Along with the Tylenol points (and I would definitely check out @mama_kat's suggestion to request Tylenol 3 if it is chronic), I would try an epsom salt bath. It helps to reduce swelling and ease tension in tight muscles. It works wonders for me when my neck and shoulder start tensing up!
Speak to your doctor I was told ibuprofen was fine in second trimester but definitely NOT in 3rd. My doc told me it could cause premature labour if taken in 3rd trimester
I've always been told just acetaminophen only, but I have to take a baby aspirin every day because I have a high risk pregnancy where my placenta swells so bad that all blood flow stops, thats how I almost lost my daughter, my specialist put me on it, I would defiantly ask your Dr before taking anything but tylenol, what @mama_kat said sounds like a great idea. Good luck sweetie.
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