Scar Massage Post Cesarian section| Her Body PT

11.17.2025

A cesarian birth is a MAJOR abdominal operation that results in a significant incision and ultimately scar.  The incision itself may not look too big, but there are several layers of tissue underneath, that are disrupted when the cut is made.  Your body will naturally form a scar as healing takes place.  Scar tissue itself is not a "bad" thing, but when it becomes too tight, tender to touch or restricted, problems can ensue.  

Common issues we see as healing progresses can include the following:

• sensitivity around incision and discomfort when even light pressure from clothing is applied

• changes in movement patterns

• pelvic floor dysfunction and pelvic pain

• restrictions to mobility of the abdominal wall 

• postural changes

• shelf like appearance around scar

Thoughtful care of your incision can optimize esthetics, reduce pain and nerve sensitivity and promote optimal tissue healing.  To encourage this, your therapist will help you work on what we call scar mobilization and desensitization.  This can often begin once the incision is fully closed ( a few weeks post delivery).   The goal is to help the scar mature in a healthy and flexible way so that it does not contribute to any long term issues.  Your pelvic floor PT can guide you through techniques that are appropriate for your stage of healing, and these techniques can often be performed independently as part of a home exercise program.  

The good news is, it's never too late to work on a scar!  There is a more optimal time of course, but even years later, we can still influence the scar in a positive way.  Want help?  Send us an email and schedule a free phone consultation to learn more about how PT can help you.