Prenatal chiropractic care using the Webster Technique is one of the most evidence-informed, gentle approaches available for pregnant women dealing with pelvic pain, low back discomfort, or round ligament tension during pregnancy. At Axiom Chiropractic in Charlotte, Dr. Megan Hullihen is Webster Technique certified through the International Chiropractic Pediatric Association (ICPA) – meaning she’s specifically trained to assess and address pelvic alignment throughout all stages of pregnancy.
What Is the Webster Technique?
The Webster Technique is a specific chiropractic analysis and adjustment protocol developed for pregnant patients. It’s not a general back adjustment performed on a pregnant woman – it’s a distinct method focused on the sacrum and pelvis.
Here’s the core idea: the sacrum is the triangular bone at the base of your spine, and it sits at the center of the pelvis. During pregnancy, as the uterus grows and hormones like relaxin loosen the ligaments around the pelvis, the sacrum can shift out of its normal position. This misalignment affects the muscles, ligaments, and round ligaments that support the uterus.
The Webster Technique identifies sacral misalignment and corrects it with a gentle, low-force adjustment – combined with soft tissue work on the round ligaments when needed. The goal is to restore normal pelvic mechanics so the structures supporting the pregnancy can function without added stress or tension.
What It’s Not
A common misconception is worth addressing directly: the Webster Technique is not a “baby-turning technique.” It does not directly manipulate the position of the baby.
What it does is restore balance to the pelvis and uterine environment. When the pelvis is misaligned, uterine ligaments can become asymmetrically taut – which some researchers believe may restrict the space available for fetal movement and positioning. By restoring pelvic balance, the technique may allow more room for the baby to move into an optimal position naturally.
The distinction matters. We’re correcting a structural issue in the mother’s pelvis, not repositioning the baby manually.
Why Pelvic Alignment Matters During Pregnancy
Your pelvis is doing extraordinary work during pregnancy. It’s the structural support for your growing uterus, the passageway your baby will travel through during birth, and the anchor point for dozens of muscles and ligaments that shift and stretch throughout all three trimesters.
When the sacrum or pelvis misaligns – which happens commonly even in healthy pregnancies due to the dramatic weight redistribution and hormonal changes involved – several things can go wrong:
Low Back and Pelvic Pain
This is the most common complaint we see in pregnant Charlotte patients. Pain at the sacroiliac joints, the low back, or through the buttocks and hips is extremely common in pregnancy – and it’s often dismissed as “just part of being pregnant.” In many cases, it doesn’t have to be. Sacral misalignment is a correctable mechanical problem, and most women notice significant relief with specific pelvic adjustments.
Round Ligament Pain
The round ligaments attach from the uterus to the inner groin. When the pelvis is misaligned, these ligaments can pull asymmetrically – causing sharp, shooting pain in the lower abdomen or groin, especially with sudden movements. Webster Technique care addresses the soft tissue tension in these ligaments as part of the adjustment protocol.
Pubic Symphysis Dysfunction
The pubic symphysis is the joint at the front of the pelvis where the two sides of the pelvis meet. Pelvic misalignment can create shearing stress across this joint, producing sharp pain in the front of the pelvis – sometimes described as feeling like the pelvis is separating. Gentle sacral correction can reduce this significantly.
Sciatic-Type Pain
Many pregnant women experience a version of sciatica – pain, tingling, or numbness traveling from the low back into the hips and legs. This can stem from lumbar disc pressure, piriformis tightening, or sacral misalignment compressing the sciatic nerve pathway. Pelvic-focused chiropractic care often resolves or significantly reduces these symptoms.
Is Prenatal Chiropractic Safe?
Yes – when performed by a properly trained practitioner, chiropractic care during pregnancy is considered safe throughout all three trimesters. The Webster Technique is specifically designed with pregnancy in mind: there’s no high-velocity rotation of the lumbar spine, no prone positioning that would create pressure on the abdomen, and no adjustment forces that are inappropriate for a pregnant patient.
At Axiom, we use specialized pregnancy pillows and positioning that allows patients to lie comfortably face-down (the abdomen is fully supported and suspended) or on their side, depending on how far along they are. Adjustments during the Webster protocol are gentle and targeted – most patients describe them as significantly more comfortable than they expected.
The ICPA has published research supporting the safety and effectiveness of Webster Technique care. Dr. Megan’s certification through the ICPA means she’s completed specific training in prenatal chiropractic assessment and adjustment beyond standard chiropractic education.
