Round Ligament Pain

I thought it was my abs splitting but turns out my abs are fine, (thank god!). What I was experiencing was round ligament pain.

Why midwives never tell you these things is beyond me. I saw my midwife for my 24 week checkup and mentioned I was feeling some pain in my lower abs and groin. Her advice was that I shouldn't be engaging my tummy muscles at all. Ever. WTF? Can you imagine what a mess my core would be in if I never engaged my muscles? Apart from the fact that I teach pilates and Body Balance weekly and I train at least 3 days on top of that, how on earth would I be able to support my own weight without engaging my core?

Anyway, I just agreed with and did my own research.

Round Ligament pain occurs around the 2nd trimester and can carry on all the way through the third trimester too. The round ligament is the ligament that attaches to your hip bone to hold the uterus in place. The ligaments must stretch and grow to support the weight of the baby, (you can't build a house on matchsticks!), and can grow from around 2 inches to 12inches.

This stretching can be accompanied by sharp pains or twinges in the groin. Once I'd ruled out my abs splitting I thought I'd strained my abs with too much training, but then I realised that I could still train and do most things without any pain at all. The pains would occur with getting up out of bed, getting in the car and if I was trying to do a lunge or any exercise where I would need to stretch the groin area. It wouldn't last long, just a few seconds but it was sharp but not unbearable and went away pretty quickly. Still I didn't want to have this my whole pregnancy so I took some steps to remedy it.

First off I took 2 days off of training, to allow any additional strain on the muscle tissue to repair. This worked well and I reduced the pain by about 70% just from that.

Secondly when I went back to training I focussed on getting my glutes fired up to support my pelvis. Bridges would take the weight off the ligaments so I designed a workout around these and some other glute firing exercises.

Third, I went swiming. I found the water really helped as it supported my bump and took pressure off the ligaments whilst I worked out. Breast stroke worked the gluteus medius which stabilises the pelvis and helped stretch out my groin, gently, without pressure. It also allowed me to focus on my posterior chain which is essential in supporting a pregnant posture.

These things reduced the pain to around 5% of what it was originally. Lastly I learned to roll onto my side to get up and to sit down sideways in the car seat before swinging my legs in together, to avoid loading the ligaments in an already stretched position.

Another pregnancy lesson learnt the hard way! But I'm glad I could share it in case you suffer the same thing!