Lower Back Pain Relief After Hysterectomy: A Guide

Learn simple tips and exercises to alleviate lower back pain after hysterectomy and promote a smooth recovery.

If you’ve had a hysterectomy, lower back pain might be bothering you, but you’re not alone.1 This detailed guide will offer easy methods and workouts for easing your back pain after the surgery. It aims to make your recovery smoother. You will learn about what causes back pain after surgery and how to manage the discomfort effectively. From the reasons for your post-surgery back pain to the best ways to control the pain, this article will cover everything you need to know to improve your life quality.

This content will talk about the right way to position your body,2 physical therapy exercises, and gentle movements that are key for lessening the back pain.2 It will also discuss the safe way to get in and out of bed,2 how to cope if you had back problems before, using heat or cold packs and massages to relieve pain, and dealing with the pain using medicines. It will mention changes in your lifestyle that might help, and exercises to help your pelvic muscles. Tips on finding help from physical therapists, avoiding back pain, and dealing with the stress will also be shared.

Key Takeaways

  • Lower back pain is a common side effect of hysterectomy that can be effectively managed.
  • Proper body positioning, gentle movement, and physical therapy exercises are crucial for relieving back discomfort.
  • Techniques for getting in and out of bed safely can help protect the lower back and pelvic floor from strain.
  • Managing pre-existing back conditions and incorporating pain relief methods like heat/cold therapy and massage can provide additional relief.
  • Seeking support from healthcare professionals, including physical therapists, can help develop a comprehensive recovery plan.

Understanding Lower Back Pain After Hysterectomy

There are many reasons why women might get back pain after a hysterectomy. The way they lay during surgery can make their back hurt more. This is because it makes their lower back lose its natural curve.2 They might also strain their back if they lay like this for a long time while asleep.2

After surgery, resting the wrong way, being in bed too much, and not moving a lot can cause back pain. So can getting out of bed the wrong way. Using bad mattresses or pillows doesn’t help either. And if a woman already had back problems, her back might hurt even more after the surgery.2 The kind of surgery she had can also make the back pain worse and maybe change where it hurts.

Causes of Lower Back Pain

2 The way the surgery is done can add stress to the back, making them more likely to strain it. Sleeping with their head up too high can strain their back even more after surgery.2 Not moving enough makes the spine less flexible and more sore.2 Getting out of bed the wrong way can lead to back or pelvic floor pain.2 If someone had back problems before surgery, they might feel even more pain afterwards.

Types of Hysterectomy Procedures

The kind of surgery (abdominal, vaginal, laparoscopic) can change how bad and where a patient feels back pain.

Risk Factors for Post-Surgical Back Pain

Having back issues before surgery makes it more likely that back pain will get worse after.2 The way they were positioned during surgery, being in bed too much, and moving the wrong way can also raise the risk of more pain.

Importance of Proper Body Positioning

Proper body positioning helps deal with back pain after a hysterectomy. Lying in bed with the head raised too high can harm your back.2 So, it’s better to lower the head of your bed to keep your upper body flat sometimes, unless the doctor says otherwise.

Sitting up in a chair with a good back support is better than eating meals in bed. When you’re in bed, put a pillow under your knees to ease pressure on your back.2

Avoiding Prolonged Bed Rest

Staying in bed too long and not moving enough can make you stiff.2 After a hysterectomy, this can lead to back pain because your spine and soft tissues get less flexible.2

Using Supportive Pillows and Mattresses

A good pillow and mattress can help you feel better and keep your back from hurting.2 If the bed head is up too high for a long time, your back can suffer. A comfy mattress and pillow are key to feeling less pain, especially if you’re in a hospital bed.2

proper body positioning

Physical Therapy Exercises for Back Pain Relief

Physical therapy can really help with lower back pain after surgery.1 Heel slides are a simple exercise you can do in bed. They work your hips and back to make them feel better.1

Heel Slides

Here’s how to do heel slides. Lie on your back with knees bent and feet flat. Slowly slide one heel out and back, keeping your knee bent.1 Do the same with the other leg. This helps ease pain in your back and hips.1

Lumbar Rotations

Next up are lumbar rotations. Lie on your back with knees bent and feet flat. Lower your knees to one side, then the other.1 It stretches and loosens your lower back muscles.1

Pelvic Tilts

Pelvic tilts are good for back stiffness. Lie on your back with knees bent and feet flat. Tighten your stomach and push your lower back into the bed.1 Hold, then relax. Do this a few times.1


Finally, bridges strengthen your butt and helps your back. Lie on your back with knees bent and feet flat. Lift your hips up and down.1

Do these exercises slowly, and as your doctor says.1 Start with 2-10 exercises, and add more over 6 weeks.1 You can do them 2-3 times daily.1 Walk on flat ground too.1 Only do what feels good. If it hurts, stop.1

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The Role of Gentle Movement and Walking

Not moving enough can lead to back pain after a hysterectomy.3 Your spine might get stiff without regular exercise.4 Doing the right exercises for your back can help.

