Back Pain After C-section: Causes & How to Reduce Pain

Key takeaways:

• Experiencing back pain after a cesarean section (C-section) is common due to factors like anesthesia effects and muscle strain.
• Knowing the difference between normal discomfort and signs of a problem can help you manage your recovery effectively.
• There are several ways to ease back pain at home, but it's important to recognize when to seek professional medical advice.

Welcoming a new baby into your life is an incredible experience, but recovering from a C-section can bring some unexpected challenges—like nagging back pain. If you're feeling sore or uncomfortable in your back after surgery, you're not alone. Many new moms wonder if this discomfort is normal or something to be concerned about.

In this article, we'll dive into why back pain after a C-section happens, how to tell if it's typical or needs attention, and what you can do at home to find relief.

Is it normal to have back pain after a C-section?

Experiencing back pain following a C-section is quite common. The procedure involves anesthesia and surgical techniques that can impact your back muscles and nerves. For example, the epidural or spinal anesthesia administered during surgery can sometimes lead to temporary back soreness at the injection site.

Plus, the strain on your body from the surgery and the new demands of caring for a newborn—like lifting and feeding—can contribute to back discomfort. While some level of back pain is expected as you heal, it's important to pay attention to how severe and how long it lasts.

Read our full guide on postpartum back pain for more.

Normal vs. abnormal back pain after a C-section

Understanding the difference between normal post-surgical back pain and signs of a problem is key. Normal back pain is usually mild to moderate and improves over time. It might feel like a dull ache or soreness, especially around the area where anesthesia was injected. This type of pain often responds well to rest, gentle movement, and over-the-counter pain relievers.

On the other hand, if your back pain is severe, gets worse instead of better, or is accompanied by other symptoms like fever, numbness, or trouble controlling your bladder or bowels, it could indicate an underlying issue. Conditions like infection, nerve damage, or blood clots are rare but serious complications that need prompt medical attention.

If you're experiencing new, severe, or worsening symptoms, or if you’re unsure about your symptoms, it's important to seek prompt medical attention.

Duration of back pain after a C-section

Typically, back pain after a C-section should start to diminish within a few weeks as your body heals. The initial discomfort from the surgery and anesthesia generally subsides as the tissues repair and any inflammation decreases. However, everyone's recovery is different.

Factors like your overall health, activity level, and whether you had back pain before pregnancy can influence how long it takes for the pain to go away. Prolonged pain could mean you need additional support, such as physical therapy or other treatments, to help your recovery.

Causes of back pain after a C-section

There are several reasons why you might be experiencing back pain after your surgery. Let's take a look at some common causes:

Effects of anesthesia

The use of epidural or spinal anesthesia during a C-section can lead to back pain.

The injection site might be tender or sore for a few days after the procedure. In some cases, the needle may cause a small amount of tissue irritation, leading to discomfort.

Muscle strain

During pregnancy and delivery, your abdominal and back muscles go through significant changes.

The surgery itself can strain these muscles further, especially if you had to hold certain positions during the procedure. Afterward, lifting and carrying your baby can also contribute to muscle soreness.

Hormonal changes

Pregnancy introduces hormonal shifts, especially an increase in a hormone called relaxin. This hormone loosens your ligaments and joints to prepare your body for childbirth. After your baby is born, it takes time for relaxin levels to decrease.

During this period, your joints may feel less stable, which can contribute to back pain as your body adjusts post-pregnancy.

Poor posture

Caring for a newborn often involves hunching over during feeding, diaper changes, or simply holding your baby. This prolonged poor posture can strain your back muscles, causing pain and discomfort.

Considerations for back pain after a C-section based on the pain’s location

Where you feel the back pain can give you some clues about what's causing it. Let's explore the different areas where you might experience pain and what it could mean.

Lower back pain

Lower back pain is quite common after a C-section. This area bears much of your body's weight and is involved in many movements, so it's no surprise it can feel sore. The injection site for epidural or spinal anesthesia is usually in the lower back, which can cause temporary soreness or tenderness.

