches, pain, “tightness” sensations, or feelings of instability is to strengthen your muscles.

Why Muscle Strength Is So Important When Pregnant

Muscles are responsible for holding our body in place. The muscles do most of the work of keeping us upright and functional. When muscles are weak and not performing their particular responsibilities the body suffers. Weakness leads to tightness or over fatigue of other muscles, ligamentous strains, or joint inflammation. A particular pain is likely to persist if you don’t address what’s causing the problem in the first place. And most often there is some type of muscle weakness or imbalance occurring in the body.

the best muscles to strengthen during pregnancy

Pregnancy is a prefect opportunity for problem areas to reveal themselves. As ligaments become more lax the muscles have to work overtime. And with added weight, pressure, and lengthening of some muscle groups the muscles of the abdomen, hips, and pelvis really need to be carrying their weight (pun intended).

As the belly grows it can stretch out the muscles of the abdomen. This creates a problem with the length/tension relationship of the muscle making it have to work even harder to contract and relax appropriately. Likewise, a pregnant woman’s posture also changes. Her feet may turn out and she may began to lean backwards to counter balance the weight of the belly. Again this puts the muscles of the hips, core, and butt in an unfavorable position preventing them from working effectively. So let’s strengthen those muscle up to allow them to hold and support mama’s growing body.

4 Important Muscles To Strengthen In Pregnancy

 

Hip Flexors

hip flexors for pregnancy exerciseThe hip flexors are the muscles that lie on the front of the hip. They play important roles in both core stability and gait. These muscles help support the low back and hips. The hip flexors connect the low back to the legs and counterbalance muscles that run along your backside. They assist you in taking forward steps. Due to changing postures and core weakness these muscles often become tight and weak during pregnancy. This can lead to pain or compensations made by other muscles. One of the best ways to prevent these changes is to strengthen the hip flexors.

Gluteus Maximus

gluteus maximus for pregnancy exercise

The body is chain and all muscles groups are working together to keep the body balanced and functional. Along with the hip flexors you want to strengthen the opposing muscle group of the glutes, aka your butt. The gluteus maximus is a very large muscle that plays a big role in supporting your hips and low back. This muscle definitely needs to be strong and “turned on” to maintain good posture, movement, and stability. A strong gluteus maximus can aid in prevention of low back, hip, and knee pain.  

 

Gluteus Medius

pregnancy stabilization musclesThe gluteus medius is another glute muscle. This one is slightly smaller than the maximus and lies more on the side aspect of your butt. The gluteus medius is a very important muscle for lateral stability. It aids in stabilizing your pelvis, especially during any activities that require standing on one leg. Similar to the gluteus maximus this muscle can help prevent pain and discomfort in the low back, pelvis, and lower extremities. 

Core/Abdomen

abdominals during pregnancyThe core is one area of the body that will inevitably go through significant change before and after pregnancy. A diastasis recti, or separation of the abdominals, happens in most pregnancies. Nevertheless, continuing to strengthen the muscles of the core and work the abdominal muscles and fascia throughout pregnancy’s will keep these tissues healthy and strong. 

This is not an all inclusive list. There are numerous other muscles that should be strengthened for a strong healthy body. Muscles of the neck, shoulders, mid back, lower back, pelvic floor, legs, and feet are all important. These four areas are just a nice place to start for some global stabilization.  

Other Important Tips About Exercise During Pregnancy

You can read more about the benefits of exercise in my blog post Exercise and Pregnancy. As well as strengthening it can be helpful to incorporate cardiovascular exercise and stretching to maximize physical health benefits. Always check with your doctor prior to beginning an exercise program during pregnancy.
strengthening during pregnancy
 
If you are looking for more exercise ideas to strengthen muscle during and after pregnancy check out some of these workouts below: 
 
Try this Reistance Band Hip Stabilization Routine: 
 

Repeat for 3 sets

  • Shuffle with squat 
  • Straight leg raise with one knee bent
  • Straight leg raise with both knees straight
  • Fire hydrants
  • Donkey Kicks
  • Slow Sumo Squats 

Perform each exercise slow and with good quality movement. Ensure your core is braced and you’re breathing throughout the exercise. 

 

For glute or pelvic strengthening check out my posts:

For core strengthening you can check out my posts:
 
And a friendly reminder that your body goes through drastic changes during and after pregnancy. It may be necessary to see a Physical Therapist following pregnancy to ensure all your muscles are healing and functioning properly. Learn how a physical therapist can help with your recovery in Bouncing Back After Baby. 
 
Finally, ever body is different and every single pregnancy is different. What works for one woman may not work for you. Give yourself grace and remember what an amazing job your body is doing. 
 
