Pregnancy and Postpartum: Osteopathic Evaluation and Treatment

Pregnancy and the postpartum period bring extraordinary physical and physiological changes that can challenge the body’s structure and function. As the body adapts to support growth, birth, and recovery; shifts in posture, ligament tension, and hormone levels can lead to discomfort or strain. At a practice specializing in Osteopathic Neuromusculoskeletal Medicine, we provide gentle, hands-on care to support women throughout pregnancy and after childbirth, helping restore balance, reduce pain, and enhance overall well-being for both mother and baby.

Understanding Pregnancy and Postpartum Changes

During pregnancy, the body’s center of gravity shifts, and ligaments naturally loosen under the influence of hormones such as relaxin. These adaptations—while normal—can place additional stress on the spine, pelvis, and supporting muscles. Common symptoms include back and neck pain, pelvic discomfort, sciatica, and joint instability.

After birth, the postpartum body continues to adjust as ligaments recover and muscles that supported pregnancy regain strength. Breastfeeding posture, lifting and carrying the newborn, and interrupted sleep can further contribute to tension and imbalance. Osteopathic medicine helps facilitate these transitions by supporting optimal mechanics, mobility, and nervous system regulation during each stage.

Common Musculoskeletal Concerns

Pregnancy and postpartum changes can affect many areas of the body. Some of the most common conditions include:

• Lower back and pelvic pain during pregnancy.

• Sciatic discomfort or hip instability.

• Rib or neck tension related to postural changes.

• Carpal tunnel or wrist discomfort from fluid retention.

• Pelvic floor or core weakness after delivery.

• Postpartum headaches or upper back strain from feeding posture.

These issues often result from mechanical imbalances and soft tissue restrictions that can be gently addressed with Osteopathic treatment.

Who Can Benefit

Osteopathic care during pregnancy and postpartum is safe and appropriate for the pregnant person at all stages, from early pregnancy through the postpartum recovery period. Patients may seek care for symptom relief or as preventive support throughout pregnancy to improve comfort and prepare for birth. Postpartum treatment assists healing, supports body mechanics for feeding and infant care, and can help with recovery following both vaginal and surgical births.

The Role of Osteopathic Neuromusculoskeletal Medicine

Osteopathic Neuromusculoskeletal Medicine provides a holistic and integrative approach to support pregnancy and postpartum recovery. An Osteopathic Physician (DO) trained in this specialty evaluates the patient’s posture, joint mobility, muscular tone, and pelvic mechanics, identifying areas of strain or imbalance. Treatment involves gentle, hands-on techniques—such as soft tissue release, muscle energy treatment, myofascial release, and cranial osteopathy—to promote comfort, improve circulation, and support the body’s natural ability to adapt to change.

By optimizing motion in the spine, pelvis, and diaphragm, Osteopathic care can ease discomfort, support efficient labor and recovery, and promote relaxation. Many patients also find that treatment enhances their overall sense of well-being and facilitates smoother physical adaptation after childbirth.

Seeking Care During Pregnancy and the Postpartum Period

Osteopathic treatment can make a significant difference in how the body adjusts before and after birth. Whether addressing specific symptoms or supporting general wellness, early evaluation allows for safer, more effective care throughout the perinatal journey. Treatments are individualized and always adapted to the patient’s trimester, recovery stage, and medical history.

Our practice specializes in the management of musculoskeletal changes during pregnancy and postpartum through an evidence-informed, patient-centered approach. If you are pregnant or recovering from childbirth and experiencing discomfort, we encourage you to schedule an appointment with Dr. Levi. Through gentle, hands-on treatment, we can help you move comfortably, heal effectively, and restore balance during this important stage of life.

A Special Note

Dr. Levi also provides specialized support for the newborn including for latching and feeding (Please see Newborn Latching and Feeding), plagiocephaly and torticollis (Please see Plagiocephaly and Torticollis), and associated conditions.