Pregnancy FAQs

Q: Why should I go to the chiropractor if I am pregnant?
A: Most pregnant women are referred to Dr. Kotkin for lower back or pelvic pain associated with pregnancy. This includes localized lower back pain, sciatica (radiating leg pain), groin pain, and leg or thigh pain. Some patients present with middle back pain, rib pain, neck pain or headaches. Many birth providers refer patients to Dr. Kotkin if they determine the fetus is not in the optimal position for birth, such as breech, transverse, or posterior.

Q: Can all chiropractors treat pregnant woman?
A: Yes, but Dr. Kotkin has the post graduate education and clinical experience that separates her from every other chiropractor in Frederick County. Dr. Kotkin is the ONLY DICCP Board Certified Chiropractor in the county, and one of only 180 in the world. She is also Webster Technique Certified.

Q: What is the Webster Technique?
A: The Webster Technique is defined as a specific chiropractic analysis and adjustment that reduces interference to the nervous system and facilitates biomechanical balance in pelvic structures, muscles and ligaments. This has been shown to reduce the effects of intrauterine constraint, allowing the baby to get into the best possible position for birth. Though usually associated with breech babies it is effective for babies in any position (transverse, posterior). This technique can only be performed by a chiropractor. It does NOT involve manual maneuvering of the baby in any way!

Q: Is Chiropractic treatment safe during pregnancy?
A: Yes! Gentle chiropractic treatment including joint mobilization, soft tissue treatment, and therapeutic exercise is safe and effective during pregnancy. Dr. Kotkin is trained to address the challenges of the pregnant body including loosening ligaments and increased weight.

Q: How often will I need treatment during my pregnancy?
A: A treatment plan will be individually tailored for your specific condition and depends on your week of pregnancy. Treatment recommendations range from 2-3 times per week to once a month.

Q: What else can I do at home between my office visits to help my pain?
A: Home care recommendations usually include ice, physioball exercises, and gentle stretching. A maternity belt/support may be recommended. Exercises are tailored specifically for each patient.

Q: Can chiropractic treatment really reduce my time in labor?
A: A research study showed that patients under chiropractic care during pregnancy had decreased labor times by 24-39%!

Q: Is my treatment over after my baby is born?
A: At least one post partum evaluation is recommended before the ligaments around the pelvis tighten. Usually this occurs about the same time as your post partum visit to your birth provider at 2-4 weeks.

For more information about pregnancy and chiropractic please visit