Chronic Back Pain After Baby? Your Pelvic Floor Might Be the Missing Link

Okay, real talk.

You’ve had your baby. The diapers, the late nights, the chaos—those are part of the gig. But this back pain that won’t go away? That’s not what you signed up for.

You’ve stretched.
You’ve done yoga.
You’ve tried “engaging your core.”
Maybe even seen a chiropractor or taken muscle relaxers.

And still, the aching across your low back shows up like clockwork—when you carry the baby, bend over the crib, unload the dishwasher, or heaven forbid, try to exercise.

But here’s the thing.
It might not actually be your back that’s the problem.
It might be your pelvic floor.

Yes, that pelvic floor. The one no one ever talked about until after your baby was born. Let’s break it all down—and explain why this hidden group of muscles could be the key to your long-overdue relief.

First, What Is the Pelvic Floor?

Imagine a hammock of muscles at the base of your pelvis. These muscles support your bladder, uterus, and rectum. They also help with stability, continence, and yes—even back support.

During pregnancy and childbirth, this entire system gets stretched, strained, and sometimes downright exhausted. And while many people think of the pelvic floor only in terms of peeing or postpartum recovery, it plays a massive role in your core and spine function too.

How a Weak or Tight Pelvic Floor Messes with Your Back

Let’s get a little science-y for a second (but don’t worry, we’ll keep it simple).

Your core is a team—and your pelvic floor is a key player.
The team includes your:

• Diaphragm (breathing muscle up top)

• Deep core muscles (like the transverse abdominis)

• Low back muscles

• Pelvic floor (yep, at the bottom)

When one member of this team is out of sync—especially the pelvic floor—the rest have to work harder to compensate.

That means:

• More tension in your low back

• Less support during movement

• Misfiring muscles that cause pain over time

The result?
Chronic back pain that seems like a spine issue but is really a pelvic floor + core coordination problem.

Signs Your Pelvic Floor Might Be Contributing to Your Back Pain

If you’ve been checked for herniated discs or spinal issues but the pain persists, consider these red flags:

• You had a C-section or vaginal birth (yep, both can affect pelvic floor function)

• You have leaking, even just a little when sneezing or laughing

• You notice pressure or heaviness in your pelvic area

• You experience pain during sex or tampon insertion

• You feel like your core is disconnected or weak no matter how much you “engage it”

If any of these sound familiar, your pelvic floor is waving a giant red flag, asking for support.

What Physical Therapy Can Do (That a Stretch Can’t)

At Body Works Women’s Health & Wellness, our physical therapists in Greer, SC specialize in the real root causes of postpartum pain.

Here’s what we do:

• Evaluate your pelvic floor function (we don’t guess—we assess)

• Check how your core and breath coordinate with your movement

• Use manual therapy to release tension and realign your pelvis and spine

• Guide you through functional movement retraining that fits your real life (yes, that includes carrying car seats and chasing toddlers)

• Address scar tissue, muscle imbalances, and joint dysfunction from pregnancy and birth

This isn’t a one-size-fits-all “core program.” It’s individualized, hands-on care from providers who actually understand how the postpartum body works—and how to get it working for you again.

You’re Not Broken—You’re Just Unsupported

Let’s be honest: most moms get a vague “you’re cleared” at their 6-week appointment and not much else. That back pain that’s been hanging around for months (or years)? It’s not something you just have to deal with.

You deserve more than survival. You deserve to move through motherhood with a body that feels strong, supported, and pain-free.

It’s Time to Rebuild from the Inside Out

Chronic back pain isn’t just about the spine—it’s often about the core and pelvic floor connection. And the good news? That’s what we do.

At our Greer SC physical therapy clinic, we treat you with compassion, precision, and real solutions. We believe you don’t have to settle for “this is just how it is now.”

👉 Let’s change the story. Click here to schedule your visit.
We’ll help you reconnect with your core, support your spine, and finally put that back pain in the rearview mirror.

Because your body isn’t failing. It just needs the right help.