Good luck and happy strengthening!
 
Monica 

Exercise & Pregnancy (Plus a Total Body Routine)

There is a common misunderstanding about exercise and pregnancy. Years ago it was believed that pregnant women should rest and take it easy. And while I am all for having a pregnant woman kick her feet up so her baby daddy can give her a world class foot massage, baby mama should also be participating in regular exercise.

Women with noncomplicated pregnancies can (and should) safely participate in exercise throughout their pregnancy. According to The American College of Obstetricians and Gynecologists “If you are healthy and your pregnancy is normal, it is safe to continue or start regular physical activity. Physical activity does not increase your risk of miscarriage, low birth weight, or early delivery.”

In fact there are numerous health benefits of regular exercise to both mom and baby that you can read about next. See what are the general exercise recommendations during an uncomplicated pregnancy. And finally, when one of my preggo besties asked for an at-home core, butt, hip, and leg strengthening exercise she could do during her second trimester I was more than happy to oblige. You can try it out below (even if you aren’t expecting!).

Benefits of Exercise During Pregnancy

Exercise and Pregnancy

There are numerous benefits to exercise during pregnancy. Exercise when expecting can aid in decreasing musculoskeletal aches and pains, helps decrease stress, aides in healthy weight gain, improves your self image, and helps decrease the recovery time after your baby is born.

Additional (likely lesser known) benefits include:

  • Decreases constipation
  • Decreases swelling
  • May decrease your risk of preeclampsia and gestational diabetes
  • Strengthens your heart and your blood vessels for you and baby
  • May help prepare your body for labor and/or birthing your baby (it can be a marathon)

Physical Changes During Pregnancy

Pregnancy and Exercise

Hormonal changes

The hormone relaxin is released during pregnancy which increases laxity in the joints allowing the pelvis to widen. However, this increase in laxity can lead to joint instability and pain.

Extra pressure on joints

With a growing baby in utero there typically comes a growing number on the scale. This increased weight gain is healthy and part of a typical pregnancy but it can lead to a sudden increase of pressure on the low back, hips, knees, and feet.

A growing stomach

As the baby grows the uterus and abdomen also expands at an exponential rate. The places stress on the muscles and tissues of the abdominal wall. Sometimes this increased pressure and growth can lead to a separation of the abdominal wall known as a diastasis recti. You can read more about diastasis recti in my “Mommy Pooch” post.

Pelvic pain and pressure

Not only does the growing baby place increased pressure on the joints but it also places extra pressure on the pelvic floor muscles. This can lead to pain in the pelvic floor region, sciatic nerve compression, and incontinence. You can read more about pregnancy and it’s effects on pelvic floor function in my post Is It Normal To Pee When You Sneeze.

To learn more about how the total core body functions be sure to check out my post about The “Pop Can” Core.

How To Exercise When Pregnant

How To Exercise When Pregnant

So you may be wondering how much exercise you need when pregnant. The general recommendation is to participate in 30 minutes of moderate-intensity exercise on most days of the week. This will help you achieve many of the aforementioned benefits.

Key elements for limiting excess maternal weight gain during pregnancy include exercising 5 times a week, exercising at a moderate to somewhat hard intensity, and continuing to exercise until the end of pregnancy (if medically able).

If you never exercised pre-pregnancy you should ease into an exercise routine. Do not go crazy and decide that pregnancy is the perfect time to start training for a 5K when you haven’t run since you were 9 years old. Let’s be realistic now.

Exercise when expecting

Choose something you enjoy doing when deciding on what type of exercise to do while expecting. Avoid any activities that may place you at risk of falling such as skiing, horse back riding, or mountain biking. (Cause I know that’s exactly what most women with an ever growing watermelon belly want to do.) Pick something that is fun and convenient such as walking, jogging, exercise machines, swimming, resistance training, yoga, or dancing.

Strengthening or stabilization exercises can be very helpful in avoiding musculoskeletal aches and pains throughout pregnancy. Additionally, strengthening your core, hips, pelvis and legs can help prepare you for the physical demands of labor, childbirth, and motherhood. Strengthening can be done through using resistance bands, isometric holds, or repetitions.

Important muscle groups to strengthen include:

  • Core/abdomen muscles – can help decrease development of a diastasis recti
  • Hips/buttock muscles– aids in prevention of hip and low back pain
  • Pelvic floor muscles– can decrease low back pain and incontinence
  • Leg muscles – improves function during pregnancy, childbirth, and postpartum
  • Upper body muscles – helpful during labor and when holding/carrying baby postpartum

Exercise Routine

There are certain conditions in pregnancy in which exercise may be contraindicated. You should always speak with your OB or health care provider before beginning an exercise program.