Switching up how you sit, lie down, and walk can also be key.3 It stops or lessens back pain.3 Take short walks often. Even a stroll around your room can make a big difference.

As time goes on, walk more and more. This is good for your recovery after surgery.3 Aim to walk on even ground and walk longer each time. You’ll find it very helpful.

Proper Techniques for Getting In and Out of Bed

Getting in and out of bed can be hard, especially after surgery. You can hurt your back or pelvic floor, mainly after abdominal surgery.5 A good way is to first roll on your side. Then, sit up carefully, instead of pushing up straight. This way, your lower back and pelvic floor don’t get too stressed.5 It’s crucial to use the right method during recovery. This prevents making back pain worse.

To get out of bed correctly, first roll onto your side. Next, make sure to bend your knees with your legs hanging off the bed. Use your arms to help lift yourself up. Stand by pushing off the bed with your arms.5 Also, move every 2 hours while in bed. Change from lying on your back to your sides to keep from getting stiff.5 If you’re finding it hard to get up, like you feel dizzy or weak, call for a nurse.5

Rolling onto the sideGently roll onto your side, letting your legs hang over the edge of the bed.
Bending the kneesBend your knees until your feet are flat on the bed, making it easier to swing your legs over the edge.
Using your arms to liftUse your arms to push yourself up into a sitting position, keeping your core engaged.
Standing upPush off with your arms to stand up, taking care to steady yourself before moving.

It’s also important to move around a lot during the day. Do different things like lying down, sitting, standing, and walking.5 Plus, taking short walks helps a ton. Even just going around your room or in the hallway is great for preventing back pain and making you feel better.6

Managing Pre-Existing Back Conditions

Do you have a back issue already or often have back pain? You might feel your back problem more after a hysterectomy.2 It’s key to talk to your regular back doctor before your surgery. They can give you exercises and tips to make your back stronger. This can help you deal with your back problem as you heal. Keep using the medicines and care your surgeon and healthcare team recommend after the surgery.

Communicating with Your Healthcare Team

Talking well with your healthcare team is very important. Let them know about your past medical care and any worries you have about the surgery and your back. Your surgeon, physical therapist, and others can make a plan just for you. This plan can help keep your back from getting worse.

Continuing Regular Back Care Routines

Keep doing your usual back care even after your surgery. This means the exercises, therapy, and ways to manage pain that your doctor tells you to do.2 Doing these things can help keep your back issues under control and stop new problems. Your healthcare team will help you fit these routines into your healing plan.

how to relieve lower back pain after hysterectomy

After a hysterectomy, you can try some easy home solutions for lower back pain. Soft tissue massage and warm heat packs can ease the pain.2 Doing simple lower and upper back exercises helps too.

Make sure to sit in a firm chair with your back straight. Also, it’s good to sit and stand up straight. Changing how you lay down can also make a difference. Ask your pharmacist about over-the-counter back pain drugs. These might help too.

Heat and Cold Therapy

Heat and cold treatments work well for back pain after surgery. Applying heat packs to your lower back relaxes muscles and boosts blood flow. This helps ease the pain.2 Ice packs reduce swelling and dull the pain.

Massage and Myofascial Release

A physical therapist can do massage and myofascial release to help your back.2 This helps loosen tight muscles, break up scars, and make your back move better. Your back will hurt less.

Medications and Pain Management Strategies

After a hysterectomy, you might use . This helps with lower back pain. Your doctor will create a plan for you. It could include pills, over-the-counter drugs, or both.7 Talk to your doctor about how you’re feeling. This helps them choose the best way to help you deal with pain.

Doctors want patients to aim for a pain level of 2 or 3,7 on a scale from 0 to 10. You have the right to good pain management. This is key to recovering well.7 It’s likely you’ll feel some pain after surgery. Be sure to tell your doctor. This way, they can help you feel better.7

There are many ways to take pain medicine. This includes pills, IV, and more.7 Good pain control can help you be more comfortable. It also helps you get back to your daily life, exercise, and heal better.7 Remember, don’t take more than 4,000 milligrams of acetaminophen in a day. This might hurt your liver.7 Doctors might also suggest using ibuprofen to heal swelling and soreness.7 You might also try things like music, deep breathing, mental images, or massage for pain.7

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Back pain after surgery can come from the way you were laid during the operation.2 This is worse if you lay on your back for a long time after.2 Staying still in bed can make your back stiff and hurt.2 Already having back problems means you might feel more pain later.2 Quick fixes for this type of pain include gentle massages and exercising.2 Also, sitting and standing correctly and moving around often helps.2 You can also use some pain drugs you buy at the store.2

Lifestyle Modifications for Back Pain Relief

Along with therapy and medicine, some lifestyle changes help with lower back pain after a hysterectomy.8 Keeping a good posture is key, no matter what you’re doing. It helps take pressure off your back.8 Also, trying to be less stressed with meditating, deep breaths, or simple yoga can make your muscles less tight.8 Changing how you do things every day and where you do them can keep your spine healthy. This is vital for getting better overall.

