“Sleep before the baby comes” is often easier said than done — especially if you’re dealing with sciatica during pregnancy. Sciatica is a pain that originates along the sciatic nerve, which extends from the back of the pelvis down the back of the thigh, and it can be uncomfortable, to say the least. It can also seriously disrupt your sleep, making those precious months of rest before the baby arrives elusive.  

If you’re tossing and turning, wondering how to manage your sciatica pain so you can enjoy a more restful night’s sleep, look no further. Here, we’ll explore practical tips and solutions to help you sleep soundly despite sciatica pain during pregnancy. 

woman with low back pain from sciatica

Why does sciatica occur during pregnancy?

Sciatica is a common discomfort during pregnancy, affecting many expectant mothers. It occurs when the growing uterus puts pressure on the sciatic nerve, which runs from the lower back through the hips and down each leg. This pressure can lead to inflammation, irritation, and sharp pain along the nerve pathway. Sciatica most often develops in the third trimester of pregnancy — though it can occur at any stage.

Tips for managing sciatica pain during pregnancy

The good news is that finding the right sleep position, among other things, can help significantly alleviate sciatica pain. Experiment with different positions to discover what works best for you. Many pregnant women find relief by sleeping on their side with a pillow between their knees. This position helps to maintain proper spinal alignment, reducing pressure on the sciatic nerve. Additionally, placing a small pillow or rolled-up towel under your abdomen can provide extra support and comfort.

Invest in supportive bedding

A supportive mattress and pillows can make a world of difference when dealing with sciatica pain during pregnancy. Opt for a mattress that provides adequate support for your back and hips while offering enough cushioning to relieve pressure points. Memory foam mattresses or mattresses with adjustable firmness may be particularly beneficial. Similarly, supportive pillows designed for pregnant women can help alleviate discomfort by providing targeted support to your back, hips, and belly.

woman improving her bedding to manage sciatica

Practice gentle exercise and stretching

Regular exercise and gentle stretching can help alleviate sciatica pain and improve your overall sleep quality during pregnancy. Low-impact activities such as walking, swimming, and prenatal yoga can help strengthen the muscles supporting your back and reduce pressure on the sciatic nerve. Incorporate gentle stretches targeting the lower back, hips, and hamstrings into your daily routine to help relieve tension and discomfort.

Heat and cold therapy

Applying heat or cold therapy to the affected area can provide temporary relief from sciatica pain. A warm compress or heating pad applied to the lower back and hips can help soothe tense muscles and increase blood flow, promoting relaxation and pain relief. Alternatively, cold packs or ice packs wrapped in a towel can help reduce inflammation and numb the area, providing relief from sharp pain and discomfort. Experiment with both heat and cold therapy to determine which works best for you.

Maintain good posture

Poor posture can exacerbate sciatica pain during pregnancy, so it's essential to maintain proper alignment throughout the day, especially when sitting or standing for extended periods. Practice sitting up straight with your shoulders back and your feet flat on the floor. Use a supportive chair with good lumbar support to help alleviate pressure on your lower back. When standing, distribute your weight evenly between both feet and avoid locking your knees. Making small adjustments to your posture can make a significant difference in managing sciatica pain.

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Seek professional help

If you're struggling to manage sciatica pain during pregnancy despite trying various home remedies and lifestyle adjustments, don't hesitate to seek professional help. Your healthcare provider can offer personalized advice and may recommend additional treatments such as physical therapy, chiropractic care, or acupuncture. They can also prescribe safe pain relief options if necessary, ensuring both you and your baby remain healthy and comfortable throughout your pregnancy.

woman struggling to sleep with sciatica pain

Practice relaxation techniques

Stress and tension can exacerbate sciatica pain and interfere with your ability to sleep. Incorporate relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation into your bedtime routine to help calm your mind and body. Creating a tranquil sleep environment with dim lighting, soothing music, and comfortable bedding can also promote relaxation and prepare you for a restful night's sleep.

Navigating sciatica pain during pregnancy can be challenging, but with the right strategies and support, you can enjoy a more comfortable and restful sleep experience. Remember, you're not alone in this journey. By taking proactive steps to care for yourself, you can prioritize your well-being and finally enjoy those precious moments of rest during pregnancy.


Kristyn Hodgdon is the Co-Founder and Chief Creative Officer at Rescripted.