C-Section Scar: Problems and Solutions

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Postpartum pelvic floor rehabilitation is a big part of what we do at PHRC, and a major issue that we treat for new moms involves C-section scarring. In this post, we’re going to discuss the issues that can arise as a result of a C-section scar as well as how these issues can be addressed with the help of a PT.

As of 2012, 33% of births ended in C-section. (However, recently published guidelines were aimed at lowering that number.) “C-section” is short for cesarean section, and is the delivery of a baby through an incision in the mother’s abdomen and uterus.

These days the most common incision used for a C-section is the “horizontal” or “bikini incision.” The incision is cut through the lower abdomen at the top of the pubic hair just over the hairline. Scarring from the incision builds up underneath the incision as well as in the uterus.

Before we discuss the potential problems caused by a C-section scar, let’s first take a look at what scar tissue is.

Scar tissue is fibrous tissue that replaces normal tissue after an injury. It’s made of the same stuff as the tissue it replaces—collagen. However, the quality of the collagen is inferior to the tissue it replaces. Plus, the tissue is usually not as elastic as the original tissue. It’s important to bear in mind that the scar that you can see is actually only the tip of the iceberg as most scars extend deeper into the body than the bit of scar that is outwardly visible.

Now let’s take a look at some potential problems caused by a C-section scar.

A common complaint after a C-section is the sensitivity of the scar itself. For instance, it may hurt to lean over to pick up baby or may cause pain with lifting or other positional changes. Standing up straight may be painful as well as reaching over the head.

In addition, the scar may cause a slight postural change, a sort of “pulling forward” that along with a decrease in the support of the back from the abdominal muscles could result in back pain.

But the possible consequences don’t stop there. The scarring can cause the adjacent muscles to develop trigger points that refer pain to areas like the clitoris or urethra. In addition, the adjacent connective tissue can become restricted also causing pain. Lastly, the scarring can irritate superficial nerves in the area of the scar.

What’s more, the round ligament that attaches from the sides of the uterus to the labia can be caught in scar tissue after a C-section because the incision is also right over the area where the round ligament crosses the pelvic brim. If this happens, a woman can experience labial pain, especially with transitional movements like going from a seated position to a standing position.

Another symptom we have seen with our patients who have had C-sections is that they may have issues with lower digestion such as irritable bowel syndrome or constipation. This occurs because of the tightening created by the scar tissue pulls within the abdominal cavity and thus affects the organs.

The good news is that the problems caused by a C-section scar can be treated with pelvic floor physical therapy. So how does a physical therapist treat a C-section scar?

Most problems caused by C-section scarring can be improved or corrected altogether by making the scar more flexible by manipulating the scar tissue. The more scar tissue is moved and massaged, the softer and more similar to the tissue around it it becomes. This reduces tightness and breaks up adhesions (an “adhesion” occurs when scar tissue attaches to a nearby structure).

So if a scar is pulled in all directions, the body will lay down the fibers of the scar tissue with more organization, and in a similar alignment to the tissues around it. This results in the scar blending in better and behaving more like normal tissue.

What this means during your PT treatment is that the therapist will massage and manipulate your C-section scar and the area around it. Scars (internal and external) can be pushed, pulled, pinched, rolled, and rubbed. (Warning: manipulating a scar can be painful. That’s because tissue that has restricted blood flow is super-sensitive to touch, so treatment can be painful.)

But, this is a pain that comes with gain. Ultimately, scar mobilization promotes collagen remodeling, which increases pliability of the tissues and reduces uncomfortable sensations, such as itching or sensitivity.

It’s best to start C-section scar mobilization early in the healing process, usually six to eight weeks after the procedure. The reason that early intervention is ideal is because the tissue will respond quickest during this period.

However, the body remodels scar tissue constantly, so your tissues are being replaced with new tissue all the time, just at a much slower rate when scar tissue is older. A PT  can also instruct a new mom on how to perform the mobilization at home if appropriate.

Pelvic floor physical therapy is helpful for all postpartum women regardless of how they delivered their baby. Read more about it in Cosmo magazine and our follow-up post here.

If you have any questions about C-section scarring, please leave them in the comment section or email to blog@pelvicpainrehab.com.

 

 


393 thoughts on “C-Section Scar: Problems and Solutions

    • Hello Cathy,

      Yes, this can also be the case for an abdominal hysterectomy. Since the location the vertical, or horizontal incision required for an abdominal hysterectomy is also located below the umbilicus, any formation of scar tissue at the incision site can also create problems similar to those of a c-section scar.

      Regards,

      Malinda

      • I had c-sec on 17th jan 2016. Completely recovered. But suddenly itching on my tummy and in vagina from 10days. Could it be any kind of food allergy? It’s red marks on tummy. Or yeast infection in my lobia. Kindly suggest

          • I had a 2 c sections and my third in 2008,was able do core exercises without pain .But I fell into a depression, and was in bed for quite some time .now I’m training and I feel like something is stabbing me on rt side of incision. She I continue or stop

          • hello….I’m Angel…3 years after I had a c- section, the end point of the scar (pubic area) started to swell and it hurts when touched hardly…is this an endometriosis cyst? Should I have a surgery for this?..please help me understand…thanks a lot and more power………

          • It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

    • Can the c-section cause you not to eat much regent some foods out by going number 2 alot , and my scar is red I’ve been cleaning it like all time like what doctor says to and still red .

      • Hello Ashlee,

        It sounds like there may be some restriction present around the incision. We recommend consulting with a local therapist to receive a consultation.

        Best,

        Melinda

    • OMG everything you described iOS happening, I had 2 c-sections. One in 08 and 2011 two years ago it started to turn very dark and become irritated then as time went by it became very painful and it’s worse around the time of my cycle. It started to develope ugly keloids outside of it and the side of the scarring burns badly. I schedule an appointment With a plastic surgeon after getting the run around by my gyn and the general surgeon. The plastic surgeon wants to cut it out and my surgery is scheduled for next month. I heard it can make it worse and grow back. What can I do to prevent it and get rid of the huge lump underneath of skin and Keyloids scaring outside

      • I have the same issue! My baby is 2 years old. My Keloid looks horrible. I discharge often and around ovulation time, I feel a lot of pressure around that area. I’ve also gone to my gyn and they can’t find anything wrong.

        • It is possible for endometriosis to grow in and around the c section scar causing cyclical or constant pain. The theory is that part of the uterine lining is inadvertently transplanted into the fat, fascia, muscle or subcutaneous skin around the scar.

          • Author Melinda Fontaine says:

            Janie – Endometriosis can grow just about anywhere. I haven’t seen this exact presentation before, but ask your doctor for their opinion.

    • It’s been 10 years since I had my 5th c section a and sometimes I feel fine and for got I even had a c section but some days it hurts real bad in that area to the point I just need to lie down on my back and i wonder why it hurts I get physicals and pap smears done all the time and everything comes back perfect so when I go to rub the area where it hurts I feel the scar and remember the c section and all the pain I had from them but I thought I would be healed by not since it’s been 10 years since I had one is this normal

      • Stephanie Prendergast, MPT says:

        Dear Princess,

        Your symptoms may be caused by abdominal wall myofascial dysfunction and/or pelvic floor problems. We suggest you see a pelvic floor physical therapist in your area for an evaluation, these issues cannot be detected with a pap smear or physical.

        • It has been 6 years since I had my C- Section, I was fine with no pain until recently at the beginning of the year. The area has become sensitive to touch and the pain is almost unbearable at times especially when I am on my period. Is this normal or is this a sign that something is wrong? I have been to the doctor and was told that it’s normal.

    • I AM A NEW MOTHER HAD MY SON BY C SECTION OF COURSE. SOMETIMES I EXPERIENCE VERY HEAVY PAIN ON ONE END OF THE SCAR AND JUST PAIN OVER THE RIGHT SIDE OF MY ABDOMEN SOMETIMES FOLLOWED WITH CRAMPING IS THAT SOMETHING NORMAL OR ABNORMAL? IT WILL BE 7 MONTHS SINCE MY CESAREAN SHOULD I BE WORRIED?

    • I’ve had 3 cs. And its been two years since my last one. 7/2014 to be exact. And it’s starting to hurt. I had pain b4 but in was expecting but now I can’t have kids cause I tied my tubes and it’s hurt bad. But only the left side. Help

    • Hi I’m pregnant with second baby first one was born prematurely at 28 weeks I’m 2 weeks now an have servere pain at c section area any advice please

    • I had my last c section in 2005. My incision has been sore for the last 2 weeks as if I just had a baby. I have also been experiencing pain with the soreness. Can you give me some advice on what may cause this?

      • Hi Mirandia,

        It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

        Regards,
        Admin

    • Hi , it’s been a year and half after I had csection,but still have a severe pain on my lower back, is there any cure for it or it will remain the same? Please suggest.

    • I had a baby 3 years and 4 months ago and for the past 8 months I have had horrible sharp pain feels like I’m being cut open on my c section/ right pelvic area it was my second c section and I have had everything done I’m fixed, labs, xray, sono, ultra, everything is normal WHAT IS WRONG WITH ME No one can answer it .

  1. This is such a great article and came through my FB feed at just the right time to share in a thread with my members. One had just had an emergency C due to a footling breech. This after 6 vag deliveries. Oh how I’d love to snag you for a guest post on Fit2B. Feel free to get in touch!

  2. wouldn’t a TAH scar or even tubal ligation scar that was like a bikni cut scar do the same?Does this cause pubic bone pain?Thanks!

  3. Thanks for the article. I’m having severe pain 2.5 years later around my c/s incision site. I’ve seen my OB and after detecting a couple painful masses of scar tissue, she is sending me to PT. I’m very glad to hear PT can be a good solution and actually works. I’m looking forward to being pain free. I really don’t want to get caught up in the surgery/scar tissue cycle. I wish I would have been aware of taking care of possible scar tissue through self-massage right after my c/s healed. I’ve read it can be very good at advoiding painful adhesions.

  4. I have interstitial cystitis and painful pelvic disease I did not get it until 1 year post partum from 2nd C-Section. I went to pelvic rehab and all she believed in doing was biofeedback and controlling urgency/frequency. I have had to have surgery to cut adhesions. There were so many she had to call in a 2nd surgeon to help due to he amount of adhesions. I really wish that this was standard recommendation after C-Sections. Now I have a life sentence of severe pain!

    • I have the same pain like you after my csection in September 2013 I had interstsial cystitis now I’m witting for laparascopy in next mars my ob told me that may be I have scar tissue now I’m suffering a lot

    • You truly can get pass the severe pain with right PT, consistent at-home stretches and massages, dietary change and patients. I had surgery number 8 five months ago. I thought I was sentenced to severe lifelong pain. I’ve been seeing my PT since my 6 week post op appt with my doctor and I’ve gotten the following results.
      1. Long range mobility
      2. My weight is dropping because of the decrease in the sizes of the masses of adhesions which were pressing on my bladder and restricting my intestinal flow.
      3. A positive outlook on life which has helped me emotional and mentally. This was affecting my healing process because I was at my wits end.
      4. And lastly what I think you will love to hear PAIN IS VERY MINIMAL AND KEEPS DECREASING AFTER EACH SESSION.

  5. Pingback:Kristine Rudolph » Explore More : March 7th

  6. Thank you for this article.
    I have had a C-Section 20 months ago and now that I am planning to have another baby, I realized that I have scarred tissue from my previous C-Section and would like to treat it before my next C-Section.
    Can you please reccomend a great PT near zipcode: 91364. Woodland Hills, CA please.

    Thank you again for the insightful article.

      • I am 3weeks post partum and having severe hip,pelvic and back pain is this common and how can i make it go away

        First c section ever

        • This type of pelvic girdle pain can be caused by treatable musculoskeletal issues. We recommend seeking an evaluation with a pelvic floor physical therapist.

  7. Would this help in a incisional endometreosis issue as well? It is on the left side of my scar and surgery seems to be all that my doctor will offer when it is convienant for me.I am trying to find ways to bring down the mass at home first. Thanks for the read.

    • Hello Christel,

      Yes it would, but depending on the severity of your endometriosis, surgery may still need to be considered. However pelvic physical therapy can help reduce the chances of this by breaking down any adhesions and scar tissue that are present. I would suggest that you see a local pelvic floor therapist for an evaluation.

      All my best,

      Rachel

      • Thanks so much for the encouraging reply. I saw my gyno yesterday for a pap and cervix exam because of a marble sized bump under my c section scar and he diagnosed me with incisional endometriosis. He said I can decide when I want to do my outpatient surgery but i wanted to see my other options that won’t involve so much recovery time and pain.Thanks again. 🙂

  8. I had a c section 15 years ago. Is it too late to eliminate the tissue? Its awful and lumpy and looks terrible in a bathing suit. I also wonder if it has prevented me from becoming pregnant again somehow..

    Thanks

    • Hello Lisa,

      It’s never too late to address scar tissue. Excess scar tissue may have developed and could have potentially caused your tissues to fuse together (worst case scenario), but it is unlikely that it is causing problems with pregnancy. I would recommend that you see a PF physical therapist that can help address your scar tissue.