Proper Posture and Ergonomics

Making sure you have the right posture and use things the right way can lower your back pain. This means sitting, standing, and moving in a way that keeps your spine straight. Use chairs and tools that help your back too.8 Plus, wearing well-fitting shoes with good arch support and cushioning supports your posture and eases pain.

Stress Reduction Techniques

8 Stress makes you tense up, hurting your back. That’s why lowering stress is so important. Things like meditation, deep breaths, and yoga relax your muscles.8 Make sure to sleep well and keep your spine straight even when you sleep. This stops morning back pain from wrong sleeping positions.

Pelvic Floor Muscle Rehabilitation

The pelvic floor muscles can get weak after a hysterectomy. This might lead to lower back pain.9 Seeing a pelvic floor physical therapist is really helpful. They can show you exercises to strengthen these muscles. This can make you feel better.9

9 After a hysterectomy, it’s vital to do pelvic floor exercises.9 Kegels are one type of exercise. They help control the pelvic floor muscles. Doing these exercises helps you recover.9 Also, physiotherapy focused on women’s health is beneficial. It aids your recovery and strengthens your pelvic floor for the long run.9

10 Starting pelvic floor exercises within two weeks of a hysterectomy is important.11 Physical therapy can help if you have pain, pressure, or incontinence. It comes from a prolapse or other issues.11 Doing this early on can make your recovery faster. It also helps stop problems like pelvic pain or incontinence later.11

Seeking Professional Help from Physical Therapists

Seeing a pelvic floor physical therapist is great for dealing with lower back pain post-hysterectomy.12 They make plans just for you, based on what you need.13 These experts use hands-on treatments like soft tissue work and myofascial release. They also use things like heat, cold, and electric treatment to ease pain and help the body heal.13 You’ll get special exercises to help the pelvis and backup muscles get stronger and move right.

Individualized Treatment Plans

Pelvic floor therapists make personal plans to help with what you’re going through after surgery.13 They look at your medical past, the things you feel now, and what you want to achieve. This helps them make a plan that’s just right for you. It’s all about getting rid of pain and helping you recover well.

Manual Therapy and Modalities

Along with special exercises, therapists do hands-on work and use special ways to treat you.13 Soft tissue work and myofascial release relax the muscles and break up tight spots. Then, using heat, cold, and slight shocks can ease pain and boost blood flow.13 All these treatments, along with special exercises, aim to tackle the different parts of lower back pain after the operation.

Preventing Lower Back Pain After Hysterectomy

Taking steps before and after a hysterectomy helps avoid lower back pain.1

Pre-Operative Strengthening

Before surgery, a physical therapist can help you. They’ll teach you to make your core and back stronger. This makes your body ready for surgery and lowers the chance of back pain.

Post-Operative Recovery Guidelines

After surgery, follow the healthcare team’s instructions closely. They will guide you on how to move well, add activities slowly, and keep strengthening.2 Doing these things helps you avoid back pain and heal better.

Take these steps before and after a hysterectomy. You’ll lower the chance of back pain and have an easier recovery. Keep up with the strengthening and other advice from your healthcare team for the best results.

Emotional Support and Coping Strategies

Recovering from a hysterectomy and dealing with back pain is hard. It’s important to get emotional support from loved ones. Also, joining support groups is helpful.14 Don’t forget to use mind techniques, write in a journal, or go to counseling. These things can make the recovery journey easier.

It’s common for people who have had a hysterectomy to feel anxious or sad. Sometimes they need help from a psychiatrist.14 Staying positive and caring for yourself are key. Also, try to feel joy in small achievements. This can make things better emotionally.

A hysterectomy can change how you feel about your body, affect sex, and your relationships.14 After surgery, people might feel bad about how they look, have issues with sex, or face troubles with their partner.14 By getting help and using coping strategies, women can better handle these emotional strains.

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Talking about recovery before the surgery can prepare you. Knowing about possible back pain can help.14 Learning what to expect after the surgery is good.14 It can make recovery smoother emotionally and physically.


Lower back pain is common after a hysterectomy. But, it can be managed well.15 You can do this with physical therapy, lifestyle changes, and pain treatment.12

There are many reasons for this pain, like surgery and nerve damage. By moving correctly and using the right body positions, women can feel better. This way, they can live fully once more.

