Recovery after c-section: the role of pelvic floor physical therapy in scar and core healing
Giving birth via Cesarean section (C-section) is a common surgical procedure that can leave a lasting impact on a mother's body, particularly in the form of a scar. While the primary focus after a C-section is often on the incision site itself, it's essential not to overlook the importance of pelvic floor physical therapy in the healing process. In this blog post, we'll explore the significance of pelvic floor physical therapy for C-section scar recovery and overall well-being.
Understanding the C-Section Scar: A C-section scar typically runs horizontally just above the pubic bone, but it can vary in length and appearance depending on the surgical technique used. This scar is a constant reminder of the incredible journey of childbirth, but it can also pose challenges if not properly cared for.
The Role of Pelvic Floor Physical Therapy:
Scar Mobilization:
Pelvic floor physical therapists are trained to address scar tissue. They use gentle techniques to mobilize the C-section scar, promoting better blood flow and tissue flexibility. This can help reduce scar tightness and discomfort. It's important not to be too aggressive on the scar too early since we need to monitor for stages of healing. Sometimes silicone scar strips can be helpful if cleared by your medical team to help soften the scar.
Pelvic Floor Muscle Assessment:
Even though you did not have a vaginal birth, your pelvic floor muscles can still be affected in strength, ability to relax, and coordinate since you carried a fetus for 9+ months and had hormonal changes with pregnancy. A C-section can affect these muscles, potentially leading to issues like urinary incontinence or pelvic pain.
Core Strengthening:
Post-C-section, the core muscles can weaken. Pelvic floor physical therapy includes exercises to strengthen these muscles, providing stability and support to your abdominal area. We want to monitor how your abdominal muscles are firing and make sure they are all working together for a flat abdominal appearance and functional core. We want to avoid the “bread loaf” appearance which can indicate weakness in the deep core and overcompensation from superficial core muscles. Many moms are also sometimes frustrated with the “shelf” appearance, this can be from the scar tissue and weakness in deep abdominal muscles.
Bladder and Bowel Function:
Some women experience changes in bladder and bowel function after a C-section. Pelvic floor therapy can address these issues through targeted exercises and techniques. We also want to make sure the abdomen is moving well after a C-section since scar tissue and fascial restrictions can form in the abdomen which can be linked to back, SI, and hip pain.
Pain Management:
Scar tissue can sometimes cause ongoing pain. Pelvic floor physical therapists can use various modalities like manual therapy, stretching, and relaxation techniques to alleviate discomfort.
Pelvic Health Education:
Pelvic floor physical therapists educate patients about proper posture, body mechanics, and lifestyle changes to maintain pelvic health and prevent future issues.
Timing and Frequency of Therapy: Pelvic floor physical therapy can start as early as 2-3 weeks postpartum if you are in a lot of pain, or around 4-6 weeks, once your healthcare provider gives the green light. The frequency of sessions varies but may be weekly or biweekly initially, gradually reducing as you progress back to your goals and activities symptom-free.
Conclusion: C-section scar healing is a crucial aspect of postpartum recovery, and pelvic floor physical therapy plays a significant role in ensuring a smooth, pain-free, and comfortable journey. Consulting with a trained pelvic floor physical therapist can help you regain strength, function, and confidence, ultimately enhancing your overall well-being after a C-section. Don't hesitate to seek professional guidance to support your post-C-section recovery journey.