A caesarean section cuts through skin, fat, fascia, muscle and the wall of the uterus. Each of those layers heals, and each can stick to the layers around it.
A scar that is stuck down does not stay a local problem. It pulls on the abdominal muscles, which in turn pull on the joints, and the result can be back pain, pain during intercourse, or a numb, tight belly that does not feel like your own.
Scar work can start once healing is complete, usually around week 6–8, and it makes sense even years later. The tissue stays responsive for a long time.
Therapy
- Assessment of the scar and the abdominal wall
- Scar mobilisation
- Learning scar self-massage
- Releasing the surrounding fascia
- Rebuilding the function of the abdominal muscles
- Breathing work
- Home programme