Round Ligament Pain
What are the Round Ligaments?
The uterus is supported by two rope like bands of connective tissues called the round ligaments. They are each about 4 inches in length.
What causes Round Ligament Pain:
Pregnancy
During pregnancy the uterus expands from the size of an orange to the size of a watermelon. The round ligaments help support the uterus and thus as baby grows and the uterus expands it puts additional stress and demand on the ligaments resulting in pain.
Endometriosis
Endometriosis can develop on or around the round ligaments contributing to lower abdominal and pelvic pain.
Varicosities:
Varicose veins can develop in the round ligaments, most commonly during the second trimester of pregnancy. This can result in swelling and pain along the lower abdominal area. This is commonly mistaken for a hip flexor strain or hernia so appropriate differential diagnosis is important for pain relief.
How can round ligament PAIN impact pregnancy?
Round Ligament pain can impact physical activity of women during pregnancy. The American College of Obstetrics and Gynecology recommends pregnant women exercise 5x a week for 30 minutes at moderate intensity to reduce the risk of C-section and co morbidity. A skilled pelvic physical therapist can evaluate and treat your round ligament pain.
How can the round ligaments impact pregnancy?
Tightness in the round ligaments can create an anterior tilt in the uterus impacting the position of baby in the abdomen and pelvis. In addition to round ligament pain, a more anterior position of the baby can result in pubic bone pain, SIJ and tailbone pain.
Gentle stretching and mobility exercises can help relieve tension in the round ligaments improving the position of the uterus and thus reducing strain and pain.
Specific hip stretches and exercises can also reduce strain and tension on the round ligaments and help open up the pelvis to improve the position of the baby and the uterus.
Baby being in an optimal position has been found to:
reduce the total length of labor
reduce the second stage of labor (total pushing time)
reduce the risk of perineal tearing and pelvic floor trauma
If you are currently experiencing round ligament pain, come see one of our pelvic health experts! We offer in person and virtual consults.
If you are pregnant and wanting to learn more about ways to prepare your body for labor and delivery, check out our Pregnancy Prep Class.
Our class includes stretches and mobility exercises to prepare your body for labor and delivery and improve babies’ position in the pelvis in preparation for labor and delivery.