How To Reduce Chronic C-Section Pain
Soft Tissue Mobilization
6-18% of women who have a c-section will have chronic pain from scar tissue. Scar tissue is composed of the same protein as the tissue it replaces, however, the fiber direction and pattern of the collagen is different. The collagen fibers in normal tissue go in all different varying directions causing adhesions and rigidity.
Some women complain of:
Pain/sensitivity at and around the scar
Reduced mobility and elasticity; making bending forward and lifting uncomfortable, or they feel like that area is being pulled/tugged on, when standing up straight and reaching overhead, which can affect posture
Low back pain from compromised/weakened abdominal muscles
Myofascial trigger points in abdominal muscles that can refer pain to the urethra and clitoris
Superficial nerve irritation surrounding the area of the scar
One method of dealing with chronic abdominal pain is through soft tissue mobilization. 90% of chronic pain can be reduced with soft tissue massage making it a valuable and cost-effective treatment option for those with chronic C-section–related pain.
You can massage your scar at home or work with a physical therapist or body worker to learn techniques. As little as 4 soft tissue mobilization sessions can reduce pain.
At your 6 week postpartum appointment you should be cleared to start soft tissue mobilization. Once the scar is well healed and you have been given the ok by your provider you can start massage yourself or work with a body worker or physical therapist. Your provider can give you a prescription to work with a physical therapist to start massage.