Why does my c-section scar hurt?
A cesarean section is a major abdominal surgery during which there are SIX (sometimes even seven) layers of tissue that are cut through. These layers of tissue include:
Skin: The first layer is the skin of the abdomen.
Subcutaneous tissue: Beneath the skin is a layer of subcutaneous fat and connective tissue.
Fascia: The next layer is the fascia, a tough, fibrous tissue that surrounds the muscles of the abdomen.
Muscles: The abdominal muscles, including the rectus abdominis and transverse abdominis, are separated or partially cut to access the structures underneath.
Peritoneum: Once the abdominal muscles out of the way, the peritoneum, a thin membrane that lines the abdominal cavity, is opened to expose the uterus.
Uterus: Finally, an incision is made through the uterus itself to deliver the baby.
It’s no wonder that many of us mamas experience pain around c-section scars.. A c-section is a major abdominal surgery that we can support your journey to healing and recovery well.
Why am I experiencing pain in my c-section scar?
Nerve damage: During a c-section, nerves around the incision area can be damaged, leading to increase in pain. These nerves can regenerate and repair over time if we give them adequate space to move and glide.
Scar tissue: After surgery, scar tissue forms as part of the natural healing process. Sometimes this scar tissue can become thick or adhere to underlying tissues, which may lead to pain or discomfort, especially if it restricts movement or presses on nerves.
Infection or inflammation: If the scar becomes infected or inflamed, it can cause pain. Infections can occur even after the surgical wound has seemingly healed, so it's essential to watch out for signs of infection such as redness, swelling, warmth, or discharge from the scar.
Muscle weakness or imbalance: The muscles around the incision site may weaken or develop imbalances after surgery, especially if you haven't been able to engage in regular physical activity during the recovery period. Weak muscles can contribute to pain and discomfort.
Adhesions: Sometimes, internal scar tissue can form between different organs or tissues, causing them to stick together. These adhesions can cause pain and discomfort, especially with movement.
If you're experiencing persistent pain around your c-section scar, it's essential to consult with your doctor or midwife. They can evaluate the scar, assess for any underlying issues such as infection or adhesions. Then let’s chat about treatment with a physical therapist and evaluate and address all of the above issues to get that c-section scar looking and feeling great!
As a pregnancy and postpartum pelvic floor PT I specialize in c-section scar health and mobility. I evaluate the health of the incision and then begin working on each layer of tissue to get to the root cause of the pain and restriction.
Treatment of your c-section scar is typically appropriate to begin around 6-8 weeks postpartum, but if you are experiencing symptoms earlier, there are things we can address around the healing incision that can decrease pain and improve healing.
All my best,
Dr. Kara