      All my best,

      Casie

      • I had a c-section 23 years ago with my oldest son, then a natural birth 2 years later with my youngest. I had never had severe menstural pain until about 15 years ago but when my periods started getting more painful I really didn’t think much of it. About 3 years ago I began having severe pelvic pain during and and around my period. On some days It is very difficult to go from sitting, to standing straight up. It literally feels like something inside is being ripped apart and even the skin on this side(rt). Is extremely sensitive to the touch. I have been to the my obgyn several times over the past three years and have had indometriosis ruled out, but he never mentioned adhesions to me. Over the past year the pain has become much worse. It used to be that I was only in pain during my period, but now I’m in serious pain for at LEAST, 15 days out of the month and it is getting progressively worse. I often feel sudden stabbing/stinging pains in addition to the constant deep aching on my right side and back. Could this be pelvic adhesions plaguing me 23 years after having my c/s? Could this be the reason I have been infertile for the past 15 years? Is it too late to treat my pain with p/t? I really don’t like the idea of going under the knife, but I can’t see myself living with this kind of pain for the rest of my life. I have a very active lifestyle, and recently it is taking me 4000mg a day of ibuprofen just to function, which can cause other health problems. I’m really at my wits end. Any suggestions?

        • Hello Suki,

          We recommend that you consult with a local therapist who can assess you and begin treatment. Surgery is much more invasive than therapy, and we encourage you to begin with more conservative, and effective treatment such as pelvic floor physical therapy.

          Best,

          Melinda

        • I am currently having the same symptoms.I have been out of work for 2 months and still have not found a solution. I have had an ultrasound,colonoscopy and treated for IC. Have you found a treatment that works for you? Thanks in advance. Im about to give up.

        • Suki I’m experiencing the exact same thing 5 years after my 2nd C-section. I’m now growing some sort of key looks outside of my incision as well it inflames during my period and is bleeding now and they think it may be endometeiosis but are unsure and recommended surgery and it’s extremely painful. Have you been to the doctor

  9. Sorry if this was answered but it has been a little over a year now since I had my c section and im starting to get really sharp pains it started when I started working back out after I had my daughter I worked out nonstope never had this problem… is this something to worry about?

    • Hello Jordan,

      As you may have read in the blog post, your body has changed after having child, and a c-section procedure. Regardless of whether working out was ever an issue before, scar adhesions along the incision site may have now developed and could be causing pain with physical activity. I suggest that you see a local PF physical therapist who can treat any scar tissue that could be present.

      Best,

      Melinda

  10. I had a c-section 5 yrs ago, and In the last year or so I’ve had itching, burning and pain that feels like irritation on the right side of my scar and then I also noticed a small knot. Sometimes it doesn’t bother me no pain at all & then it starts again. What should I do? Thanks

    • Hi Lynn,

      I would recommend that you see a PF physical therapist who will be able to break down the scar tissue, and also teach you how to self treat at home.

      Best,

      Melinda

  11. I have severe pain where my csection was from four years a go can it be possible what your talking about be happening to me this many years later? I have tremendous pain getting up from sitting to walking I almost fall down or even laying down moving to my stomach its intense.

    • Hello Jane,

      Yes it may be possible that scar tissue is causing some of your pain, but I would strongly advise that you are evaluated by a pelvic floor therapist that can determine if there are other factors contributing to your symptoms.

      Best,

      Rachel

  12. I was wondering if maybe my c – section scar tissue would also affect my right leg? Sounds weird I know but, with having PCOS and my Dr saying I have a lot of scar tissue from the c-section, I wanted to know your input on this.

    • Hello Courtney,

      In order to answer your question, I need a bit more information. What are your current symptoms? Scar tissue in the abdomen can cause restrictions in your gait, daily body mechanics, and lifestyle. These in turn can produce structural tension/tightness in other areas such as your back, and yes, sometimes your legs. I would strongly advise that you are evaluated by a pelvic floor therapist who can better assess you, and begin addressing your symptoms.

      All my best,

      Stephanie

      • Thanks Stephenie. My current symptoms include bloating and a fever when the pain happens to my leg. That is only if I’m not bleeding. My PCOS is complicated according to my 2 Dr’s that help me. I have had it for 3 years but wasn’t diagnosed til beginning of this year. I have been on the gluten free diet and still gain weight. The weight gain is uncontrolled. I have 2 discuss prolapse and 2 disc protrusions in my lower back which isn’t getting better due to my constant inflammation/bloating. I take metformin for now. I’ve been on birth controls but none have worked. Going back in in December to get checked out and do tests but I’m to the point of just having a hysterectomy and I’m only 26.

  13. My period have stop since I did cSection and wen is time to menstrate I always fill d pain and have seen gynecologist he are tru d period out but still I did nt see it and I always fill d pain pls wot can I do

  14. Hi Rachel,

    I’m so glad I found this post. I had a c section in 2008 and am having symptoms which feel like a UTI/heavy bladder/strange sensations in my clitoris, pain which radiates to my lower back and hips, et al. I’ve seen a uro/gyno and they laughed at me saying I had nothing wrong. I’ve had numerous tests/paps/wet mounts, etc. and nothing ever comes up but skin flora. I went for a clinical massage yesterday and when she dug in my hip, I could also feel it in my pelvis, so I thought that might be the cause. However, it’s back today. My husband mentioned it may be my scar tissue and I realized I was having some of the same sensations I had in that area after my surgery (the stabbing pain, feeling like there is a knife in there). This led me to you.

    I wonder if acupuncture could also help? I did manage to get a list of pelvic PT’s in Chicago from the uro/gyno office. I thought she wanted me to go from the inside, however. What you’re saying is different. It’s massaging the scar to relieve the nerve which feeds the pelvis — right?

    If you have any links I can try from home, would you mind passing along?

    Thank you so much for this information.

    Kelley

    • Hi Kelley,

      Not necessarily. Scar tissue massage is only one part of the puzzle. Most of our patients who do have symptoms caused by scar tissue, tend to have other factors contributing to their dysfunction. This is why seeing a pelvic floor therapist is so beneficial. Pelvic PT’s can evaluate whether there are musculoskeletal culprits that could also be causing your pain. Without an assessment, I cannot prescribe you and self-treatment techniques. I would recommend that you see a local therapist for an evaluation.

      Regards,

      Rachel

    • Hello. I’m 14 months post c-section,and experiencing some of the symptoms many of the others have described. Can a massage therapist help with this also? I’m wondering if you can please recommend someone in the San Gabriel Valley area.Thank you very much!

      • Hello Janet,

        I would recommend seeing a pelvic floor therapist and consulting additional options with him or her. Below are physical therapist recommendations for your area. We are also located in Los Angeles, and would happy to assist you.

        Regards,

        Casie

        Julie Sarton, PT
        Sarton Physical Therapy
        Tustin CA
        (714) 770-8222

        Julie Guthrie
        Synergie Physical Therapy
        Los Angeles CA
        (310) 686-3926

        Laura Horn, PT
        Los Angeles CA
        (323) 314-3415

  15. Hi, I am 27 months post c section. The right part of my scar has always bothered me but in the last 6 months it has grown increasingly worse. It is more off to the right ( not right on the scar)… I notice it more near my menstrual cycle but it is a constant burning, aching, tingling feeling. Any recommendations? my OB said it is probably scar tissue after he did an exam and felt on my stomach ( kind of feels lumpy like a bump).

  16. Hello, my C Section was 11 years ago. Pain in my abdomen began about 5 years post surgery. Burning, shooting, on fire like I’m being clawed from the inside pain just under the skin along the c section line. Sometimes minor swelling. The first gyn I visited said it was scar tissue and said she could inject lidocaine every 90 days to relieve pain. Went for a second opinion and that gyn said it was adhesions causing the pain. She did a laparoscopic Hysterectomy and said she removed what she could of the adhesions 15 months ago. The pain is still there and getting worse with time. It’s not all the time but maybe 2 weeks out of a month. I do have other major medical issues including Insulin dep diabetes, psoriatic arthritis, psoriasis and neuropathy. I have taken biological and pretty strong meds for over 20 years including methotrexate by injection for 15. At this point I concluded nothing could be done an I have to live with the pain but it is getting as bad if not worse than my arthritis, then I came across your post. Any suggestions or docs you can recommend in the Bradenton /Sarasota Florida area?? Thanks for taking the time to read!

    • Hello Ronda,

      We only have therapist recommendations for Orlando FL at this time. Their contact information is below.

      All my best,

      Stacey

      Ashley Arango, PT and Katherine Marsh, PT
      Florida Hospital Pelvic Health Rehab
      Orlando FL
      (407) 303-8280

    • Hi Shannon,

      Certainly. Below are recommendations for your area.

      Regards,

      Casie

      Kristen Miles, PT
      Royal Oak, MI
      (248) 655-3011
      Women’s Urology Center

      Catherine Veeser, PT
      Ferndale, MI
      (248) 655-3000
      William Beaumont Hospital

  17. My youngest child is nearly thirteen and recently I have started having a lot of pain, as well as a pulling sensation around my scar. I began working out a lot last summer and it seems that the more weight I lose and muscle I gain, causes an increase in pain. Last night it was so severe I couldn’t sleep!

    • Hello Sonja,

      It’s never too late to start pelvic physical therapy! I would recommend that you see a local therapist who can help you address any scar tissue that may be present.

      All my best,

      Casie

  18. Hi. I just read this article. This is wonderful. I am 5 months post second c section. I feel less bound this time around. I felt like my muscles were cut and shortened two years ago. I am able to stretch out more this time around. But I find since my job is very physical… My line becomes sore and inflamed. It hurts just to put pressure on it. One of my drs suggested an MRI. I was now thinking I could see a therapist. Do you have any recommendations in Baltimore Md.. Thanks for the Insite

    • Hello Ingrid,

      Yes, being evaluated by a pelvic PT will help to determine the causes of your discomfort. We have several recommendations near Baltimore. You will find their information below.

      Best,

      Malinda

      Stacey Devine, PT
      Devine Intervention Physical Therapy
      Eldersburg, MD
      (410) 404-4772

      Marci Marshall, PT
      Women’s Wellness Works
      Frederick MD
      (301)698-9214

      Jennifer Ortiz, PT and Melissa Reinhardt, PT
      Her Health Physical Therapy
      Columbia MD
      (443)283-2018

  19. Hi , i had my c section five & half years ago now. I have recently strained myself when picking up something heavy . Since then my scar and around it has been so tender and aching alot. Sometimes a warm bath is helpful to make it more bearable or hot water bottle but i have found it is even more sensetive to heat. I have been to my doctor but they brushed it under the carpet pretty much. What do you recommend? Thank you

    • Hello Charlotte,

      Given the description of your symptoms, I think you would be a great candidate for pelvic physical therapy. Where are you located? I may be able to recommend a therapist for you.

      Warm Regards,

      Allison

  20. Can you please recommen a therapist in central Ohio? I had a c-section 5 years ago and my scar has always been just a little tender but was easy to ignore but recently injured the area right above it and it feels extra tender like a bruise. Great article. Thank you.

  21. I had my c section 14 months ago and i am currently 21 weeks pregnant. Lately my cs scar itches so badly, now and even before i became pregnant and i cant resist the urge to scratch it and it is beginning to form a keloid like bump. What do i do?

    • Dear Franky,

      As long as you are cleared for intercourse by your OB, you can still receive an evaluation and treatment from a pelvic PT. Where are you located? I may be able to offer you a couple of recommendations.

      Best,

      Allison

  22. My wife is in serious pain after c-section now that her baby is 1 and half years old could this be normal. If not what is the remedy or drug for the pain.she has no open scar too.

    • Hello Sam,

      A pelvic physical therapist can release any adhesions and scar tissue that may have formed due to a c-section. However, an evaluation to fully assess your wife’s situation will be necessary. A therapist will need to rule out other contributing factors such as a diastasis, trigger points, or patient lifestyle/behavior.

      Warm Regards,

      Rachel

  23. Can you recommend a therapist in the Santa Barbara, CA area?? I had a c-section a few months ago and am still experiencing bad muscle pain/soreness. Thank you!

    • Hello PLF,

      Dhara Solanki is located in Santa Barbara, CA. Her information is below.

      Best,

      Allison

      Dhara Solanki, PT
      Aum Physical Therapy
      (805) 682-7777

    • Hello Cate,

      Our therapist recommendations for Georgia are located below.

      Jenny Hunt, PT
      Provenance Rehabilitation of the Greater Atlanta Area
      Alphretta GA
      678-819-8720
      provenance.rehab@gmail.com

      Lone Howell, PT
      Physiotherapy Associates Lawrenceville
      Auburn GA
      (770) 995-5242

      Best,

      Allison

  24. Hello,

    Thank you for the informative article. I had a c-section 15 months ago and have a moderate scar. The right half has healed well and smooth but left half is slightly bumpy/keloid. In general, the scar is itchy and if I wear something that hits or rubs the wrong way it is uncomfortable. We are trying to conceive now and I am worried about the effects of another pregnancy – stretching of the skin, itchiness etc. For health reasons I will likely have another c-section if I have another baby, and also wonder how to mitigate these issues in the future. I have been trying to massage gently with bio-oil but it doesn’t seem to be helping. Grateful for any advice or suggestions. Also, I would appreciate therapist recommendations in the Washington, DC area, if that would be permissible in early stages of pregnancy. Thank you very much.