What to Expect at Your Prenatal Visit
When a pregnant patient comes into Axiom for the first time, the process is similar to our standard Gonstead assessment – adapted for pregnancy at every step.
We start with a thorough history that includes your obstetric history, how far along you are, any complications, and what symptoms you’re experiencing. We then assess your posture and gait, palpate the sacrum and surrounding structures, and review any relevant imaging (we don’t take X-rays during pregnancy, but if you have prior spinal imaging from before your pregnancy, that’s helpful context).
The Webster adjustment itself focuses on the sacrum: Dr. Megan evaluates the sacral position, determines the specific misalignment pattern, and delivers a gentle, precisely directed adjustment to restore normal sacral motion and position. If round ligament tension is present, she addresses that with light soft tissue work as well.
Most prenatal visits are relatively short – often 15 to 20 minutes once care is underway – and many patients find them deeply relaxing.

How Often Should You Come In During Pregnancy?
Visit frequency varies by trimester and by how much discomfort the patient is experiencing. General guidance from the ICPA suggests monthly visits during the first and second trimester for maintenance, increasing to every two to three weeks in the third trimester as pelvic demands increase.
For patients with significant pain or discomfort, more frequent care early on is common until symptoms stabilize. We’ll set an appropriate care plan after the initial assessment and adjust it as your pregnancy progresses.
Many Charlotte women who begin care in the second trimester for pain management find that continuing into the third trimester feels supportive and helps them feel more physically prepared going into their birth experience.
After Baby Arrives: Postpartum Care
The pelvis goes through significant stress during labor and delivery. Even in straightforward vaginal births, the sacroiliac joints and sacrum are put under substantial force. Postpartum chiropractic care – beginning a few weeks after delivery, or sooner if cleared by your OB – helps restore pelvic alignment as relaxin levels decrease and the body works to return to its pre-pregnancy structure.
For patients who had complicated deliveries, instrument assistance (forceps or vacuum), or a cesarean section, postpartum spinal evaluation is especially worthwhile. These experiences can create specific pelvic and lumbar misalignment patterns that, if left unaddressed, contribute to low back pain, pelvic instability, and core dysfunction in the months after delivery.
We also assess newborns after birth – particularly following difficult deliveries – for cervical and spinal stress. This is a topic Dr. Megan addresses directly with new parents because birth-related spinal stress in infants is more common than most people realize.
Why Charlotte Pregnant Patients Choose Axiom
There aren’t many chiropractic practices in Charlotte that combine Webster Technique certification with the full Gonstead approach. Dr. Megan’s credentials represent genuine specialized training – not just a general chiropractor who sees the occasional pregnant patient.
You can learn more about Dr. Megan’s background and training on her bio page, and more about how we approach chiropractic care in general on our Gonstead chiropractic service page.
Frequently Asked Questions
Can I start care in the third trimester?
Absolutely. Many women don’t seek prenatal chiropractic care until later in pregnancy when discomfort increases. Third trimester care is very common and appropriate. The sooner you start, the more time there is to address pelvic imbalances, but it’s never too late in pregnancy to benefit.
Do I need a referral from my OB or midwife?
No referral is required to book an appointment. That said, we encourage open communication with your obstetric provider. Most OBs and midwives are comfortable with prenatal chiropractic care and some actively recommend it. If your provider has specific concerns, we’re happy to collaborate.
Is the Webster Technique only for breech babies?
No – it’s for any pregnant woman experiencing pelvic pain, sacroiliac dysfunction, round ligament tension, or general discomfort related to pelvic mechanics. It’s also appropriate as a preventive measure to support optimal pelvic alignment throughout pregnancy, regardless of symptoms.
Pregnancy is physically demanding in ways most people underestimate. If you’re dealing with pelvic pain, low back discomfort, or just want to support your body through this season with specific, professional care, we’d love to help. Call (704) 469-4772) or schedule a prenatal consultation at Axiom Chiropractic in Charlotte today.
Axiom Chiropractic & Wellness Center serves Charlotte, NC and surrounding communities with expert Gonstead chiropractic care, advanced red light therapy, functional medicine, and specialized animal chiropractic. Led by Dr. Tyler Hartley and Dr. Megan Hullihen, we help families overcome back pain, neck pain, headaches, sciatica, and digestive issues through precise spinal corrections. Call (704) 469-4772 or schedule online to start your wellness journey today.

