Managing PCOS and Back Pain: Physical Therapy for the Win!

Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting women with a variety of symptoms that can impact both physical and emotional health. One of the often-overlooked challenges of PCOS is its link to persistent back pain. While back pain can stem from various causes, for women with PCOS, it can be exacerbated by hormonal imbalances, weight gain, and stress. Fortunately, physical therapy offers an effective, non-invasive solution to help alleviate PCOS-related back pain and improve overall quality of life. 

Back pain in women with PCOS is not an isolated symptom but part of a broader set of challenges related to the condition. The hormonal imbalances characteristic of PCOS—particularly elevated levels of androgens (male hormones like testosterone)—can lead to a range of symptoms, including irregular periods, weight gain, and sometimes, discomfort in the lower back. 

Weight gain, which is common in women with PCOS due to insulin resistance, can place added strain on the spine and surrounding muscles, leading to chronic back pain. Poor posture, sedentary lifestyles, depression, and lack of physical activity are also factors that can worsen back pain in women with PCOS. 

Physical therapy can significantly reduce back pain associated with PCOS. PT focuses on strengthening the muscles supporting the spine, improving posture, and enhancing mobility to reduce strain on the back. Through a combination of exercises, manual therapy, and education, physical therapists help patients manage pain and prevent future injuries. Here’s some of the ways PT can help: 

1. Strengthening Core Muscles 

The core muscles, which include the muscles of the abdomen, back, and pelvis, are essential for supporting the spine. For women with PCOS who may experience weight gain or poor posture, strengthening these muscles can help alleviate strain on the back. Physical therapists incorporate core-strengthening and coordination of the core, pelvic floor and back to decrease back pain. 

2. Improving Posture 

Poor posture is a common contributor to back pain. Many women with PCOS may tend to slouch or adopt compensatory postures due to changes in weight or low back or pelvic discomfort. Physical therapists teach techniques to improve posture, such as improved alignment of the spine during daily activities and exercises that assist with postural imbalances. Maintaining good posture helps to distribute weight evenly across the body, reducing stress on the back. 

3. Promoting Flexibility and Mobility 

Tight muscles and stiff joints can aggravate back pain, especially when compounded by hormonal changes and weight gain. Exercises prescribed by physical therapists can help improve flexibility and mobility in the lower back, hips, and legs, promoting better movement and reducing tension. 

4. Education and Lifestyle Modifications 

Physical therapists also play a crucial role in educating patients about proper body mechanics and ergonomic practices. This includes advice on how to safely lift objects, sit for long periods, and perform everyday tasks without causing strain on the back.  

Physical therapy offers a safe, non-invasive, and effective way to manage back pain in women with PCOS. By targeting the root causes of discomfort—whether it be poor posture, muscle weakness, or tightness—PT can help reduce pain and improve overall function. For women experiencing back pain related to PCOS, consulting with a physical therapist is a valuable step toward a healthier, pain-free life. 

---

Disclaimer: This blog is here for your help. It is the opinion of a Licensed Physical Therapist. If you experience the symptoms addressed you should seek the help of a medical professional who can diagnose and develop a treatment plan that is individualized for you.