    • Hello SKS,

      We currently do not have therapist recommendations for Washington, but we can recommend a few therapists nearby. Here is their contact information:

      Stacey Devine, PT
      Devine Intervention Physical Therapy
      Eldersburg, MD
      (410) 404-4772

      Marci Marshall, PT
      Women’s Wellness Works
      Frederick, MD
      (301)698-9214

      Miriam Graham, PT
      Restore Motion
      Rockville, MD
      (301) 881-9313

      All my best,

      Malinda

  25. Hi,
    I had my third c section 5.5 years ago and my 7 tear old son broke his leg.im having to lift him into the car and to use the bathroom. My scar is swollen and aching…can you advise? He weighs about 55 lbs….

    I appreciate your advice.
    Emma

  26. Hi, I had two c sections one 12 years ago and one years ago. A few years after my first c section I had bad pain in my lower back and the area of my c section over to my hips. Then had my second c section. A couple years after that the pain got worse. They found that my uterus attached to my stomache wall. So they cut me again and cut out my uterus. Now having the same pain again very badly a couple years later and they say that’s it can’t be scar tissue again. It is the same pain. Can it be scar tissue again? Thank you Tina

    • Hello Tina,

      Actually yes scar tissue may be contributing to your pain, but there could also be other causes present. I suggest that you receive an evaluation from a local pelvic floor therapist. Where are you located? I’d like to offer you therapist recommendations.

      Best,

      Melinda

        • Hi Tina,

          Here are our recommendations for your area.

          All my best,

          Melinda

          Hina Sheth, PT
          Rebalance Physical Therapy
          Philadelphia PA
          (267)282-1301

          Lori Haring, PT
          Haring Physical Therapy
          Allentown PA
          (610) 437-6975

          Amy Rejba MSN, CRNP
          Pelvic and Sexual Health Institute
          Philadelphia PA
          (215) 863-8100

    • Hello Becky,

      Yes we recommend Kotarinos Physical Therapy in Chicago. All of their therapists specialize in PFD, and would be valuable resources for you.

      Best,

      Stacey

  27. Can you please recommend a Pelvic PT in the New Jersey area…I have been having severe pain only during my menstrual cycle and ovulation with back pain…my Gyno said I could have endom. on the scar tissue, but you can feel the lumps which again come about during menstrual cycle. It subsides a little afterwards. Thank You.

    • Hello Maryann,

      Below are therapist recommendation in New Jersey.

      Regards,

      Rachel

      Niva Herzig, MS,PT Englewood NJ (201) 568-5060 Core Dynamics PT
      Jamie Besante, PT Beachwood NJ (609) 978-3110 Southern Ocean Medical Center
      Michelle Dela Rosa, DPT Columbus NJ (609) 379-0900
      Nancy Ely-Maskal, PTA Englewood NJ (201) 567-2277 Physical Medicine and Rehabilitation Center

  28. I had a c section 24 months ago and have some serious scarring/keloid and the usual sharp pains every once in a while. My incision opened on both sides (bikini cut) at 6 weeks. It had to be packed and eventually healed. Now I get small wounds that last from a few days to weeks then they heal and the cycle starts over. I have made appointments and by the time I get in to see the gyn, the small wound has either healed or looks much better and so no interventions are done. Any advice would be appreciated.

  29. Hello! I had a c-section 18 months ago without complication, but I’ve had daily cramping ever since. It feels like I’m menstruating every day. My OBGYN has no idea; she thinks maybe scar tissue is still forming. Have you seen this problem before? Any known PT treatments? I’m in Maryland if you have any suggestions.

    Thanks so much – great article!

  30. Hello, get article.
    I have had 2 c-sections. While pregnant with my 2nd son, the placenta was attached to scar tissue. My 2nd son is 2 years old now and just recently the incision area has been itching like crazy. I have never experienced this before. Should I see a doctor or what could be the cause?

    • Hello Angel,

      Yes, it would definitely be a worthy investment to see a pelvic floor therapist. A keloid may have formed and could be the source your symptoms. I would like to offer you a therapist recommendation if possible. Where are you located?

      Best,

      Malinda

      • This is a great article. I had to have a csection 20 months ago, and still occasionally have shooting pains in my incision. I just found out I am pregnant, and want to be as well prepared as possible. Would going to a PT during the 1st trimester be dangerous? I live in Ashland, WI of you have any recommendations. Also, I think it’s admirable that you’re still responding to comments this long after the original post.

        • Hello Kelly,

          Absolutely! Treatment is perfectly safe during the first trimester. I apologize, but we do not have a therapist recommendation in Ashland. Below are our recommendations for all of Wisconsin.

          Walters Mary Sue PT Sun Prarie WI (608) 260-6004 marysue.walters@deancare.com Dean Clinic
          Hoffman, MD Donna MD Onalaska WI 6087751851 dlhoffma@gundluth.org Gunderson Lutheran Med Ctr
          Walz Colleen PT Onalaska WI 6087751840 mwalz@charter.net Gunderson Lutheran Med Ctr
          Bartelsen Beth PT Nashotah WI 2625696306 beth-pt@wi.rr.com ProHealth Care Musculoskeletal Institut
          LaBorde Linda PT Waukesha WI 4143020770 Spinal Dynamics of WI
          Hildenbrand Sherese OT Mequon WI 2622401202 cpwc@milwpc.com Continence and Pelvic Wellness Clinic
          Callif Debbie OT Mequon WI 2622401202 cpwc@milwpc.com Continence and Pelvic Wellness Clinic

          Best,

          Melinda

  31. I had a c section 14 months ago and still get pain from it I also always have an urgency and sensation to pee. I live in Miami Florida is there anyone you recommend in Miami or ft lauderdale

    • Hi Liza,

      Pamela Downey, DPT is fabulous, and is located in Miami, FL. Her contact information is below.

      Regards,

      Stacey

      Pamela Downey, DPT
      (305) 666-3232

      • Thank you very much I will contact that therapist tomorrow! I am hoping this will help with some of my pains and discomforts as the doctors have given me know answers or guidance.

  32. I also saw you commented about diastasis… Can a tp help with that? I have a large diastasis, pain from my scar And a constant urge g
    To urinate all the time with little relief! Is there anyone u recommend on Miami or ft lauderdLe Florida? Do you think it will help? It’s been 15 months of pain 🙁

    • Hi Liza,

      Yes pelvic physical therapists can also address a diastasis, and can help patients consider other treatment options if necessary. Although you’ve experienced your symptoms for 15 months, it’s never too late to begin treatment. There is hope! Please review your first comment for my therapist recommendation in Miami.

      Regards,

      Stacey

  33. Hi really interesting reading – I too have a burning pain on the right hand side where my c section scar is & can feel a little lump the size of a grape where the scar is I am on the mirena contraceptive so don’t know my cycle but think it gets more painful for about week during a month – I had c section 5 years ago & feel the need to go to toilet a lot recently I live in NZ & haven’t heard of pelvic therapists what do you think it sounds like a common thing from all the reading I have been doing – I am going to doctor on Monday to check it out thanks for your positive comments as I was worried it

    • Hello Catherine,

      If you are able to travel, we recommend the following therapists in Australia:

      Alyssa Tait, PT
      Equilibria Health
      Brisbane Australia
      61 7 32770226

      Angela James, PT
      AJ Physio
      Bondi, South Wales Australia
      02 9369 4111

      Best,

      Stacey

  34. I am concerned currently about scar tissue after a C-section. I have had 3 C-sections, most recent was 02/28/2012 and now that I have been working out and getting back into shape. my incision is very painful when I stretch or lay on my stomach or push ups, the worst is when im doing push ups, it feels as if im getting cut open, pains where I just want to cry. I know its scar tissue, but should I worry and see a doctor or is this because my body is going thru change?? please help, please please =)

    • Hello Diana,

      I would encourage you to consult with a local pelvic floor therapist who can conduct a full assessment. I’d like to offer you therapist recommendations, where are you located?

      Regards,

      Stacey

    • Hello Nikki,

      Certainly! Here are our recommendations.

      Best,

      Stacey

      Maureen O’Keefe, PT
      Evergreen Park IL
      (630)620-0232

      Brandi Kirk, PT
      Kirk Center for Healthy Living
      Homer Glen IL
      (708)301-3102

      Kristen Markett, PT
      Flexeon Rehab
      Orland Park IL
      (708) 671-1971

    • Hello Katy,

      Marnie Clemens has taken our course, and should be familiar with PFD. We do not have additional suggestions for the WV area but if you are able to travel, we may be able to offer additional recommendations.

      Best,

      Stacey

      Clemens Marnie, PT
      Clemens Physical Therapy
      Bridgeport WV
      (304) 842-6008
      Marnie@clemenspt.com

    • Hello Michelle,

      We do not have therapist recommendations for Long Island, but I can recommend therapists in Englewood, NJ. Here is their information:

      Nancy Ely-Maskal, PTA
      Physical Medicine and Rehabilitation Center
      Englewood NJ
      (201) 567-2277

      Niva Herzig MS,PT
      Core Dynamics PT
      Englewood NJ
      (201) 568-5060

      Best,

      Stacey

  35. Hi! I’m 28 have had four csections in the past eight years. Developed severe endometriosis after my last which was a little over two years ago. Whether the sudden onset came after my incision was stepped on a week after delivery we don’t know. But my uterus and left ovary are stuck to my abdominal wall…from so much scar tissue. They just fused right on up! As you can imagine I am in constant pain and have tried every treatment out there. So my last resort is hysterectomy which is scheduled for next month. BUT my last period was very short and blood would only come out if I beared down. And the blood was thick clumpy and very dark. Now a week or so after my period my incision is all puffy and swollen and it burns. On the inside. But the weird thing is my pain is not severe like it usually is… My abdominal area is more numb then anything. And also my uterus is very swollen up. If you know what I mean when I have ‘endo belly’ I have it really bad since like a week before my period. Any ideas? Oh..also on antibiotic for vaginitis which so far is not seeming to work. Been on it for a week..?
    Oh and my mom had her csection scar worked on 25 years after surgery with compleat success. Needless to say I will be going for some therapy after surgery next month.

        • Hello Tiffany,

          We do not have therapist recommendations in Palmer, AK but if you are able to travel, we can recommend therapists in Canada.

          Regards,

          Stacey

          • No I would not be able to travel to Canada. Do you have books websites or YouTube videos that may help in self help recovery?

          • Hello Tiffany,

            We do have youtube videos, but they are exclusively for established patients. We anticipate that our book will be released this summer, and that it will be an excellent resource for patients.

            Regards,

            Stacey

  36. This article was extremely helpful to me in answering some questions about what I’m starting to experience. Although did have a C-section, I had an ALIF a few weeks ago with the exact same type of incision that is used for a C-section. Do you have any recommendations for therapists in the Denver area?

    • Hello Jovi,

      Thank you! Here are our recommendations for the Denver area:

      Neujahr Hollie PT Denver CO (303) 260-5092
      Gerig Nel MD Denver CO 3033889321
      Brady Marie PA Denver CO 3033889321
      Waliser Thomas MD Denver CO 3038301181
      Nishimoto Terri PT Denver CO 7204023801
      Eral Laura Denver CO (720) 394-9453
      Fries Elizabeth Denver CO (303) 260-5092
      Klein Lea Denver CO (303) 333-3493 ext 1
      Mueller Angie Denver CO (303) 799-6336
      Nangle Amie Denver CO (720) 402-3801
      Nichols Diana Denver CO (720) 493-1181
      Raschke Kimberly Denver CO (720) 402-3801
      Richardson Mary Boulder CO (303) 441-0452

      Regards,

      Stacey

  37. i had a csection 9 yrs ago and i started having pain on the corners of the incision and now is all over the incision like if i had done excessive exercise..its sore and tender to touch. what would you recommend i should do.

    • Hello Liz,

      I recommend that you consult with a local pelvic floor therapist who can evaluate, and treat you. Would you like a therapist referral?

      Regards,

      Stacey

  38. Hi, great article! I am 5 weeks post op abdominal myomectomy. 1)is there a way to reduce scarred tissue on the uterus and 2)I will try to get pregnant soon and delivery will be a c section, with so much cutting how can I reduce my stomache pooch? Thinking about pilates…

    • Hello Shawn,

      I would recommend that you consult with a pelvic physical therapist to receive a full assesment. Where are you located? I may be able to recommend a local PT.

      Regards,

      Melinda

  39. Hi
    I wondered whether having had a c-section followed by infection, it could still 6 years on cause discomfort? The district nurse who packed my wound was jot packing it properly and myself had to inform her! Since n now I still get discomfort in that post infected healed area. Should I be concerned? I found this page by chance and would appreciate the response to email as well. Very concerned.

    • Hello Trisha,

      We only have therapist recommendations for Orlando FL at this time. Their contact information is below.

      All my best,

      Melinda

      Ashley Arango, PT and Katherine Marsh, PT
      Florida Hospital Pelvic Health Rehab
      Orlando FL
      (407) 303-8280

  40. Hello there, I have been experiencing pain for the past 5 years after having a c-section 9 years ago. Pain in my buttocks, pelvis, cervix, lower abdomen and upper thighs. Sometimes massaging these areas help but the pain will last days at a time. I lifted something on a bad angle that seemed to trigger all this years ago. And last night again, it got worse after carrying groceries and going up the stairs. Now I cannot walk around without feeling stabbing sensations in my pelvic region. Could you recommend someone in the DC?Maryland/Northern Virgina area? Thanks!

