Belly Belts and Bands in Pregnancy
A common mistake pregnant people make trying to support their own body through pregnancy is confusing trochanter belts and belly bands. These are used for two different reasons and are worn in different ways. I will be breaking down the difference between the two, why they are commonly used, how to properly use them if needed, and why you want to avoid relying on them.
Of course, it is best to have an evaluation done prior to reaching for a belt or band. Having a musculoskeletal assessment if you are experiencing any pain is important so we know exactly where this pain is coming from and what the best course of treatment is. Bands and belts should be used as a short term solution, if at all.
Why are belts or bands used?
Pain due to posture changes.
It all comes down to posture through pregnancy. Suboptimal posture is the most common reason people end up in my office with pain. As your baby grows, your center of gravity shifts, prompting adjustments in posture to maintain balance. The increased weight of the uterus can cause the pelvis to tilt forward, leading to an exaggerated curve in the lower back. A small amount of this adaptation is a natural response to the body's preparation for childbirth and the growing size of your baby, but without the musculature to support these changes excessive curvature occurs resulting in pain. Mindful practices, including strengthening and stretching exercises in addition to chiropractic care, can help support better posture and alleviate or prevent discomfort during pregnancy and postpartum.
What is a belly band?
These are wide bands that wrap around the belly and back, usually below the level of your belly button. They provide your belly with a supportive hug, delivering gentle compression that temporarily reduces low back pain by providing support. It's recommended to wear a belly band for no more than 2-3 hours at a time to avoid muscle dependence and further weakening.
The weaker your core the higher your chances of having a more substantial diastasis recti and continued pain through postpartum. Bands can serve as a useful tool when used temporarily as part of a comprehensive solution alongside stretches, exercises, and chiropractic care.
What is a trochanter belt?
These are a more rigid belt used often for people with instability or hypermobility. They sit lower around the bony pelvis, not on the belly, and provide very firm support to the pelvis. Belts are helpful for those who were already hypermobile prior to pregnancy and anyone with a hypermobility disorder like Ehlers Danlos syndrome. Hypermobility related pain can manifest in various forms, often as severe lower back pain exacerbated by movement, and discomfort around the pubic symphysis.
It's important to recognize that experiencing the aforementioned pain doesn't automatically imply instability. A comprehensive musculoskeletal assessment is recommended to identify any instability or other sources of pain.
While belts are effective in alleviating pain associated with instability, they shouldn't be relied upon as a complete solution. They do not "fix" instability; a well-rounded strengthening routine remains the most effective approach to address hypermobility and associated pain.
In summary…
Pregnancy belts and bands are commonly used to provide support and alleviate discomfort in the lower back and abdomen during pregnancy. However, it is important to seek a professional assessment before relying on these devices extensively, as improper use or over dependence may lead to additional muscle weakness or imbalance. A tailored approach ensures that the belt or band is used effectively and safely as part of an overall pain management and support strategy.
Don't hesitate to reach out if you're dealing with pain, numbness, or tingling anywhere in your body. Your well-being is important, please know I'm here to help.