Additionally, carrying your baby, lifting heavy items, or making sudden movements can strain the muscles in your lower back, leading to discomfort. Pregnancy also shifts your center of gravity, and after delivery, your posture might still be adjusting, affecting your lower back.

Middle back pain

Pain in the middle back isn't as common but can still happen. During pregnancy, your abdominal muscles stretch significantly, which can weaken your core and put extra pressure on your middle back. Hunching over while feeding your baby can also strain the muscles in your mid-back area, contributing to discomfort in this region.

Upper back pain

Upper back pain often stems from activities related to caring for your newborn. Holding your baby for extended periods can strain your upper back and shoulder muscles.

Frequently looking down during feeding sessions can also put tension on your neck and upper back. Moreover, the new responsibilities and lack of sleep can lead to stress and muscle tension, causing pain in the upper back.

How to get relief at home from back pain after a C-section

Finding ways to manage your back pain at home may help improve your comfort during recovery. Here are some options to consider:

Gentle exercise

Light activities like walking or gentle stretching may help, but it's important to consult your doctor before starting any new exercise routine.

These exercises promote blood flow, which aids healing. Always start slowly and consult your doctor before beginning any new exercise routine.

Practice good posture

Being mindful of your posture can relieve strain on your back. When feeding your baby, use pillows to support your arms and back.

Try to sit up straight and keep your shoulders relaxed. When lifting, bend at your knees instead of your waist.

Use supportive devices

Some women find that wearing a postpartum support belt helps stabilize their core and reduce back strain, but it's important to use it properly and consult with your healthcare provider.

These belts provide gentle compression, which can alleviate discomfort and support your healing body.

Rest and proper sleep positions

Getting adequate rest is crucial. Try sleeping on your side with a pillow between your knees to keep your spine aligned. Avoid sleeping on your stomach, as it can increase back strain.

Read our full guide on treating back pain for more.

When to see a doctor for back pain after a C-section

While some back pain is normal, certain symptoms should prompt you to seek medical advice.

You should see a doctor if:

• Your back pain persists beyond a few weeks or worsens at any point.
• The pain interferes with your daily activities or ability to care for your baby.
• You notice numbness or tingling in your back or limbs.
• Over-the-counter pain relievers aren't helping.

You should go to the emergency room if:

• You have severe pain that comes on suddenly.
• There's loss of bladder or bowel control.
• You experience weakness in your legs.
• You have a fever along with back pain.
• Your back pain is accompanied by chest pain or shortness of breath.

Questions to ask your doctor about back pain after a C-section

Having open conversations with your healthcare provider can help you get the care you need. Consider asking:

• What might be causing my back pain, and how long should it last?
• Are there specific exercises or therapies you recommend?
• Is it safe to take certain medications while breastfeeding?
• How can I prevent back pain as I continue to recover?

How a doctor can help treat back pain after a C-section

If your back pain continues or worsens, your doctor can offer treatments to help you feel better.

Physical therapy

A physical therapist can provide exercises and stretches tailored to your needs. They can help strengthen your back and core muscles, improving posture and reducing pain.

Medications

Your doctor might prescribe stronger pain relievers or anti-inflammatory medications. They'll ensure any medication is safe for you, especially if you're breastfeeding.

Referral to specialists

In some cases, your doctor may refer you to a specialist, such as an orthopedic doctor or a chiropractor, for further evaluation and treatment.

Frequently asked questions: back pain after a C-section

It's natural to have questions about what you're experiencing. Here are some common inquiries and answers.

How can you reduce back pain after a C-section naturally?

Some people find relief through gentle activities and good posture or by using cold packs to soothe sore muscles, but it's important to discuss these options with your doctor to ensure they're appropriate for you.

Relaxation techniques like deep breathing or meditation can also help manage pain by reducing stress.

What if you have upper or lower back pain months or years after a C-section?