Seeing a pelvic floor physical therapist is a great idea. They can make a plan just for you. They use special methods to help you feel less pain.15

It’s also good to do pelvic floor exercises. These exercises make your muscles strong. This can lessen the pain after surgery.12

Recovering from a hysterectomy takes time. It needs a whole plan. This plan includes changing how you live, getting emotional help, and using good ways to handle the pain.15

It’s vital to take care of yourself. Work closely with your doctor and team. This will help you get through recovery and become strong again. The key takeaways are knowing why back pain happens, getting expert help, and using a full approach to deal with it. This is after having a hysterectomy.


What are the common causes of lower back pain after hysterectomy?

You might feel lower back pain after a hysterectomy because of the surgery’s position. It could also be from not resting the right way, staying in bed too much, moving incorrectly in and out of bed, or having a back issue already. The type of surgery you had can also play a part.

How can proper body positioning help relieve back pain after a hysterectomy?

Tilting the bed head can help. Using a comfy pillow and mattress is good too. And it’s important to not stay in bed too long. These things can ease back pain as you get better.

What physical therapy exercises can help alleviate lower back pain after a hysterectomy?

Heel slides and pelvic tilts are good exercises. Lumbar rotations and bridges can also help. These moves can make your back feel better and more flexible as you heal.

How can gentle movement and walking help with back pain management?

Walking a little every day and changing positions can stop your back from becoming stiff. This helps your spine and muscles stay flexible and reduces pain.

What is the proper technique for getting in and out of bed after a hysterectomy?

The best way to get out of bed is to roll to your side first. Then, push up with your arm while swinging your legs over the edge. It helps avoid hurting your back and pelvis.

How can pre-existing back conditions be managed after a hysterectomy?

Be sure to talk to your healthcare team about your back before surgery. Keep taking your pain medication and doing your back exercises. Your physical therapist can help with a plan that’s right for you.

What home remedies can provide relief for lower back pain after a hysterectomy?

Massaging the area gently and using hot or cold packs can ease the pain. You should also do some simple exercises to keep your back strong. If your doctor says it’s okay, over-the-counter pain meds can help too.

What role do medications and other pain management strategies play in relieving back pain after a hysterectomy?

Your doctor may suggest different ways to manage your pain. This could include medicines you get with a prescription or without, as well as other methods to help you feel better.

How can lifestyle modifications help manage lower back pain after a hysterectomy?

Keeping good posture and managing stress are important. Also, make sure your daily habits and the places you spend time in are good for your back. These changes can reduce the strain on your back.

Why is pelvic floor muscle rehabilitation important for managing back pain after a hysterectomy?

After surgery, your pelvic floor muscles may not work as they should. This can add to your lower back pain. Exercising these muscles with the help of a therapist, though, can make things better.

How can seeking help from a physical therapist benefit lower back pain after a hysterectomy?

A physical therapist can do many things to help with your back. They can create a special plan for you, use their hands to make you feel better, and show you exercises that target your back.

What proactive steps can be taken to prevent lower back pain after a hysterectomy?

It’s a good idea to work with a physical therapist before and after surgery. Also, follow all the advice your healthcare team gives you. Doing these things will lower your chances of having back pain and help you heal faster.

How can emotional support and coping strategies help during the recovery process?

Talking to loved ones and finding a support group can be comforting. Using techniques like mindfulness or writing can also help you deal with the ups and downs. These steps are important for both your body and mind as you recover.

Source Links

  1. https://www.pelvicexercises.com.au/lower-back-pain-after-hysterectomy/
  2. https://www.pelvicexercises.com.au/cause-of-back-pain-after-hysterectomy/
  3. https://www.orlandohealth.com/services-and-specialties/orlando-health-womens-institute/content-hub/6-tips-to-ease-your-hysterectomy-recovery/
  4. https://www.dana-farber.org/health-library/recovering-from-your-hysterectomy
  5. https://medlineplus.gov/ency/patientinstructions/000174.htm
  6. https://www.bedfordshirehospitals.nhs.uk/patient-information-leaflets/exercises-that-can-be-carried-out-after-a-hysterectomy/
  7. https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-education/preparing-for-your-hysterectomy/the-day-of-your-surgery/how-to-manage-your-pain-after-surgery
  8. https://ntmconline.net/6-ways-to-relieve-back-pain-fast/
  9. https://www.brisbanespineclinic.com.au/blog/exercise-and-physiotherapy-after-a-hysterectomy/
  10. https://www.goodrx.com/health-topic/gynecology/exercise-after-hysterectomy
  11. https://greatnorthernpt.com/2020-1-13-pelvic-floor-physical-therapy-pre-or-post-hysterectomy/
  12. https://pelvicfloorpro.com/pelvic-and-lower-back-pain-after-hysterectomy/
  13. https://www.level4pt.com/post-hysterectomy-pain-physical-therapy/
  14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842799/
  15. https://pelvicfloorpro.com/pelvic-pain-and-back-pain-after-hysterectomy/