Women's Health & Physiotherapy

Back Pain During Pregnancy in Marmaris: Clinical Pregnancy Pilates and Safe Exercise Guide

Physiotherapist Rumeysa Bingol Updated: September 2026

Pregnancy is a miraculous process during which incredible physical, biomechanical, and hormonal changes take place in a woman's body. However, as your belly grows, your changing center of gravity places a severe burden on your spine, which acts as the main load-bearing column. Unfortunately, this situation causes over 70% of pregnant women to experience severe lower back, mid-back, and neck pain throughout their pregnancy. Instead of accepting these pains by saying, "It's just part of pregnancy, it will pass when I give birth," it is entirely in your hands to go through this process pain-free by understanding and supporting your body.

Why Does Back Pain Increase So Much During Pregnancy? (Relaxin Hormone)

In the later months of pregnancy, your body secretes a special hormone called "Relaxin" to prepare and stretch the pelvis for childbirth. The role of this hormone is to loosen all joint ligaments to facilitate delivery. When ligaments loosen, the task of keeping the spine upright and protecting the joints falls entirely on the muscles.

When increased body weight and a forward-shifting center of gravity (an excessive increase in the lumbar curve, or lumbar lordosis) are combined with weak muscles, severe muscle spasms in the lower back and shoulder blades become inevitable.

What is the Difference of "Clinical Pregnancy Pilates" Accompanied by a Physiotherapist?

Many expectant mothers hesitate to exercise, move, or stretch out of fear of "harming the baby or having a miscarriage." This is exactly why doing Clinical Pregnancy Pilates under the supervision of a physiotherapist instead of a standard gym is of vital importance. Our goal is not just to sweat or burn calories, but to healthily prepare the body for childbirth and the challenging process that follows (carrying the baby/breastfeeding).

Which Exercises Should We Absolutely Avoid During Pregnancy?

Not every exercise is safe during pregnancy. This is where the importance of working with an expert becomes evident:

  • Because the risk of miscarriage is high in the first 3 months (1st Trimester), exercise should not be started without the approval of an obstetrician.
  • Especially after the 4th month (as the baby grows), exercises requiring lying on the back for long periods should be avoided (lying on the back can compress the main vein, lowering the mother's blood pressure).
  • Heavy crunches or plank movements that excessively increase intra-abdominal pressure are strictly forbidden as they can lead to tearing of the abdominal muscles (Diastasis Recti).

What Does Clinical Pregnancy Pilates Bring to Your Body?

In clinical pregnancy pilates, all movements are instantly modified (adapted) according to the baby's position in the womb, your week of pregnancy, and the mother's current spinal pains.

  • Pelvic Floor Control: The pelvic floor muscles, which carry the baby and prevent urinary incontinence, are strengthened. You are personally taught how to relax these muscles during childbirth.
  • Diaphragmatic Breathing: As the baby grows, pressure on the lungs increases, and shortness of breath begins. The specific 3D diaphragmatic breathing taught not only increases the oxygen going to the baby but also allows you to manage the pain (contractions) during childbirth.
  • Posture Correction: It cuts lower back and mid-back pain like a knife by preventing the increase in the lumbar curve.

Frequently Asked Questions (FAQ)

In which week of my pregnancy should I start pregnancy pilates?

After getting medical approval from your doctor, the safest and most ideal time to start is between the 12th and 14th weeks (end of the first trimester) when the risky first 3 months have passed. Exercises can be safely continued with a lowered tempo until the last weeks of pregnancy (38-39th weeks).

I have never done sports before, can I do it while pregnant?

Absolutely yes. Clinical pregnancy pilates is not a competitive sport. It is a completely slow, controlled medical exercise synchronized with your breath, planned strictly according to your flexibility, fatigue, and capacity limits for that day. Zero-risk beginner programs are available.

Enjoy a Pain-Free and Pleasant Pregnancy

For a healthy pregnancy process, a pain-free spine, and preparation for an easy normal birth in Marmaris, you can join our 1-on-1 pregnancy pilates sessions. To schedule an evaluation appointment, contact our English-speaking physiotherapist immediately via our WhatsApp line.

© 2026 Physiotherapist Rumeysa Bingol. All rights reserved.