Scars 101: Everything You Need to Know For Post-Op Recovery

Scars lead to the development of a fibrous tissue that forms over a wound or injury in response to tissue damage. It is composed of collagen fibers and serves as a protective barrier over the damaged area. Scar tissue is often different in appearance and texture compared to the surrounding healthy tissue, and may result in reduced flexibility and function of the affected area.

Many patients see us at Pelvic Wellness & Physical Therapy due to pelvic pain which can be related to a recent surgery or procedure. Scar tissue can lead to pelvic pain because it can restrict normal movement and function of the tissues in the pelvic region. The formation of scar tissue can occur after surgery, trauma, or injury, and it can adhere to surrounding structures, causing them to become stuck and limiting their movement. These restrictions can lead to pain, discomfort, and reduced flexibility in the pelvic area. Additionally, scar tissue can also change the tension and stability of the tissues in the pelvic region, causing pain and discomfort. 

Physical therapy can help address this issue by promoting proper tissue mobility and flexibility and by reducing pain. Physical therapists can help in the healing of scar tissue by promoting proper tissue mobility and flexibility, reducing pain, and minimizing the development of excessive scar tissue. They can also educate patients on how to perform self scar massage. Seeing a physical therapist can help optimize recovery and improve overall functional outcomes. If your doctor did not recommend you see a physical therapist following your surgery, you can ask for a referral or in the state of California you can schedule an appointment without a doctor’s referral. 

Many surgeries can lead to to scar tissue and these are some of the procedures our patients report having that lead them to seek pelvic floor physical therapy:

• Cesarean Section or C-section Delivery 

• Episiotomies 

• Laparoscopic surgeries 

• Excision Surgery for Endometriosis

• Hysterectomies 

• Mastectomies 

• Hernia Repairs 

• Prostatectomies 

• Colectomies 

If you have experienced any of the above consider seeing a physical therapist to address any scar tissue and surrounding muscle impairments that may be impairing your function or causing pain. It is never too late to be seen, but we recommend waiting to come in until you are cleared by your surgeon, usually around six to eight weeks post-op.