Giving birth to someone you’ve worn for the past nine months is miraculous. Vaginal birth is the natural way to bring the baby into this world, but there are some situations where natural birth is not safe for the baby and the mother. In such situations, babies are born by Caesarean section. After this commonly performed C-section surgery, many women experience scar pain for a much longer period of time. But they don’t know what to do about it. And they live with it because of a lack of awareness about scar mobilization after C-section.
A cesarean section is the surgical procedure in which the baby is delivered through an incision in the abdominal wall and uterus rather than through the pelvis and vagina. The incision can be vertical (up and down) or transverse (left to right), depending on the condition of the mother and fetus.
How to care for the scar after caesarean section?
After surgery, the incisions take time to heal and this usually takes 6-8 weeks. It’s okay to feel some pain as your scars heal, but they shouldn’t hurt after 12 weeks. During the healing process, scar tissue begins to form to bring the layers together. Scar tissue is not what you can see on the skin, but it goes into deeper layers under the skin.
Scar tissue is made up of the same protein as the tissues it replaces, but the difference lies in the orientation and pattern of the collagen fiber. In normal tissue the fiber goes in different directions while in scar tissue it is in linear single direction. As a result, it is less mobile and functions in the same way as normal tissue.
Taking care of the scar is therefore important, especially during caesarean section because the muscles in the abdominal wall are weakened. Because the fascia of the rectus abdominus, the internal obliques and the transverse abdominus are cut and these are very important core muscles that cover our abdominal organs, lower back and pelvis.
Problems that can arise from scar tissue include:
* Pain and soreness on and around the scar
* Difficulty bending over and lifting something heavy.
* Pulling pain when standing up and during overhead activities.
*Low back pain due to weakened core.
* Superficial nerve irritation around the scar.
* Affect urinary frequency and urgency.
How does scar mobilization work after cesarean section?
Scar mobilization is thus a manual technique to improve the elasticity and sensitivity of the skin around the scar. It will also reduce pain and improve function. It will help remodel the scar tissue and break the adhesion that affects the movement.
The earliest possible start is two weeks after the caesarean section with a gentle caress over the scar. This aids in nerve regeneration. Then scar mobilization at 3-4 weeks around the scar and at 6 weeks on the scar, but make sure that the scar has healed well. We can also start with muscle reactivation and strength training.