    • Hello Shannon,

      I’m so sorry to hear about your situation. It does absolutely sound like you would benefit from an evaluation with qualified pelvic floor PT. I apologize, but I’m not familiar with Virginia, so I thought I’d just send along the entire list of PTs who have taken our class in the hopes that one or more of them is close by your area. I have also included recommendations for Maryland:

      Pierce Kristen Warrenton VA (540) 316-2680 Piercek@fauquierhealth.org
      Rich Jennifer Roanoke VA (540) 982-2273 Procarept@juno.com
      Gryski Joanne PT Herndon VA (703) 222-5973 jgryski@gmail.com
      Miller Amanda DPT Richmond VA (804) 270-7754 ammille1@vt.edu
      Pagliano Carrie PT Arlington VA 2024444180 carriejamesdpt@hotmail.com
      Brown Carolyn PT Virginia Beach VA 7573742373 cbrown287@cox.net
      Simmons Camille PT Alexandria VA (703) 849-8142 simmcf@hotmail.com
      Oxford Kathy DPT Richmond VA 8043309105 jkkoxford@aol.com
      Morris Lydia PT Richmond VA 8042850148 lydia.morris@comcast.net
      Pesavento Kathy PT Vienna VA 7039633466 kpes@verizon.net
      Silvers Janet PT Burke VA 7035312410 janet.e.silvers@kp.org
      Kalina Clare PT Fairfax VA 7035919088

      Stacey Devine, PT
      Devine Intervention Physical Therapy
      Eldersburg, MD
      (410) 404-4772
      Marci Marshall, PT
      Women’s Wellness Works
      Frederick MD
      (301)698-9214
      Miriam Graham, PT
      Restore Motion
      Rockville MD
      (301) 881-9313
      Jennifer Ortiz, PT and Melissa Reinhardt, PT
      Her Health Physical Therapy
      Columbia MD
      (443)283-2018

      Regards,

      Stacey

  41. Hello, my name is Jennifer Noskie and I had a c section about almost 5 years ago. I am having these same issues with my pelvic and cramping where the scar is and even with gas or moving bowels. I don’t know what to do because its been 5 years!! the cramping comes and goes and its getting worse as I am getting older which I am 33 now. and I only get it around my period time and 2 weeks after when I am ovulating. please help me or give me some advice thank you so much Jennifer

    • Hello Jennifer,

      Although some time has passed since your c-section, pelvic physical therapy is still a great option for you. It is never too late to begin treatment. Where are you located? I may be able to recommend a therapist.

      All my best,

      Stacey

  42. Is there a therapist in CT
    I have had 4 C-sections. No pain anywhere, just a lot of scar tissue, Im wondering if it is growing on the inside.
    Would this stop period flow for 6 months.
    I have gained 20 pounds not able to get rid of

    • Hello Lisa,

      We currently do not have a therapist recommendation for Connecticut, but I can recommend a few therapists that are about two hours away.

      Best,

      Stacey

      Alison Cody, PT
      St. Joseph’s Hospital
      Nashua NH
      (603)598-2401

      Niva Herzig MS,PT
      Core Dynamics PT
      Englewood NJ
      201-568-5060

      Jamie Besante, PT
      Southern Ocean Medical Center
      Beachwood, NJ
      (609) 978-3110

    • Hello Krisztina,

      Below are therapist recommendations for your area:

      Carolyn Vandyken, PT
      Physiotherapy Association of Cambridge
      Cambridge, (Toronto) Ontario Canada
      (519)624-8798

      Regards,

      Stacey

  43. Hello i had a c section where they had to stitch me in nd out.this was six years… ago now im 38 weeks pregnant but since the beginning to middle of my current pregnancy it hurts when i lie down nd try to get up.why could this pls help!! P.S PLEASE ANSER ASAP!! Thank you

    • Hello Rita,

      I encourage you to consult with a local pelvic floor therapist who can begin scar tissue mobilization and other appropriate treatment with you. I’d be happy to offer you a recommendation.

      Regards,

      Stacey

  44. Hello ive had 4 c sections and have been working out for the last 8 months my last c section was 6 yrs ago and today while showering i noticed it hurt when i was cleansing the scar area and it has a big red mark looks more painful than it is but it about the size of a tangerine and scar on right side is very tender its worring me

  45. Hello,I’m currently going through a rough time right now. I have a lump on the left side of my c-section scar. It’s golf ball sized and very tender. When I had my surgery I was only 7 months pregnant and on top of that I had to have a second surgery due to the first one getting infected and reopening. The lump has been there for a few months but never this big or tender. Can’t go see Dr. Due to no insurance at the moment. And suggestions? Please help

    • Hello Megan,

      Unfortunately, having an evaluation from a pelvic floor physical therapist is essential to fully assess, and understand your situation. Although it does require a financial commitment, patients learn so much after their first appointment, and are given tools to help their specific situation.

      Regards,

      Stacey

  46. Ive had 3 c sections my oldest being 6 yr my youngest bein 7 months my question is recently ive been going to the gym and for some odd reason no matter the exercise i seem to bleed. ..its not bright it looks old and dark cud this be a result of my incision ….periods r regular no pain or discomfort nothing and only happens when exercising can u shed some light.

    • Hello Melissa,

      I recommend that you consult with your gynecologist and if appropriate, a pelvic floor therapist.

      Regards,

      Stacey

  47. Hello!! I Have a question 🙂
    It’s been 4 weeks since my c-section and the first days I was feeling ok, better than right now, now, on the right side of the scar I have been feeling sooo much pain, I can’t barely walk… This is my 3rd. C section and to me this is unusual… I’m kind of desperate!! What can it be?

    • Hello Gaby,

      It can be that your body is healing differently, but in order to be sure I encourage you to consult with a local pelvic floor therapist for a full evaluation.

      All my best,

      Stacey

  48. I had my 3rd c-section 7mo ago, just today I noticed a marble sized lump under my scar, upon further inspection the sides/ends of my scar seem to not be healed, they are red and kind of fleshy looking. The one side with the lump Also seemed to bleed a touch,when I was observing. What should I do?

    • Hello Kristen,

      I encourage you to consult with a local pelvic floor therapist who can assess you, and begin treatment.

      Best,

      Melinda

  49. Hello… in 1993 about a year after my C section, my clitoris started to really hurt so much that I could not wear pants anymore, only dresses. If I touched it in a certain way to even wipe, I would go thru the ceiling. I was eating a lot of things like Peanut butter and coffee and lots of greens which I later found out I was eating and being effected by high Oxalate foods.I had to stop doing them and ad Calcium Citrate to break down the calcium deposits that where crystallizing in my urethra tube causing horrible pain. I would take like 8 cal citrate and Glutamate Sulphate and it would help right away. It was like a miracle. You can find a low oxalate diet and food list on line. Low oxalate helps to take down inflammation in Vaginal area and also estrogen cream inside the vaginal area helps also to calm the pain.I love this info on the scar tissue. I had heard this before and it makes total sense to me because this unbearable pain started after my C section.I was great for years, and had thought I was cured of it until in the last few months it has all come back. This is almost 20 years ago. I have been eating all of the wrong things, and I guess it has caught back up to me. I will be looking at BT and working towards reducing the scar tissue and I am in the process of eating low oxalate and taking the Cal Citrate and Glucosamine Sulphate again.I am so grateful to know about this… thank you so much.

  50. Hi I had a c section about 19 months ago now as that’s how old my son is but my scar seems to still be deep into my body and not popped out like other people’s can you explain why and if it will ever pop out? It seems really dug in
    Thanks

    • Hello Becki,

      It may be that your incision has healed differently, and that scar tissue may also be present. I recommened that you consult with a local therapist for a full assessment.

      Regards,

      Melinda

  51. ever since I had my c section 3 years ago I haven’t been able to have an orgasm can you tell me what is wrong? Is it nerve damage? and can it be fixed?

    • Hello Alyssa,

      It is difficult to say without first evaluating you, but your symptoms may actually be caused my musculoskeletal impairments, and not nerve damage. I would recommend that you consult with a local PF therapist for more information.

      All my best,

      Melinda

  52. Can scar tissue stop your period? I have had two csections. The first one my period was normal. Second one completely irregular. Lots of pain in and around my scar that comes and goes. I am very worried.

    • Hello Carissa,

      Without an evaluation it is difficult to say, but scar tissue can create a variety of complications. The good news is that pelvic floor therapists can break down scar tissue with treatment. I encourage you to consult with a local PF therapist for an assessment.

      Best,

      Melinda

  53. Hi my name is lisa my daughter katie had C section 18 months ago an we had to pack it 3.5 months befre it finally healed right she is having alot of pain in her abdomen area bloating an bleeds a whole lot when shes on her period her legs hurt so so bad she says when she walking or exercises she feels as if everything is ripping apart an has to go check to make sure shes not bleeding is this similar to what yr talking about any info greatly appreciated Knoxville Tn

    • Hello Lisa,

      Below are therapist recommendations in TN. If your daughter has not consulted with a therapist, she may want to communicate with one of our recommendations, and receive an evaluation.

      Alfredo Nieves MD
      Pelvic Pain and Reconstructive Surgery Center
      Chattanooga TN
      (423)490-1136

      Melissa Kubic, PT
      Chattanooga TN
      (423)778-8660

      Regards,

      Melinda

  54. Hi Melinda,

    How are you? I had my c section 11 years ago. I have been having more pain lately & IBS after beeing gluten free for years. My abdomen is always sensitive. Could you recommend a PT person that is near the Pittsburgh, PA area? (I live in West Mifflin).
    Thanks,

    Jennifer

    • Hello Jennifer,

      Below are therapist recommendations for Pittsburgh, PA.

      Christine Woods, PT
      Fox Chapel Physical Therapy
      Pittsburgh PA
      (412) 967-9229

      Janice Bryant, PT
      UPMC Centers for Rehab Service
      Pittsburgh PA
      (412) 422-4775

      Regards,

      Malinda

  55. Hi I had a c section 16 months ago, lately is been painful and smell real bad I keep swelling on my legs and my c section is red and burning, do you guys have any doctors recommendations around McDonough Georgia
    Thank you

    • Hello Marly,

      We do not have recommendations for McDonough. Here are our therapist recommendations for Georgia:

      Jenny Hunt, PT
      Provenance Rehabilitation of the Greater Atlanta Area
      Alphretta GA
      678-819-8720
      provenance.rehab@gmail.com
      Lone Howell, PT
      Physiotherapy Associates Lawrenceville
      Auburn GA
      (770) 995-5242

      Regards,

      Melinda

  56. My c section was 13 yrs ago. I have been having pain for a couple yrs now.Went to ER they did all kinds of test and said they found nothing. Any suggestions for me in Brooksville Florida

    • Hello Dottie,

      We do not have a recommendation for Brooksville, but there are therapists in Florida that we can recommend. Here is their information:

      Ashley Arango, PT and Katherine Marsh, PT
      Florida Hospital Pelvic Health Rehab
      Orlando FL
      (407) 303-8280

      Tracy Sher, PT
      Florida Hospital
      Altamonte Springs
      (407)257-1403

      Pamela Downey, PT
      Miami FL
      (305) 666-3232

      Regards,

      Melinda

  57. I have a ball on the right side of my pelvis and I already went to the ER once this year for atrocious pain and was told its left over scar tissue from my c-section. My daughter is now five and the pain is unbearable! I can’t sleep or lean or even bend down on that side of my stomach. I feel absolutely horrible when my daughter trys to play with me and I end up crying in pain because she accidentally hit me in that area. I just don’t know what to do anymore!

    • Hi Meaghan,

      Please consult with a local pelvic floor therapist. Where are you located? I may be able to recommend a specialist.

      Regards,

      Melinda

  58. Hi. I had my second c section 5 months ago and unlike my first child, I am still recovering. I just had an ultrasound as I was complaining about lower abdomen pain. It feels all external. The entire section below my belly button feels soar, bruised and numb at the same time. I didn’t think it was my scar causing the pain but after messing with my scar today, the rest of my belly started to hurt. I can’t stretch or else my left abdomen muscle pulls like a Charlie horse. It hurts to wear clothes and it hurts to lift anything or even breastfeed my son bc he puts pressure on my abdomen. The US came back negative and my obgyn is stumped. I’m not crazy though- I’m in a lot of pain and I need to do something about it asap. I’m in foxboro, MA and would/could travel to Providence RI or Boston, MA. Any referrals?

    • Hello Jena,

      I’m sorry to hear about your situation. Unfortunately, we hear of similar stories all too often. If you are able to travel to MA, I would encourage you to consider our Waltham office. Our very own Elizabeth Akincilar-Rummer is currently accepting new patients, and would be able to assist you. Please contact our office for more information. (415) 440-7600.

      Regards,

      Melinda

  59. Hi, I had a c section just over 2 years ago, Ive been having internal pains where my scar is when I pee, I thought it would fade away but it hasn’t, and it’s very sensitive, to the point where if my son bounces on me or smacks me there it hurts real bad, any info u can give would be greatly appreciated! Thank you

    • Hello Nichole,

      I recommend that you consult with a local therapist who can evaluate you, and begin treatment. Where are you located? I may be able to recommend a therapist in your area.