If you are just starting an exercise program aim to exercise three days a week and progress up to six if your body is tolerating it well. You should always start an exercise routine with a brief warm up and a cool down period. Check out this total body strengthening routine for core, butt, hips, legs, and even a dash of pelvic floor.

Core & Hip Strengthening Routine (1st and 2nd Trimester Friendly)

  1. Bridges: 10-12 reps
  2. Sumo Squats: 10-12 reps (add 5-10lb dumbbell for extra resistance)
  3. Hip Circles: 10 reps clockwise 10 reps counter clockwise
  4. Plank Toe Taps: 10 taps to each side
  5. Wood Chops: 10 to each side (add 5-10 lb dumbbell for extra resistance)
  6. Modified Hip Dips: 10 each side

Repeat this circuit for 3 sets.

What’s Next?

Again, always be sure to speak with your OB or the appropriate medical professional prior to beginning an exercise program when pregnant or postpartum. Exercise is a great way to promote a healthy pregnancy and pave the way for an easier recovery postpartum. If you are looking for more exercise ideas just drop a comment and let me know what you would like to see. Enjoy and happy exercising!

Monica

Reasons to exercise during pregnancy

Break Yo Mama’s Back (Body Mechanics Part II)

Body mechanics
basic body mechanics
Body mechanics to avoid back pain

I know what you might be thinking; “body mechanics again?…boringggg, not reading this post.” But stop! Don’t go! My number one goal is to try and help moms (or anyone who cares for children) avoid or treat their everyday aches and pains. And changing the way in which we perform our everyday movements is one of the easiest ways to avoid pain and injury. 

One of my first ever blog posts (Basic Baby Body Mechanics) was about simple tips to avoid back pain as a new mom with a new baby. But unfortunately the opportunities for body mechanic errors doesn’t end after the newborn or baby phase. Motherhood in its entirety is a high risk job where potential for body aches, pains, and strains lurks around every corner.

After I had my son I had terrible low back pain from constantly bending over too low to change his diaper, or pick him up out the crib, and carrying the car seat. And gosh darn it, I’m a physical therapist!… I should know better!

So I quickly righted my wrongs and changed how taking care of my baby and my back pain went away. Thank the lord! But if I knew what I should be doing and wasn’t even doing it I imagine there are a lot of other moms or child caregivers out there making the same body mechanic mistakes.

So I thought it was time for a mom body mechanics part II post. Between holding your kids, bath time, laundry, and groceries moms need to be extra careful about how they are performing these everyday tasks. Please don’t break your back mama! Forget about cracks, check your mechanics and make sure your are doing these activities correctly.

Holding Your Child

How to hold your child

Don’t Do This:

Avoid holding your child on one hip or with one arm. Avoid holding your child for prolonged periods of time if possible. This can lead to neck and back aches and strains.

Do This:

Hold baby, or toddler, (or 9 year old…no judgement) with two arms near your body center. If possible wear your baby using a baby carrier or wrap. Stagger your feet to reduce the pressure placed on your low back. I have these two below and they are life savers (well actually back savers) 

Grocery Shopping

how to avoid back pain

Don’t Do This:

While shopping don’t load up a basket at the store with more than four light items. If your basket will weigh more than 5-10lbs just grab a cart. Avoid leaning over far into your car to reach and pull out groceries. Avoid loading up one arm with several heavy grocery bags.

Do This:

Always use a shopping cart (instead of a basket) at the store if you are picking up more than four light items. Before taking heavy grocery bags out of your car pull the bags as close as possible to you and then pick them up. Try holding the bags as close to your body center as possible. Avoid over loading your body with heavy bags.

Giving a Bath

Giving baby a bath

Don’t Do This:

Avoid standing and bending over at the waist to reach your children. Avoid lifting kids up out the bathtub using your low back. Avoid being in a prolonged position being bent over reaching or bathing your kids.

Do This:

Use a folded up towel or a knee pad product to kneel down as close to the tub as possible. Keep your back straight and core tight while kneeling. Quickly wash, rinse, etc and then return to tall kneeling or take a seat while watching your kids (assuming your kids are old enough to sit and play in the tub safely independently). Lift kids up out of the bath by bending your legs.

If bathing a small baby place the baby bathtub on the counter or bath the baby in a sink so you can stand with the baby at waist height. (Obviously NEVER leave the baby unattended)

Doing Laundry

how to avoid back pain

Don’t Do This:

Depending on the set up of your washer and dryer this can be a tricky one. Try to always bend at the knees and not the waist. Avoid picking up too much laundry at one time and avoid twisting your back while keeping your feet planted. Try not to carry a laundry basket on the hip or with one arm.

