04/07/2026
Main reasons C‑section scars hurt:
🫣Scar tissue and adhesions: Internal scar tissue can cause different layers (skin, fascia, muscle, peritoneum) to stick together instead of sliding, creating pulling, stiffness, and pain with movement, stretching, or bowel/bladder filling.
🤭Nerve injury or sensitization: Small cutaneous nerves (e.g., iliohypogastric, ilioinguinal) can be cut, stretched, or trapped in scar tissue, leading to burning, shooting, hypersensitive, or numb-but-painful sensations around the incision.
😵💫Tension and load changes: A tight or tethered scar can alter abdominal wall mechanics, making it harder to recruit deep abdominals, which can contribute to low‑back pain, pelvic discomfort, or a sense of weakness.
😦Hypertrophic or keloid scars: Thick, raised scars can mechanically irritate local nerves and be tender to touch or pressure from clothing or movement.
🥴Pelvic floor and myofascial dysfunction: Altered movement, guarding, and fascial restrictions can contribute to pelvic floor overactivity, pelvic pain, urinary urgency/frequency, or painful in*******se
Physical therapy can help! Let RPT assess you today!
Bring the kids along, no problem!