      Best,

      Melinda

      • I’m located in auburn ca. I dnt have any insurance is why I haven’t been checked out yet. Thank you.

        • Hello Nichole,

          Risa MacDonald, PT will be a great resource for you if you decide to receive treatment in the future.

          Risa MacDonald,PT
          East Sacramento Physical Therapy
          Sacramento CA
          (916) 457-8802

          Regards,

          Melinda

  60. Hi Melinda,
    So its been 3.5yrs since my c-section and Just starting to get back into exercising and have been feeling some lowest abdominal pain and pain along my incision. I had intercouse last night and got up and exercised and now feel kind of a lot of pain in that area. Can it cause any internal bleeding or anything? It’s making me a little worried. Could u recommend any one on da island of Kauai in Hawaii I could go to for some PF treatment?

    • Hello Tiare,

      It is unlikely that internal bleeding is involved, and more likely that scar tissue, and muscular restrictions may be causing your symptoms. I can recommend a therapist Honolulu, HI but do not have a recommendation for Kauai. I wish you the best in your recovery!

      Chantelle Vaughan, PT
      Hands on PT
      (808) 218-3660

      Regards,

      Melinda

  61. Hi Cassie,

    Would the same apply to open appendectomy? I am still walking in sever pain, 1 month post op. And i had PN before too…

    Cheers!

    • Hello Vanessa,

      Scar tissue can also develop with an appendectomy but in order to know whether the procedure is causing your symptoms, you will need to receive an assessment. I recommend that you consult with a local pelvic floor specialist, especially if you are in severe pain.

      Regards,

      Melinda

  62. I have had 3 c sections and a hysterectomy. I am 34 years old and my last c section was 2003. A few years after my last c section i started having pain behind my scar and it feels like in the muscles. The pain comes every month and lasts atleast a couple weeks. The pain has gotten horrible! I explain the pain to my doctor as it feels like i just had a c section & the pain even feels to radiate into the skin. When i lay flat and lift my head it’s hurts bad. I had exploritory laproscopic surgery and the doctor found alot of adhesions but nothing else. He removed the adhesions and said the pain should be done. But it didn’t work. I have had ct scans & ultra sound and nothing shows up.
    Do you havE any advice? This pain is really hindering my life.

    • Hello Faleisha,

      I’m sorry to hear about your situation. I recommend that you consult with a local therapist who can evaluate you, and begin treatment if necessary.

      Regards,

      Melinda

  63. Hi. I had a third c section 7 months ago. The skin below the incision still hurts. I asked my doctor when i went for follow up after the baby and she said it was normal. I did have a t shaped incision this time. Could this have something to do with it? Could this therapy help with this pain to go away. I live in houston. Thanks!!

    • Hello Jessica,

      I’m sorry, but without evaluating you we can not tell you what is causing your symptoms. Please see the list below; it is a list of PTs that took our course in TX. Perhaps one of them will be able to help you. Another resource is the Yahoo message group, Happy Pelvis: http://health.groups.yahoo.com/group/happypelvis/; perhaps one of the group’s members will be able to refer you to a PT.

      Nieves Alfredo MD Chattanooga TN 4234901136
      Kubic Melissa PT Chattanooga TN 4237788660
      Hathaway Lorien PT Plano TX (972) 579-8100
      Bobb Valerie PT Dallas TX (214) 820-1860
      Fournier Stephanie PT Irving TX (972) 579-8155
      Woerner Marie PT Fort Worth TX (817) 735-2100
      Sauder Sara PT Austin TX (512) 335-9300
      Brooks Heather PT Longview TX (903) 323-6573
      McNeely Cody PT Austin TX (512) 335-9300
      Anderson Amber PT Plano TX (225) 603-3796
      Dehne Pamela PT Austin TX (512) 231-5210
      Frits Sandra PT Irving TX (972) 412-4926
      Irizarry Stephanie PT Copell TX (972) 745-9060
      Parry Constance PT Dallas TX (214) 590-5813
      Dobinsky Angela PT Austin TX (512) 335-9300
      Francis Peggy NP San Antonio TX 2106144544
      Hakeem Fatima PT Sugar Land TX 7137996193
      Mire Charmaine OT Houston TX 2815888249
      Peters Angie PT Montgomery TX 7137996193
      Reardon Sara PT Dallas TX 2146452080
      Suire Robin PT Pearland TX 7137996193
      Bannister Tami PT Irving TX 9725798155
      Walker Carolyn PT Waco TX 2544055203
      Basler Colleen PT Austin TX (512) 219-5377
      Brinker Anna Dallas TX

      Best,

      Liz

  64. 15 months ago I had my 3rd C – Section and have had pain on my left side of my pelvic/hip/abdominal area; sometimes I can not sit or stand; it hurts to point I have to lay down and wait for the pain to subside. Sometimes the pain come without a reasoning. It can last for a few days…could you please give me some advice & referrels in the New Orleans,La & Surrounding area.

    • Hello Elizabeth,

      Unfortunately, we do not have a therapist recommendation for New Orleans, LA or the surrounding area. Are you able to travel a further distance?

      Regards,

      Melinda

  65. You had mentioned that PT can help with the pain and the itch. I know what exercises I can do for this as i hurt my back at work and went through PT and they told me its because typically after women start having children or even when men or women undergo surguries around the abdominal areas they tend to have poor core strength and thats what causes people to hurt theier backs. Although you mentioned this women typically have a hard time losing that extra belly due to the scarring. Any exercising tips for us women who try many workouts to no avail?

  66. Hello, I’m so happy to have found this site! I had a c-section in 2003 and was hoping for a VBAC for my 2nd in 2013. It was a 5 day induction (I was induced for colistasis) and ended up with my amniotic fluid getting infected. I was rushed in for an emergency c-section and after that my uterus became infected, I ended up with a UTI from the catheter and after all that, my insicion became severely infected 1 week later. They then had to reopen it and let it heal from the inside out. Needless to say, it was a very traumatic event and I have been scared emotionally as well as physically. About 6 mo after my daughter’s birth I started experiencing pain to the right of my scar (which is the side that was infected) – sort of under my hip bone. I’ve seen chiropractors, naturopaths, rolfers, etc.. And they all say they can feel lots of scar tissue around my hip. I’m so scared of medical dr’s after my experience, as it seemed like no one knew what they were talking about – and for the icing on the cake, I didn’t end up having colistasis! The pain I have been experiencing seems to be getting worse and worse. The scar area aches, I feel pulling on my clitoris when I lift heavy objects, my hip and back are always in pain and I just don’t know what to do. Could you recommend a pelvic therapist in my area? I live in New Haven CT and would absolutely love to find someone that can help. My husband and I are thinking about having another baby, but I’d love to resolve some of these issues first. Thank you so much! So happy to have found you 🙂

    • Hello Kristen,

      Unfortunately we do not have a therapist recommendation near New Haven, CT. However, one of our offices is located in Waltham, MA. Please call us for more information (781) 577-6648.

      Best,

      Melinda

  67. Hello,

    Would you have any recommendations for pelvic floor specialists in the Indianapolis, IN area? Or closest to 46075 zip code.

    Thank you,
    Davinia

    • Hello Davinia,

      We do not have referrals in your area at this time. If you are able to travel, Kotarinos Physical Therapy is located in Chicago. Their therapists would be able to assist you.

      1 Trans Am Plaza Dr #170
      Oakbrook Terrace, IL 60181
      (630) 620-0232

      Regards,

      Melinda

  68. Hello..its been 7 yrs since I had a C section…i have a bikini incision and in the right side is itchy and there’s a hard part which is really hurting me after my menstruation period..it was started after 2yrs of giving birth until now..so its been 5yrs since i felt the pain…Im planning to go home to my country to visit my Ob..i just want to know if this is serious or its normal..and what can i do at home to atleast lessen the pain.thank you…GodBless

    • Hello Angela,

      Unfortunately we cannot suggest a home program without an evaluation. We recommend that you also consult with a local pelvic floor therapist as well as your OB.

      All my best,

      Melinda

  69. Hi

    im saranya I had my c setion before 4 1/2 yrs before..and I had pain before1 year, when I lift heavy weight and my period times..present I am trying for my next baby from January…is there any problem for conceive because of this Scar pain

    Please help me

    • Hello Saranya,

      Scar tissue pain can signal there already may be complications. I recommend that you consult with a local pelvic floor therapist for more information and an assessment.

      Regards,

      Melinda

    • Hello Robin,

      Below is our SD therapist recommendation:

      Furey Cindy PT San Diego CA (858) 457-8419. Comprehensive Therapy

      Best,

      Melinda

  70. Hi there..

    I’ve just had a c-section about 3 weeks ago and feel small little lumps around the top and bottom of my scar.. it still is quite painful and pulls when I move. Is this normal?

    • Hello Waheeda,

      We recommend that you consult with a local pelvic floor therapist to be sure. If scar tissue is present, he or she will be able to help break down the tissue.

      Regards,

      Melinda

  71. Hi, i just had my c-section last july 31. Now i feel pain on my scar when i touch it and the surrounding skin on it,and lately i feel pain on my pelvic area on the side everytime im going out of bed or lying down. And its on the right side feels like something inside is holding when i move to get out or lay on the bed. Is it due also to the tisues? I reaaly need an answer and remedies.

    • Hello Helen,

      We recommend that you receive an evaluation froma local pelvic floor therapist. There may be scar tissue and adhesions present that are causing your symptoms. This will require manual therapy.

      All my best,

      Melinda

  72. Hello, 18 months ago my wife gave birth by C section to our lovely baby boy. He was a breech birth and my wife developed a real problem with her pelvis bone. She attempted to do Physio but it was too painful. Now she struggles to walk around time for the day and is in real discomfort. I was hoping someone could give us some advice on what to do. I suggested to her to go see a specialist but she tells me apart from Physio there is nothing anyone can do. Is she right? I hate to see her in this much discomfort.

  73. Hi,
    Can you recommend a PT person near Chelmsford MA outside of Boston? I have burning and pain after 4 csections. Doctor said my uterus was fused to abdominal wall during my last delivery. I am worried this will not go away post partum. Thank you for your time.

  74. Hi there, i had an emergency c-section 2yrs 4mnths ago due to haemoraging and since then i have had constant abdominal, back and leg pain, my stomach is swollen above my c section scar. I have been to the hospital and doctors on numerous occasions because the pain has become so severe. It is extremely painful during intercourse and there is sometimes bleeding, and i am in alot of pain for a few days after. I am still unable to lift heavy objects as it causes more pain to my abdomen and my legs also feel as though they are going to give out and i have to sit down before i fall. My doctor thinks that it is pelvic inflammatory disease and has given me antibiotics for it but they have not worked……any help or advice? Would really like to go a day without being in pain 🙁

    • Hello Nadine,

      Unfortunately, without an evaluation it is difficult to know what may be causing your symptoms. Where are you located? I may be able to offer a therapist recommendation near you.

      Warmly,

      Melinda

  75. Please help me.. I’ve had 3 cesareans, all 2 1/2 years apart, and now 7 years later, I’m having some serious issues and can’t seem to get any help.. Over the past few years, I’ve been expierencing alot of itching and burning and alot of pain. Anywhere from sitting to standing, laying on my stomach, leaning over a counter and coughing and sneezing is the ultimate worst. I have to brace myself, or it feels like I’m gonna burst. I’m so tired of being in pain and having to live like this. I need help. I came across this, but I feel I’m beyond any manipulation of tissues. Can you please give me some advice? Thankyou.

    • Hello LaTiesha,

      We recommend that you consult with a local therapist for an evaluation. Once you are assessed you will be able to begin treatment that will help greatly reduce/eliminate your symptoms, and improve your situation. Where are you located? I may be able to provide a therapist recommendation.

      All my best,

      Melinda

  76. Hi, a friend of mine sent me this article and i had a few concerns and questions. My son just turned a year old august 29 and im still have days that my scar causes me horrible pain. For the most part i still cant wear Jeans for a full day, usually i can only handle jeans for just a few hours. I am continuously getting these big red lumps along my scar and they are very painful. Today i cant wear my underwear and had to get into the biggest pair of sweats i have and its now toleratabl but still very uncomfortable. Is there any subject you can give me to help ease this daily struggle. My son was born with some physical disabilities so they had to cut me hip bone to hip bone in order to get him out. However its the bikini part of it thats causing so much pain. Its healed on both sides it now looks like a normal bikini line incision.

    • Hello Billie,

      We recommend an evaluation with a local pelvic floor therapist. Where are you located? We may be able to suggest a therapist for you.

      Best,

      Melinda

  77. I have had two c-sections since 2013, with the most recent in January of 2015- 7mos ago. Just this morning, I turned and swore I ripped my abdomen open- it was a tearing/burning sensation that lasted about 10mins and was coming from my c-section scar & is still a little tender to the touch. This sensation came from the right side, where the scar meets non-scar. I should also mention that I am starting to have menstrural pains but have not started menstrating- as I am still breast feeding.

    Could this be from the scar tissue growing? Would manipulation help? Is this a common complaint ? I did not have this sensation with my first.

    Thank you.
    *were in Leesburg, VA

  78. hey, am from Kenya and i have a concern. my fiance got twice two years ago through c section and now she complains of pain whenever she would exercise. is this normal? if so how does she deal with the belly fat?

