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Réhabital

Sciatica During Pregnancy

Pain running from the buttock down the back of the thigh is common in pregnancy, especially in the second and third trimesters. Prenatal osteopathy and adapted massage provide safe, medication-free relief.

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Understanding This Condition

Several factors converge during pregnancy: relaxin softens pelvic ligaments, the centre of gravity shifts forward, lumbar lordosis increases and uterine weight changes load distribution. Sciatica-like pain more often comes from piriformis irritation, the sacroiliac joint or the lumbosacral plexus than from a true disc herniation. That distinction is reassuring: these sources typically respond well to gentle manual treatment, positioning and targeted exercise, with no imaging or medication needed.

Common Symptoms

Deep one-sided buttock pain.
Radiation down the back of the thigh, sometimes to the calf.
Pain worse with prolonged sitting or rolling over in bed.
Difficulty getting into a car or standing up from a chair.
A feeling of the leg locking or giving way.
Associated pubic or sacroiliac pain.

Common Causes

Hormonal ligament laxity

Relaxin increases sacroiliac mobility, which can irritate nearby structures.

Piriformis syndrome

The piriformis tightens to stabilise a more mobile pelvis and can compress the sciatic nerve.

Shifted centre of gravity

Increased lumbar lordosis raises stress on the posterior joints.

Sleeping and sitting positions

Lack of pelvic support at night sustains irritation.

Our Treatment Approach

Treatment is fully adapted to pregnancy: side-lying with pillows, gentle techniques, no forceful manipulation. Osteopathy balances the pelvis, releases the sacroiliac joint, piriformis and lumbar fascia, and works the diaphragm to improve breathing. Prenatal massage, on an adapted table or side-lying, reduces gluteal and low back tension. We teach safe exercises: pelvic tilts, adapted piriformis stretching, glute activation and sleep strategies with a pillow between the knees.

What to Expect at Your First Visit

A comfortable 60 minute session, safe in every trimester. Many women feel immediate relief after the first visit; follow-up every two to three weeks until delivery is often recommended.

At-Home Self-Care Tips

  • Sleep on your side with a pillow between the knees and under the belly.
  • Avoid sitting more than 30 minutes at a stretch.
  • Enter a car by sitting first, then swinging both legs together.
  • Walk regularly at a comfortable pace.
  • Apply heat to the buttock, never to the abdomen.

Prognosis & Recovery Timeline

Very good. Pain generally decreases with treatment during pregnancy and largely resolves in the weeks after delivery, especially with postpartum follow-up.

When to See Us at Réhabital

Come in as soon as pain appears. Bleeding, regular contractions, fluid loss or marked leg weakness require immediate contact with your obstetric team.

Why Réhabital Clinic

Our osteopaths and massage therapists work with prenatal clients regularly, with proper positioning equipment and techniques respectful of each trimester.

Why Choose Réhabital?

Medication-free relief
Gentle pregnancy-adapted techniques
Better sleep and lying comfort
Pelvic balance before delivery
Safe exercises taught
Postpartum follow-up available

Frequently Asked Questions

Address

D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5

Hours

Mon–Fri: 10AM–8PM
Sun: 10AM–4PM

Relieve Your Pain Today

Book online or call us for a comprehensive assessment with our qualified professionals.

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First visit: 10% off

Receive 10% off your first visit to Réhabital clinic in Côte Saint-Luc, on the Island of Montréal. Physiotherapy is excluded. This offer applies to your first clinic visit, not a first visit in each specialty.

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