Do This:

Bend down to grab or put in clothes using your legs, not your back. Always keep nose over toes and turn your whole body or take a small step to put clothes from the washing machine into the dryer or into a laundry basket. Carry laundry basket with two hands close to your body center.

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Final Thoughts About Body Mechanics:

Ok listen. I’m a realist and I know that some things are unavoidable or out of our control. Parenting is busy, messy, craziness and sometimes you just need to get sh*t done. I get it. But help me help you and try to remember these tips to protect your low back; especially if you already suffer from low back pain.

You can find some easy stretches for low back pain here. And the besides practicing good body mechanics the best way to prevent low back pain is to have a strong and stable core. Learn some great core stabilization exercises. here.

Good luck!

Monic

Exercises to Decrease Pelvic Pain (A Pelvic Reset)

Pelvic pain is unfortunately fairly common in women, especially pregnant or recently pregnant women. But pelvic pain does not discriminate. Men and non-pregnant women can also suffer from pain in the pelvis or sacroiliac (S.I.) joint. There are many possible causes for pelvic pain, but S.I. pain in the non pregnant population is often due to a misalignment of the pelvic joint. This can be caused by muscle imbalances, ligamentous laxity (such as during pregnancy), improper positioning and movement patterns, acute injury or ligamentous sprains. Luckily, there is an easy exercise progression you can do at home to try and “reset” your pelvic alignment. Doing these exercises may help decrease your pelvic pain. 

A misalignment of the pelvis is one of the most common musculoskeletal causes of sacroiliac joint (S.I. joint) discomfort. It can be experienced at the front or back of the pelvic joints. Pelvic pain can be very painful and disruptive changing how you walk and move, which can affect more muscles and joints up and down the “chain”. So it is very important to correct a pelvic misalignment to decrease pelvic pain and to prevent further injury.

Exercises to Help Reset Your Pelvis & Decrease Pelvic PainExercises to help pelvic pain

These exercises below use your muscles to help pull your pelvis into a proper alignment. Most involve performing an isometric contraction which means squeezing your muscles without your body parts actually moving. Start with the first exercise and move through each one in the following order.

1. Isometric Hip Adduction: Exercise for pelvic pain

Place your hands on the outside of your knees. Press your knees outwards into your hands. Hold for a count of 6. Repeat 6 times.

2.Isometric Hip Abduction (pillow): Exercise for pelvic pain

Place a pillow between your knees when sitting or laying down with your knees bent. Squeeze your knees into the pillow. Hold for a count of 6 seconds. Repeat 6 times.

3. Isometric Hip Abduction (fist):Exercise for pelvic pain

Place a small ball or your fist between your knees. Again perform in a seated or laying down position. Squeeze the ball (or your fist). Hold for a count of 6. Repeat 6 times. You may hear or feel an audible “pop” or click with this exercise. This is a good thing because it means your bones are going back into alignment.

 

Stretches to Decrease Pelvic Pain

Stretching some of the muscles around your pelvis can also be helpful for reducing pain. Some of the commonly tight muscles are your hip adductors (the muscles on the inside of your thighs). Try these two stretches below for a good adductor stretch:

 

1. Butterfly stretch:

Exercise for Pelvic Pain- Moving Like a mother

Seated place your feet together with your knees flaring out. Hold 30 seconds and perform at least twice

 


2. Laying down butterfly stretch:

Same as above but lay down and perform it. Hold 30 seconds at least twice.

What next for pelvic pain?

The above exercises will aid in realigning your pelvis if you are suffering from misalignment and pelvic pain. There is also a muscle energy technique (MET) that can be used to aid in pulling your pelvis into a proper position but you would need to be appropriately evaluated by a physical therapist to determine the way in which your pelvis is rotated.

But ideally, these exercises will help to decrease your pelvic pain. However, the most important thing you can do to prevent pelvic pain or keep your pelvis from become misaligned again is to strengthen your pelvic stabilizers.

If you are looking for more higher intensity exercise moves to strengthen your inner thigh muscles to aid in pelvic stabilization be sure to try these 8 Moves For Your Inner Thighs

Activity modification and an S.I. belt can also aid in decreasing pelvic pain if you are suffering from pelvic instability. You can read much more on causes and treatment for pelvic pain on my post What causes pelvic pain.

If you have pelvic pain that doesn’t go away or you are pregnant you should always consult with the appropriate medical professionals. But give these exercises a try if you feel like your pelvis just needs a pause, a breath, and a reset.

Monica

Exercises for Pelvic Pain