    • Hello Kennedy,

      Pain with exercise is not normal. We recommend that your fiance consults with a local pelvic floor therapist.

      Best,

      Melinda

  79. Pingback:Painful scars? Yes, you can do something about it! | Jessica Reale, PT, DPT, WCS

  80. Hello,

    I Just had mine one month ago. Could you kindly recommend a PFT in Belize or Central America.

    Additionally, what are some manipulating exercises I can do in the interim.

    Thank you.

    • Hello Camilla,

      We do not have a therapist in your area, but we do offer an out of town program. Unfortunately, without an evaluation it is difficult to prescribe you and exercise/manual therapy techniques.

      Warm Regards,

      Melinda

  81. I am one month out from my third c section. I have a fold of skin over my incision area. It’s very unflattering and it can cause some pain. It looks like a hot dog is under the skin. Is this something that will go away with time and massaging or should I exoect it to stay forever.

    • Hello Abby,

      It is difficult to know without first assessing the area, but if the tissue is restricted, it may continue to cause symptoms until addressed. I encourage you to consult with a local therapist for more information.

      Best,

      Melinda

  82. OMG! Your post comes just right, and is giving me a new hope.
    I had a c-section on 4/2010, a second c-section on 2/2012 and a laparoscopic hysterectomy on 10/2014.

    With physical activity I have strained the right of the scar and the pain is some times severe, and I have constant itching on the scar itself. For what I read I could be a candidate for the PT but I’m not sure what specific specialist.

    Thank you so much! I thought I was done, and that I had to live with it since the surgeries were a while ago

    Could you recommend someone close to zip code 60119

    Best regards,

    • Hello Claudia,

      Below are therapist recommendations for your area:

      Justice Jamie PT Dekalb IL (815) 785-5508 Creative Therapeutics
      Markett Kristen PT Orland Park IL (708) 671-1971 Flexeon Rehab
      Kirk Brandi PT Homer Glen IL 7083013102 Kirk Center for Healthy Living
      O’Keefe Maureen PT Evergreen Park IL 6306200232 1 Trans America Plaza Dr
      Florendo Judith PT Evanston IL 3123378840 Florendo Physical Therapy
      Thatcher Judy PT, CFMT Cary IL 8474581722 Sherman Hospital

      Best,

      Melinda

  83. Any reccomendations in northern N.J.? I have been struggling with this for years…and am currently in PT for severe back pain. Just discovered the possible connection between these two medical issues. Post c-section 2002, and 2004. Post DaVinci supra cervical hysterectomy 2012. Constant abdominal/pelvic pain and sensitivity and palpable thick scar tissue under c-section scar. Please help!!! Willing to go to NY City if need be!

    • Hello Kristy,

      Here are our recommendations in New Jersey:

      Niva Herzig, MSPT
      Core Dynamics PT
      Englewood NJ
      201-568-5060
      info@coredynamicspt.com

      Nancy Ely-Maskal, PTA
      Physical Medicine and Rehabilitation Center
      Englewood NJ
      201-567-2277

      Best,

      Melinda

    • Hello Dianne,

      Pain is the body’s way of telling us there is an issue that needs to be addressed. However, you will need to have an evaluation to be sure.

      All my best,

      Melinda

  84. I had my baby on November 19,2014 via c section had very little pain after I guess I have a high pain tolerance I came home from hospital 2 days after having him and didn’t take pain meds after that but now 11 month’s later I’m having the worse pain ever on my scar and righg under it sometimes it gets in this huge knot and hurts all the way to my back bone has anyone else had this problem my dr doesn’t care about anything after he delivers the baby and gets paid so he will probably not listen to me I know this because he tied my kidneys to my uterus on “accident” so I had a infection for 8 months after and now this has happened I can’t sleep can’t walk far can somebody help me

    • Hello Mary,

      I am sorry to hear about your experience. Where are you located? I may be able to recommend a local therapist.

      Best,

      Melinda

  85. I am having severe pain around my scar and it’s been 2 years, this is this first time this has happened and it feels like a sharp/burning pain that gets worse with movement. My cycle also just started what could this be?

    • Hello Anna,

      It is difficult to know without first evaluating you, but there may be scar tissue restrictions present. We recommend consulting with a pelvic floor therapist for more information.

      Regards,

      Melinda

  86. Do you have a PT therapist in the Greensboro/Winston Salem/High Point, NC area? I am currently 10 wks pregnant with my 5th baby (will be a 5th c section) and am experiencing incredibly sharp round ligament pains as the baby is growing. Prior to getting pregnant, I also had excruciatingly painful ovulation days, which I attributed to scar tissue adhesions (never confirmed by a doctor). So, I’m assuming these growing stabbing pains are due to the scar tissue as well. I WISH one of the 3 doctors I have seen in the past 9 years had told me about scar tissue massage post any one of my four c-sections. Maybe the pain and risk wouldn’t be so bad. Thank you for your suggestions! Britney

    • Hello Britney,

      Yes! Wilda Young, PT is located near you. Below is her information:

      Young Wilda PT Greensboro NC (336) 275-6380

      Best,

      Melinda

  87. So i had a c-section 6 years ago, and they had to re-open 3 days after because of staph infection. It was 6in wide and over an inch deep, and it had to be packed 2x daily for 2 1/2 months to heal from inside out. I also had a c-section 4 years ago. Well today i sat down on my bed and when i laid back it felt like something ripped on the inside, so freaking painful! And it still hurts, all the way in my back. I dont want to go to hospital because idk what they will do, if anything… So i need some advice

    • Hello Rhonda,

      I am sorry to hear about your situation. I encourage you to consult with a local pelvic floor therapist that can begin to address your findings. We are unable to offer specific advise without first conducting an evaluation.

      All my best,

      Melinda

  88. Hi….. I had a baby in April of 2015… six months after I tried shaving the area then I noticed a small redish swelling on the incision…. an a week after the swelling I noticed a whitish swelling on that same area? Came you help me understand what this might be…… im super worried

    • Hello Keisha,

      It may be the natural development of scar tissue, but in order to know for sure, an evaluation will be necessary. Where are you located? I may be able to offer you a therapist recommendation.

      Best,

      Melinda

  89. i had an c-section 9 years ago and three years ago i notice a lump and dis pass summer i went to doctors after noticing it got bigger thAN FOR THE LAST MONTH I HAVE HAD SHARP STABBING PAIN BURNING SENSATIONS I CRY CAUSE IT HURT SO BAD I HAVE HAD CT SCANS AND BIOPCE IM TIRED CAN SOMEONE HELP ME IN THE TAMPA FL AREA

    • Hello Nikki,

      Below are the names of therapists who have taken our course. Although we are not affiliated with them, we do know that they also treat pelvic floor dysfunctions.

      Arango Ashley Orlando FL (407) 303-8280 Florida Hospital Pelvic Health Rehab
      Marsh Katherine Orlando FL (407) 303-8280 Florida Hospital Pelvic Health Rehab
      Scott Shyla Niceville FL (850) 279-4660 Prime Time Physical Therapy
      Bell Elizabeth PT Lake Wales FL (407) 303-4003 Florida Hospital
      Douglass Eric PT Bonita Springs FL (239) 947-4184 Douglass Orthopedic & Spine Rehabilitation, Inc.
      Piazza Jill PT Ormond Beach FL (386) 943-4695 Florida Hospital DeLand
      Shanahan Heather PT Altamonte Springs FL (407) 916-4500 Florida Hospital
      Downey Pamela PT Miami FL (305) 666-3232
      Shankar Lakshmi PT Orlando FL (407) 916-4500 Florida Hospital
      Zyderveld Jeannette PT Orlando FL (407) 649-6888 Orlando Health
      Jenkins Ruth PT Crestview FL 8507580254 Women’s Manual Physio
      Sher Tracy PT Altamonte Springs FL (407)257-1403 Florida Hospital
      Weibel Catherine A. MPT Orlando FL 4072367155 Ability Rehabilitation
      Perez Donna PT Hollywood FL 9543301310 Select Physical Thearpy
      Dareholtz Dori PT Boca Raton FL 5614824300 Women’s Physical Therapy Inc.
      Whiting Lisa Tallahassee FL (850) 907-5767 Tallahassee Memorial HealthCare
      Hart Mary Sarasota FL (941) 536-4290 Hart Physical Therapy, LLC
      Patterson Kim Gainesville FL (352) 336-1433 Clear Passage Physical Therapy
      D Avy Reed Evette Gainesville FL (352) 336-1433 Clear Passage Physical Therapy
      Simpson Heather Lady Lake FL (352) 259-2522 Pelvic Health and Rehabilitation
      Roscow Amanda (Mandy) Gainesville FL (352) 265-5200 Shands at University of Florida
      Enault-Tucker Alice Winter Haven FL (863) 292-4060 Winter Haven Hospital, OPRC
      Pattugalan Maria Jacksonville FL (904) 244-1179 Shands Jacksonville

      Best,

      Melinda

    • Hello Sandy,

      We are located in Los Gatos, CA and would be happy to assist you. We do not have a therapist recommendation in San Jose at this time. If you’d like more information about our practice, please do not hesitate to contact us at (408) 884-8456.

      All my best,

      Malinda

  90. Hi. I have a had 4 c-sections. My youngest is 21 months. I just had an orgasm and sex with my husband (no condom). I also had a tubal at my daughter’s birth. After sex, for the first time I started to experience severe, sudden, sharp pain in the area under and around my scar. Can you explain this? Should I seek medical attention or will this go away? It hurts more when I push on the area. It’s not gas, either. Thank you!!!

    • Hello Jamie,

      There could be some scar tissue that may have developed and created restrictions, or perhaps your pelvic floor muscles may have become hypertonic. An evaluation from a pelvic floor therapist will be essential to determine what may be contributing to your symptoms.

      Best,

      Melinda

  91. Do you have recommendations for the Columbia, SC area? You also mentioned a book in earlier comments. Has it been published and if so, how do I purchase a copy? So glad to find this post; I thought I was the only one experiencing these issues.

    • Hello Tyla,

      We do not have a therapist recommendation in Columbia, but we can recommend Proaxis Therapy in SC. Below is their information:

      Powley Jessica Greenville SC (864) 454-0952 Proaxis Therapy
      Sires Jenna Greenville SC (803) 979-5646 Proaxis Therapy

      Best,

      Melinda

  92. I had two c-sections in 2002 and 2005. It wasn’t until the past year that I have begun to have pain at my scar during and after my periods. Usually it isn’t too terrible with just some sensitivity and stabbing pains here and there, but then it goes away after my period.

    So, this week I began having more pain and sensitivity than normal. I am unable to do much that requires the use of my ab muscles and it is keeping me up at night. It seems like it is getting worse and my period ended a few days ago. Does this sound like a scar tissue problem or is it possible it is endometriosis?

    I am in Utah and would appreciate some guidance. Thank you in advance for your help.

    • Hello Amy,

      It is difficult to say without evaluating you, but scar tissue may be causing your symptoms, along with other complications. We recommend that you consult with a local therapist for more information. Here is a therapist we recommend in your area:

      Bonnijane Monson, DPT Salt Lake City UT (801) 587-7005/ 801-581-2897

      Best,

      Melinda

  93. Hi. Iv had a c section with my first boy as he was breech. I’m having my second baby and want to try vbac but I am concerned my scary could rupture as it seems different to other pics iv seen of other woman’s. I.e it’s pencil thin at either side (like most woman’s) but the middle part isn’t thin, about 1cm or more wide of scar. It’s not lumpy or thick in height, just wide scaring in the middle. Can this effect my vbac??

    • Hello Tyla,

      Unfortunately, Proaxis Physical Therapy are the only therapists we recommend in SC. Here is their information:

      Powley Jessica Greenville SC (864) 454-0952 Proaxis Therapy
      Sires Jenna Greenville SC (803) 979-5646 Proaxis Therapy

      Best,

      Melinda

  94. I have had 4 c-sections with my last being a year ago. I still have pain above my cut and experience intense itching which can be painful due the the sensitivity. I also recently notice the area around my cut scars and hives up after I scratch. Please help. I don’t know if this is normal or what to do. Any advice?

    • Hello Veronica,

      Pain after a c-section can be addressed with pelvic PT. we recommend that you consult with a local PT who can begin treatment.

      Regards,

      Melinda

  95. Can I go to any sports physical therapist to help with the abdominal area after c-section. I’m in the military and had one, I have to be able to complete the site up in 3 months. And I was told it was going to take a while because they cut throw my abs… and they will have to be rebuilt.

    • Hello lashawnda.lee,

      No, a pelvic PT is the only therapist who understands internal manual therapy, and are specially trained to do this.

      Best,

      Melinda

  96. Hi, I had a csection 3 months ago and having trouble with a small (maybe half inch) part of the incision wont close. Also have persistent burning rash and reoccurring skin yeast infections. Also still having sharp pains and also tail bone.pain. can you be of any assistance suggesting what could be wrong? I have seen a few dotors who are of no help. They just keep giving me antibiotics which have done nothing to help. Thank you!

    • Hello Ene,

      We recommend that you consult with a local pelvic floor therapist. Unfortunately, medications and antibiotics will not resolve muscular impairments.