If you're still experiencing back pain months or even years after your C-section, it's understandable to feel concerned. Sometimes, lingering discomfort can be linked to muscle imbalances that developed during pregnancy or the postpartum period. Maybe carrying your growing child has affected your posture, or perhaps a new injury has occurred without you realizing it.

Whatever the reason, it's important to check in with a healthcare professional who can help identify the cause. They can work with you to create a plan that addresses your specific needs, so you can find relief and get back to feeling your best.

Can back pain from a C-section become permanent?

While most back pain after a C-section is temporary, ignoring persistent pain can lead to chronic issues such as decreased mobility.

Addressing pain early with proper care and oversight from your healthcare provider can help prevent long-term problems.

Managing back pain after a C-section

Recovering from a C-section involves caring for your whole body, including your back. Understanding why back pain happens and knowing how to address it can make your recovery smoother. If you're concerned about your back pain or if it's interfering with your daily activities, consider reaching out to your doctor. Remember, ask for help and seek professional advice when needed.

General Medicine follows a strict editorial process, including using real experts to write our articles, vetted primary sources, fact-checking, a secondary medical review, and updates as necessary. This article was medically reviewed and fact checked by Dr. Pallabi Sanyal-Dey, MD.

Sources

Avila Hernandez AN, Hendrix JM, Singh P. Epidural Anesthesia. [Updated 2024 Feb 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK542219/

Malevic A, Jatuzis D, Paliulyte V. Epidural Analgesia and Back Pain after Labor. Medicina (Kaunas). 2019 Jul 9;55(7):354. doi: 10.3390/medicina55070354. PMID: 31324024; PMCID: PMC6681359. https://pmc.ncbi.nlm.nih.gov/articles/PMC6681359/pdf/medicina-55-00354.pdf

Kang X, Zhu Y, Lin K, Xie L, Wen H, Geng W, Zhu S. The Incidence of and Risk Factors for Localized Pain at the Epidural Insertion Site After Epidural Anesthesia: A Prospective Survey of More Than 5000 Cases in Nonobstetric Surgery. Risk Manag Healthc Policy. 2021 May 25;14:2171-2180. doi: 10.2147/RMHP.S290763. PMID: 34079404; PMCID: PMC8164713. https://pmc.ncbi.nlm.nih.gov/articles/PMC8164713/pdf/rmhp-14-2171.pdf

Dehghan F, Haerian BS, Muniandy S, Yusof A, Dragoo JL, Salleh N. The effect of relaxin on the musculoskeletal system. Scand J Med Sci Sports. 2014 Aug;24(4):e220-9. doi: 10.1111/sms.12149. Epub 2013 Nov 28. PMID: 24283470; PMCID: PMC4282454. https://pmc.ncbi.nlm.nih.gov/articles/PMC4282454/pdf/sms0024-e220.pdf

Rider LS, Marra EM. Cauda Equina and Conus Medullaris Syndromes. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537200

Yazici Yilmaz F, Aydogan Mathyk B, Yildiz S, Yenigul NN, Saglam C. Postoperative pain and neuropathy after caesarean operation featuring blunt or sharp opening of the fascia: a randomised, parallel group, double-blind study. J Obstet Gynaecol. 2018 Oct;38(7):933-939. doi: 10.1080/01443615.2018.1437125. Epub 2018 Mar 21. PMID: 29560766.https://www.tandfonline.com/doi/10.1080/01443615.2018.1437125?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

Casiano VE, Sarwan G, Dydyk AM, et al. Back Pain. [Updated 2023 Dec 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK538173/

Li M, Li D, Bu J, Zhang X, Liu Y, Wang H, Wu L, Song K, Liu T. Examining the factors influencing postpartum musculoskeletal pain: a thorough analysis of risk factors and pain assessment indices. Eur Spine J. 2024 Feb;33(2):517-524. doi: 10.1007/s00586-023-08008-5. Epub 2023 Dec 1. PMID: 38038760. https://link.springer.com/article/10.1007/s00586-023-08008-5

Ghlichloo I, Gerriets V. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547742/