      Best,

      Melinda

  97. I had my baby 4 months ago and had to deal with my insision coming open.then packing it for almost 2 months. And its healed shut now but kinda wavy scar..any way im having lighting pain and hard core camping type pain in my right ovary area any advice?

    • Hello Nellie,

      I apologize for the delayed response. We have a difficult time understanding the underlying cause of your symptoms without first assessing you. We strongly encourage you to consult with a local therapist if you have not already done so. Although we cannot offer you specific advice, it does sound like you’d greatly benefit from physical therapy.

      All my best,

      Stephanie

    • Hello Brooke,

      My apologies for the delayed response. We’ve received a higher volume of questions that prevented us from sticking to our normally timely response schedule. Below is our therapist recommendation:

      Allen Tina PT Seattle WA (206) 598-2889 tmallen@uw.edu University of Washington-Roosevelt

      Best,

      Elizabeth

  98. I had a c section 4 years and yesterday on the right side of my incision I noticed its red and there’s a lump that hurts. Is this just scar tissue or should I see a doctor?

  99. Hi I had a c section 8 weeks ago. I continue to have pain at the incision site and down to the vagina. It feels like menstrual cramps and as if I’ve worn jeans that are too tight. Can you recommend someone in El Paso, TX or New Mexico? We’re in far West Texas. Thank you!

    • Hello Yvette,

      I apologize for the delayed response. We have received a high volume of inquiries, and have been unable to attend to them in a timely manner. Lauren Rose is located in NM and would be able to assist you. It is difficult to say without having evaluated you, but it does sound like PT would be a great treatment option for you.

      Rose Lauren PT Santa Fe NM 5054660244 Physiotherapy New Mexico

      Best,

      Stephanie

  100. I had my second C-section 25 years ago. A few pains since but I can live with the. However, 6 weeks ago I turned to pick up something and a shooting pain went down my left leg. I was referred to a physiotherapist for back pain. He was able to relieve the constant pain thankfully and we’ve been working on getting rid of it totally. It seems I make progress with the exercises and then it reoccurs during the exercise. I asked if it would have anything to do with my c-sections but he say no. Your article got me wondering… Can you recommend a pelvic floor pt therapist in Fredericton New Brunswick Canada.

    • Hello Kathy,

      I am sorry to hear about your situation. I can certainly offer several therapist referrals located in Canada. Here is their information:

      Elizabeth Givenrod-Wood, PT
      Prescott Ontario, Canada
      ewood@pthealth.ca
      Seaway Physiotherapy Center
      Stephanie Thibault-Gagnon, PT
      Kingston, Ontario Canada
      (613) 533-6000, ext 79009
      sthibault.gagnon@gmail.com
      Queen’s University
      Laura Disenhaus, DO
      Toronto Ontario Canada
      (416) 591-1123
      laura.disenhaus@rogers.com
      Tamarah Nerreter, PT
      South Surrey, British Columbia
      Canada 604-475-0522
      bodynamicspt@gmail.com
      Johanne Sabourin, PT
      Coquitlam, British Columbia
      Canada 604-475-0522
      jsab_phys@hotmail.com

      Kira Ellis, PT
      Calgary, Alberta Canada
      403-249-5253
      kira@lakeviewphysio.ca
      Alana Lazareck-Devlin, PT
      Calgary, Alberta Canada
      403-288-8877
      Safa Rahman, PT
      Calgary, Alberta Canada
      403-943-9900
      Sarah Kalinocka, PT and Dianna MacDonald, PT
      Edmonton, Alberta Canada
      780-735-4761
      Mary Wood, PT
      Edmonton, Alberta Canada
      780-443-4473

      Best,

      Admin

  101. Hi, thank you so much for the informational article! I’m annoyed that this is the first I’ve even heard of PT for a c-section scar. My daughter’s 1st birthday is coming up in a couple weeks and my scar is acting up more than the normal itching/stinging. I’ve felt more intense stinging today and a little swelling in one small area of the incision. Fluid did come out of it with pressure. Could this be something I should have looked at? Or, I’m thinking maybe it was an ingrown hair. Any advice or PT referrals in my area, Ventura, CA, would be amazing. Thanks again!

    • Hello Alicia,

      Thank you for sharing your situation with us. Without an evaluation, it is difficult to fully understand your physical presentation, however it does seem as if a consultation with a specialist would be a great tool to consider. We do not have a therapist recommendation located in Ventura, but we are located in Los Angeles. Please contact our office for more information: (424) 293-2306.

      Best,

      Admin

  102. I am so glad I found this blog! I have had pain for over one year. I had a C-section 8 years ago and started barely started having pain last year. I did find that whenever I was getting sick within the last few years I would start feeling pain where my C-section is. I now always have pain that radiates all over. tailbone area, legs, C-section and ovaries. I feel like I have menstrual cramps all the time. I had laproscopic surgery last year which seems to alleviate the problem but it came back. My question is, will an MRI show scar tissue?

    • Hi Alma,

      Unfortunately, an MRI cannot help someone determine if scar tissue is present and if it is a source of the pain. The pain you described can come from multiple sources. It is possible the scar tissue is causing some of you pain but most likely there are also neuromuscular causes as well. A pelvic floor physical therapist can help you figure this out.

      Best,

      Stephanie

  103. How does one go about finding a PT that will perform this type of service? I am in the Green Bay Wisconsin area. Would I just have to call around? What specifically am a to ask?

  104. Hello my name is Amber im 33 starting over my son is 3 weeks old I had c section under my belly button .im feeling a little better but .my back hurts alot and I feel tight ness in n around my stomach . Am I going to be feeling the same way for long how long does it take to heal . Im a house wife and still need to maintain my house .please get back to me asap thanks

    • Hi Amber,

      You are still healing, however, if the symptoms persist past 12 weeks you should seek an evaluation with a pelvic floor physical therapist. You may do so through the American Physical Therapy Section on Women’s Health or the International Pelvic Pain Society.

  105. I had 2 c sections 20 and 17 yrs ago. I also had a hysterectomy, appendectomy and tubes tied. I am experiencing severe pain on the c section scar, it is red and feels very hot. Also throbs. It doesn’t seem to be an issue with my doctor, he says it’s something I have to learn to live with. I am getting concerned as pain has increased over the last 4 weeks. I’m not sure where to turn. Please advise what I should be doing next.

  106. (1) Do you have any pelvic PT recommendations within the surrounding areas of Lancaster, SC 29720?

    I had a tubal litigation done in 1994. However in 1999, I had to have a C-section done due to a ruptured tubual ectopical pregnancy. After that event, I have continued to have contant sharp,stabbing pain that persists in the lower left quadrant area. The constant pain is located in the left pelvic, hip, abdominal area just slightly above the end of the C-section. I also have a continous high WBC count ranging from 14 to 20. I have seen every doctor under the sun including 2 different gynecologists, a gastroenterologist, a blood and cancer doctor, and a hematologist about this problem. However, know one can seem to find out what is wrong.

    (2) Could a constant high WBC count and left lower pelvic pain around the pelvic/hip/abdominal area be contributed to built-up scar tissue or adhensions from an old previous C-section?

    (3) Also, will just a regular physical therapist be able to help me with my problem if no Pelvic Floor physical therapist is available within a 50 mile radius of my area?

    Sincerely,

    Sherrie

  107. Hello. I had 3 all natural deliveries and then an emergency c section because of placenta previa hemorrhage at 36 weeks with my daughter 10 months ago. When I press on the area above my c section scar it is still very sore on the one side. I also experience round ligament pain on that same side when I sit up to fast in bed or try to roll over. My zip code is 65237. Do you have recommendations for me? I am afraid of this causing placenta previa again.

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  109. I had my son in 2007. To this day all around my scar becomes very irritated. I get abscesses that are extremely painful. I have to cover them with gauze because they drain. I was told to use yeast infection medication which, does not work. Back in 2007 my csection was badly infected to the point i had a wound vac for almost 5 months. It is now 2016 and I am still having issues with holes appearing on the scar that drain and have an awful smell. Antibiotics don’t help. Nice even had 2 sonograms to make sure nothing was left in the wound and nothing. I shower everyday, clean the scar with saline, make sure it’s dry, wipe it numerous times throughout the day with clean gauze and saline. Antibiotics clear it up for a short time but, it always comes back.

  110. I had c section In sept 2013 , after 11 month I had painful period pain after urination pain after bowel mouvement and after sex I develop multiple uti I was diagnosed with bladder imflamation and a lot of pain in pelvic area low back and leg pain in right side, I have burning in csection area after stritching or walking my gyne told me I have scar tissue and I’ll have laparoscopy in next month I have persistent pain and I’m using antidepressant for sleeping at night I’m living in Windsor ontario canada I will try PT after surgery

  111. Could you please recommend a PF specialist near Grosse Pointe MI? I have had 6 children. My second was my only c-section (16 years ago in 1999) and ever since then I have had a pulling sensation on the left side of my scar. sometimes it burns on the left side of my scar and feels like there is something inside. The scar itself is actually indented on the left. I often have lower stomach problems. Would love to finally get some relief.

  112. Hi my name is Jen. My sister I. law said she has a condition where her c section scar was healed with her uterus. But she doesn’t fully understand the complications. How can I explain them to her?

  113. I had my 2nd c-section 10 months ago and I’m starting feel burning, ripping pain, and irritating pain when i am on my menstruation, this just started 3 months ago and its getting worse every time i start my menstruation. with my first c-section, this did not happen to me. what should i do as my common law is starting to freak out.

  114. Hi my name is Nicky and I am so glad I came across your post. I’ve been experiencing the same pain as some of the women on here. Burning, intense, pulling and swelling on the left side of my incision. It did not start happening until maybe 2 years ago. I am 5 years post c-section and the fact that it started happening later, alarmed me. I have 3 children all of whom was born via c-section, and I did not have this kind of pain with the first 2 children. All of my kids are 5 years apart. The pain I’ve been experiencing feels like the pain I felt in the months immediately after having my children. I went to my gynecologist and she actually told me that it’s my scar tissue, and there is nothing I could do about it. I was basically told I have to live with it for the rest of my life. The pain over the last 2 years has gotten worse and the swelling too. The swelling gets so bad at times you can see the lump through my clothing. Can you please refer to a pelvic PT in my area. I live in Bridgewater NJ and your referrals in Englewood is pretty far from me. Thank you in advance.

  115. Hi I had my first c section 12 years ago and had another 9 years ago then my last 6 years ago and I’ve just started getting aches at both sides of my scar abit like ovary ache, it goes from one side then the other but I’m noticing it more often , I had all the insides checked and all came Bk clear is this normal

  116. Hello,
    I have a c-section scar from two c-sections very long ago. The first was 17 years ago, then 12. I was 35 & 40 years old. I have no pain, but definite scar tissue. Wish I knew about PT then! But just recently I have symptoms of swelling on one side similar to round ligament issues, but again no pain. I have gained weight over the past 17 years, but just noticed the one side swelling yesterday. Without any pain, could it be the round ligament this late? And is it too late to try to manipulate the scar tissue?

    • It is possible this ligament is a source of pain and it is never too late to address scar tissue! A pelvic floor physical therapist with training in visceral manipulation may be able to help.

  117. Its been 5 years since I had my daughter and I still get cramps that are stuck & if I stand too long working I get mild back problems. Today I’m literally calling out of work Because my cramp is that bad it makes me cry.what can I do.

  118. Hi! Please help if you can! Had my c section 6 months ago. Never dilated. I know baby was tough to get out and they did a lot of tugging. I’m in so much pain. Burning, tugging, stabbing all under the incision, right lower abdomen and right under my right rib cage terribly. I had a ct scan that showed my organ placements off (so dr thinks scar tissue and recommended surgery). I live in Nashville. Do you have any one here you can refer me to?

  119. I just recently started back g sharp stabbing pains in my lower right side. It seems to be right under my c-section scar. Every time I go to doctor they want to do a cat scan with the nasty banana smoothie cause they think it’s my colon or appendix. I’m not nauseous or anything just can’t hardly walk without limping. Could u plz recommend someone in the Russellville or Bowling green area of Kentucky? Logan county or Warren county would be great.

  120. Hello there,

    I had an emergency c-section over five months ago and there is still swelling above the scar. I get conflicting advice from it’s never going to go away to it’s just fluid that will disperse around. The swelling has not improved much in the five months so I am starting to lose faith. Do you have any advice about what could be causing the swelling and what I could do? I have lost all the pregnancy weight and have been working on my abdominal muscles for diastasis.

  121. Hello! I am 9 years post c-section and during my periods I have intense muscle pain right around my c-section scar as if I have done tons of sit-ups. Sometimes it is so bad if I’m laying flat I can barely sit-up.

  122. Hello,
    I recently had my gallbladder removed laparoscopically (almost 8 weeks ago). Yesterday, I was active in my yard and stayed moving all day. When I undressed for bed I realized that my underwear were “glued” to my c-section scar. Upon examination I discovered a small hole (bigger than a pencil tip but smaller than a pencil eraser). As I pushed on my scar pus and blood behgan to ooze out. I had my c-section 8 years ago. I did dab the hole with peroxide and wiped the area with a warm, clean wet washcloth. Today the area is still oozing and the skin around it is red and irritated. To my knowledge when my daughter was delivered they used dissolvable sutures inside and staples out side. I did get a uterine infection the day after and was kept in the hospital for six days after the c-section. I never experienced any problems with the scar until now. Because my gallbladder issues started in December of 2015; I lost about 50 pounds in approximately 6 weeks. So my belly does sag over the scar. My questions are: 1. Is this abcess possibly a result from my gallbladder removal? My incision sites from that surgery are healed beautifully. 2. Could it be I developed a staphylococcus infection during either surgery that’s suddenly rearing it’s ugliness now? 3. Is it possible that my sutures didn’t dissolve or a piece of a stable wasn’t removed completely and my body is trying to remove it; which could be causing the abcess?

    • Stephanie Prendergast says:

      It is not likely the abcess is a result from your gallbladder removal or that sutures didn’t dissolve or a piece of a stable wasn’t removed. It is plausible that there are skin intergrity issues and the loose skin created an environment where the skin broke down, which may have led to an infection. Please see a physician.

  123. Hi,
    I had c-sec on 17th jan 2016. Completely recovered. But suddenly itching on my tummy and in vagina from 10days. Could it be any kind of food allergy? It’s red marks on tummy. Or yeast infection in my lobia. Kindly suggest. What are the food that need to avoid

    Regards,
    Jahan

  124. Hello, so relieved to finally hear I am not going crazy. In 2011 I had my first baby (not planned) at 50. At 34 weeks I had a c section because my son was breeched. I was cut from hip to hip and when I was opened up my main artery was severed. Then the placenta was in the way. MyDoctor said I had About 400 stitches.
    I suffer from terrible pain nearly all the time, if it is not my back it is my hips, or a dragging pain in my tummy that can fast switch to stabbing like pain for no apparent reason. My tummy swells without warning and gets as hard as a brick, this is when I am most uncomfortable, I just don’t want to move. I sleep for no longer than about 2 hours at a time because the pain wakes me and I have to get up and move. I get very stiff and sore. If I try to walk my thighs go numb. Doing basic household things like vacuuming and the washing are a challenge. I was recently diagnosed with divaticulosis and during ct scan was told I now have a calcified uterus and a couple of gall stones.I have tried to exercise but it is beyond my ability. My bladder has also weakened, although this will be a an issue for days at a time and then I don’t have problems for months. I have finally stopped having periods and blood tests show I am no longer fertile. Would appreciate any advice. I am taking fibre tablets daily, have a reasonable diet and drink plenty of water.
    Other that those described above they tell me I am in good health. This is so hard to hear when in such constant pain. Would this be pain from scar tissue? I have only very recently reaslised this maybe my problem as I seem to have run out of more serious issues with all the tests I have had. Thank you for you thoughts.

    • I recommend that you seek out a consultation with a pelvic floor physical therapist in your area that has a focus on pelvic pain. The evaluation will give you more insight into the impairments that are causing your pain.

      Regards,
      Stephanie Prendergast MPT

  125. Hi…i’ve had a c section 8 years ago. It still hurts when i’ve my period it’s the worse. Even on a light flow i faint feel nausea,and i think i’ve scar tissue. I’m scared to even touch my belly_must less for massage therapy. Would it be dangerous if the scar tissue isn’t treated

  126. Oh no!
    Never knew after effects of c section could be this bad.
    I had my c section 5 years ago .
    From bloated belly to unbearable menstrual pain and formation of keloid.
    God have mercy.
    The pain is too much.

  127. Hi! i had a surgery due to a ruptured ectopic pregnancy a month ago and the scar on my far left side is bothering me a lot – it feels like it is “stuck” to the underneath tissue, the surrounding area feels hard and tight, and i cannot move the skin at all. it hurts and pulls when i bend forward or try to lift something or engage my abs. maybe this is normal since it has only been a month after my surgery but if i can do anything to improve it i want to do it sooner than later! can you recommend speciallists in NYC? also, does my health insurance (oscar/magnacare) cover the treatment, and do i need a referral to make an appointment? any info is greatly appreciated!

  128. I had a full hysterectomy in 2011 due to having endometriosis. I also had 2 c-sections (one in 1999 and one in 2002). Occasionally I have oozing, complete redness, and a yellowish/brownish/greenish color from the scar on my undergarments. I haven’t had my menstrual cycle since the day of my hysterectomy. I’m on HRT and other medications for pain.

  129. I had a caeser on the 03/10/2014 and to date i still get a discolored discharge that is slimy but sticky on the scar that stinks as if something is rotten.
    My scar is then bright red as if it is infected and burns like hell when i clean it.
    i also have an uncomfortable feeling in my stomach when this happens.

    Please help.

  130. Hello, I’m 19 months post emergency c-section (my son was breeched). The last 6 months I have been experiencing random extreme swelling from what feels like my uterus (makes me look 5 months pregnant). It comes with a pain internally around my scar area, dull aching… Then it goes away without a few hours. Could this be symptoms of scar tissue? Sometimes exercise with cause it to ‘flare’ up also. At a PT exam, do you give an x-ray to determine if the uterus has complications? Thank you to your advice. I’m located in San Diego with military insurance, tricare.

    • Stephanie Prendergast, MPT says:

      It is possible scar tissue is a factor but multiple other things could cause similar symptoms, including muscles, connective tissue, and the arterial/venous/lymphatic system. An X-ray will not show a problem with the uterus and is not necessary. A pelvic floor physical therapist can help – you can use the ‘find a provider’ feature to find one in your area.

  131. I had an emergency c section when my institution from my first one started to tare during labor. Now 11 months later it is still very sensitive when lightly pushed on from my kids or some clothes. Is this normal?

  132. I am 6 years out of my c section surgery and I still have nerve damage. I was watching a c section video and I noticed the doctor tie off and cauterize a vein. It was on her right side next to her belly button but a little lower and that is exactly where my nerve damage is. When I touch it I can feel a little bulbous thing in there and I can feel the nerve pain too when I touch it. I think it really cut off blood flow to my whole lower abdomen. From about below my belly button to just below the scar which is actually below my pubic hair line, I always get these extreme prickly itches if I take a hot shower or workout. Whats worse though is I cant do any heavy lifting because it will put that nerve into spasm and I wont be able to stand up straight but will fall over onto the floor. I hate this!

  133. Hi, I had my first c-section 9 years ago and a second one 7 years ago. with the birth of my second child I also had a sterilization done. his morning in the shower, the skin around the scar felt very sensitive, even painful to touch. Upon closer inspection I found that the skin just above the scar tore. It’s a scar of about 4cm long. Why could this be? I’m concerned that general movement will cause a bigger tear. Please advise.

    • Author Melinda Fontaine says:

      Nisha – If a scar is restricted, the tissues around it do not have good flexibility. The skin around it also does not have good blood flow. Without good blood flow, the tissue can become fragile and more susceptible to tears. Consult your local practitioner because it sounds like you could use some better blood flow and flexibility around the scar. Some techniques you could try at home would be gentle scar massage in all directions (after this tear has healed) after applying a warm compress to the area. Be Well!

  134. I have 2 c-sections done and for the first one in 2008 I recovered nicely, I had no issues or pain and the scar was very thin. I had my second c-section done about 10 months ago and I am still experiencing pain in my uterus. It feels like cramps and pressure. I was suppose to get my tubes cut the day of my c-section but there were complications and it did not get done. I spoke to my doctor a couple of time after the birth of my son but they always say to give myself time to heal especially because its my second c-section but I fell at this point that something has to be wrong. Maybe the scars heal close to other areas of my abdominal cavity i dont know. Also i have numbing only on one side of my pelvic area. Im scared and nervous plaese help me with any advice. thank you

  135. Hello there. I wonder if you can help me. I had a c section nearly two years ago and am still experiencing pain in my stomach and lower back. Also stabbing pains in my vaginal area. I am having problems holding in my wee now and when I see the stream is very wonky. Do you think I should see someone about this or just deal with it as it’s just what’s to be expected?

    Many thanks

    Madeleine

  136. So i had my daughter over about 2 years ago and my c section scar is still giving me pain but it is fine and has no abnormal looks or problems its perfectly fine but im still having pain is this normal and if so how long will it last and if not what should i do about it??? Please let me know as soon as possiable so i can handle the problem in the correct way..

  137. Please could you offer some insight. I have only just seen your article and it has shed some light. I have had three caesarian sections and I started experiencing pain about two years into my second c/section. After I had my third c/section the pain intensified to the point where I cannot function without taking pain killers. Ive been to three different gynae’s who say I need to have a hysterectomy but having been to a Urologist who did a scope, he indicated that my uterus is attached / stuck to my bladder and abdominal wall. I do not want to have a hysterectomy as the chances are far too risky of them accidentally knicking my bladder and or causing further adhesions. The Urologist suggested pelvic floor physiotherapy. Would the PT be able to assist by relieving the pain with my uterus that is literally stuck to my neighbouring organs ie bladder and abdominal wall. I am afraid that something needs to be done now that I am getting older as the pain is getting out of control and I have now developed a dependency to the pain killers because of the pain. Any advice would be great.

    • Stephanie Prendergast, MPT says:

      Urologists typically perform cystoscopies to look into one’s bladder, it is impossible to tell that organs are stuck together via this method or confirm that the uterus/abdominal wall/bladder adherence is a source of your symptoms. It makes sense to get a second opinion and also to see a pelvic floor physical therapist to determine if there are neuromuscular causes of you pain.

  138. Hello I had a c section one year ago and my scar was not mobilized correctly and I was so afraid to touch it up until now . Is it too late to start doing massaging to mobilize it, or can it still improve ? Thanks

    Sent from my iPhone

    • Stephanie Prendergast, MPT says:

      It is not too late but we recommend that you consult with a medical professional, ideally a pelvic floor physical therapist, before starting to do this if you still have pain at the incision.

  139. Hi, thank you for your article. I am four months post partum and ever since two and a half months ago I have developed a large pointy bone like mass about an inch above my scar on the right hand side (under the skin). It is not painful but I am worried as to what it is and what I should do? Your help would be much appreciated.

    • Hi Maria,

      It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

      Regards,
      Admin

  140. hello im gabby i was wondering since i cant find it im worried my scar from my c section was hurting a little so i felt and there was something weird feeling and of course i smell it and it smelled nasty and i immediately clean it off then look at it and it looks red in a spot and it hurts im uncomfortable wearing jeans because it hurts but i was wearing sweat pants i wanted to know could it come back open after 9 months.

  141. I had a c section on the 19th of July and today its very tender and was draining some fluid is this normal the doctor doesn’t seem to be to worried but with how tender the area is I am. It’s even tender to wear underwear. And with the inscion draining kind of worries me.

  142. Hi it’s coming up 10yrs since I has my c section and a sore burning sensation lump has appeared on the right side of my scar, can this just be scar tissue after all this time?

    Thank you in advance

    Lyndsey

  143. I am 4 years out of my last c-section, i have so many complications that i dont know where to start.. back pain, pelvic pain, with irritaion of valvula every month i suffer from yest infections 2 times a month. I am unable to lose the pouch or weight no matter how much i work out and diet, consitipation, PCOS and positive pap smear. When i go see doctors they look at me like i am crazy. I am not sure what to do or who to go to .. please help

    • Hi Yaneli,

      It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

      Regards,
      Admin

  144. Hi there can you please recommend a therapist in Vancouver, Canada?
    I had a c section a year ago and still have pain around the scar and also severe pain in the pubic bone and groin.
    Thank you!

  145. Hello,

    I had a c section 37 years ago. Last night, Oct. 8, I experienced a burning sensation on the right side of my stomach along the scar area. I must have scratched it in the middle of the night. When I woke this morning, the area about 3 inches was red and sore. I applied antiseptic called Dettol. The burning sensation is no longer present, but the area is still pinky/red. Is this something I should be concerned about? Please advise and thanks for your response. Debbie

    • Hi Debbie,

      It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

      Regards,
      Admin

  146. Hello i had a C section 14 mos ago i have been experiencing pain when i walk as if my nerves have been messed up or something during the surgery i played kickball last summer and after every game and practice it hurt to walk. I was limping. It hurts to lift my legs to walk. It fees like extremely sharp pains. I have been a stay at home mom until recently and now during my work shifts as a server i begin to limp. Or even when im just walking around alot. I never experienced this before my c section. Just wondering if that may be a post symptom and if so what do you recommend

    • It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

  147. Hello my name is sonaida adam and i had a c-section on 2013 with my son who is 5 years now i be have sharp pain through my c-section to the point of me crying or can’t walk straight or get off my bed and that really sucks and i’m only 24 with one child is that normal???

    • It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

  148. Hi I have just read your article about c section. I had my first child naturally. But my second was by c section he was born on 11 October 2017 so about 5 months ago. I have started getting pain where my scar is but only on the right side, like someone is scraping it with a pin some times really hurts when happens. Where it happens the scar is not smooth like the other side, if I run my finger over from left to right I can not feel the scar but then get closer to the right side and I can feel the scar is there that’s we’re the pain is. I hope you understand all of that. Thank you Mel

    • Hi Mel,

      It sounds like you may have a pelvic floor disorder. Unfortunately we cannot make specific recommendations without evaluating you. We would be happy to evaluate you in one of our locations or you can use our website to find a pelvic floor physical therapist in your area that can help.

      Regards,
      Admin

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