Adhesions After C Section

There are a variety of problems that can arise as a result of a c section delivery, among them are adhesions. Adhesions are fibrous bands that form between tissues and organs. They may be thought of as internal scar tissue.

Many women who have had c-section later experience low back and hip pain. The c-section scar, if untreated can form prominent and internal scar tissue just above the pubic bone. When this scar tissue is thick with adhesions it can pull on  the hip flexors or psoas musscles which originate at the lumbar vertabrae T12-L5 (your lower back). When one hip flexor is hypertonic (having a very high muscular tension) it will typically pull on the lower lumbar spine. As a result pain is experienced, typically either sciatic pain or lower back pain.

Another symptom that has been seen with cesarean moms is that they may have issues with lower digestion such as irritable bowel syndrome or elimination difficulties. Again, the tightening created by the scar tissue pulls within the abdominal cavity and thus affects the organs. Painful sex after c-section is another complication that can be caused by adhesions.

Bottom line, typically the scar tissue that formed after the c-section can tighten and pull the body out of balance and the symptoms of pain in the back really originates in the abdomen.  Fortunately there are solutions that work for most women. First and foremost caring for the scar with daily self massage will soften the tissue dramatically and prevent adhesions.

After two months the addition of dry skin brushing will further diminish and heal the scar tissue. Myofascial and craniosacral treatment can also help release any remaining pulling from the scar tissue in the pelvic floor. The hip flexor(s) can then return to balance. Caring for the scar in these ways creates relaxation of the tightened lower abdominal tissue relieving pressure on the low back, and typically avoids potential future problems and pain.

Couple the benefits of such a self care routine with those of binding and you have The Deluxe C Section Recovery Kit. We cared enough to design and make it, please care enough to use it.

A video showing how adhesions are treated with laparoscopic keyhole surgery

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  1. Elizabeth says:

    Adhesions are one side effect of having abdominal surgery. Not all women encounter problems with adhesions but many women do.

    It’s for this reason that women should consider carefully when choosing to have a C-Section when it’s not medically necessary.

    However, any mom that needs a C-Section will find that the scar brushing and self massage can help :-)

  2. csectionadmin says:

    Thanks for your comment Elizabeth.

    You are right, some women have debilitating problems from adhesions and some have no problems, with many in between. We hope that one day a self massage program like ours will be given to all women who have a c-section and anyone having abdominal surgery. Along with an abdominal binder of course : )

  3. I just had this surgery yesterday. I had been having pain for a month and my obgyn decided on the scope. Sure enough that was the problem. I had severe pain to my back and hips. Hopefully this will elevate my symptoms.

  4. Hi there,
    I had a c-section 8 days ago, how soon do these adhesions form? I had a weird back spasm yesterday, could it be related?


  5. I had a C-section 13 years ago. I have had pain, bloating, burning abdominal issues for 2 years or more and have been generally misserable. I got to the point that I could not even enjoy a good meal – I had so much discomfort that I always felt “full” even when I was experiencing hunger pains. After seeing my OBGYN as well as a gastro, it was determined that I had a large fibroid tumor on the uterus. The dr felt that abdominal surgery was the best option due to the size of the tumor. When he operated he also found what he described as “extensive adhesions” that were wound around from my uterus to my bladder and other organs. I am now 10 days post-op and I feel SO MUCH BETTER! I am still dealing with the expected soreness, and getting my digestive system cranking again, but I can tell a major difference in my UPPER digestive system – no more burning pain and fullness! My only concern is that since the c-section is probably what caused the adhestions, how do I avoid this issue 10 years from now??????

  6. Oh my goodness! I had no idea that the 4 c-sections I had could have caused the pain I have been having. I thought is was a hernia and general back pain. I have had this for years. My youngest child is 13 and I have had this for just aobut as many years. Have been to my ob and a general surgeon, and a gastroenterologist for this pain. No one seems to be able to address it. I guess I need to insist on internal view somehow. I am so grateful for finding this site so now I may find some answers and solutions to this pulling, intense pain.

  7. csectionadmin says:

    Best of luck Diana – you can as a last resort have surgery to remove adhesions if that’s what it turns out to be, if you do make shure you do a scar massage regime afterwards to try to prevent it happening again.

  8. csectionadmin says:

    Our massage program may help if done consistently. That said please consult your doctor and do not take this as medical advice (for legal reasons)

  9. csectionadmin says:

    it’s unlikely that your back spasm was from an adhesion so soon after surgery

  10. It has been 3 years since my c-section. My son is disabled and they were unable to do the small bikini line incision, my scar runs from my belly button down to the top of my pelvis. Particularly lately I have been experiancing extreme pain in my abdomen around my scar (especially lower down) at the onset of my period, most of the time it is debhilitating for a day, sometimes two. Is there any chance that this could be related to adhesions also? I am already considering speaking to my doctor.

  11. csectionadmin says:

    Hi Megan

    while for legal reasons we can’t give medical advice, it’s quite possible that adhesions are responsible for your pain. Definitely speak to your doctor and go in armed with information so they can’t blow you off.

  12. Hannah Moore says:

    I had my daughter one year ago. I tried to have her naturally, but she weighed 9.4 and became hopelessly stuck in the birth canal. After hard pushing for 2 hours, the doctor delivered her via emergency c-section. The right sided hip pain began about six weeks after the c-section. I am a dance instructor, and thought that possibly the weight I had gained during pregnancy, and the inactivity was contributing to the pain, so I resumed my physical activity at my dance studio when released by the doctor. One year later, the right sided hip pain is excruciating. By that, I mean that even with 2 Percocet, it hardly dulls the pain. I can’t lift my right leg higher than about a 45 degree angle without searing pain. I have not been able to get any conclusive diagnosis from the two doctors I have seen…any suggestions?

  13. csectionadmin says:

    Hello- Thank you for your inquiry. Since you are a dancer you are aware of your pelvic balance, if one hip is forward or backward in your midline, so when there is a “shear”, it creates stress within the pelvic cavity,hip, and back. This does not constitute diagnosis, but in my opinion, there is probably an imbalance in the ASIS, or one hip is more “flared”, or litterally the bone bends with muscle stress…….you can roll on a small ball along the hip and leg areas, breathing through the process……. and/or you can have your partner do internal work with you at your guidance, to see if there are any scar tissue or stress areas that can be accessed in between your vagina and the hip area, from the internal aspect going to outside of body. Good luck in your unwinding process.

  14. Hannah- I also have leg & hop pain, 15 months after. Mine is due to semipermanent damage from the spinal epidural- my leg drags when I am too tired, and dragged for a full month after the surgery. My adhesions are on my bladder- it hurts to pee, but high in my bladder. And I have all the other bowel issues. I refuse to have another surgery, and can’t touch the scar, so I take a lot of motrin, lol.

    Talk to your doc or chiro about damage from the anesthesia!

  15. THis was actually very helpful. I am just now recovering from a repeat c-section at this time and didn’t research much with my first and now I’m excited to get my body back in a quicker timeframe than my first. I will continue to take care of myself and my new little girl. I’m anxious to get back into a normal routine.

  16. i had two c-sectons. my first baby is no more.i want to take a third chance but afer 2 years so that my second baby will be 3 and half years.what should do to prevent addhesion?bcos doctor said after 2nd c-section that there were adhesions after previous 1st i m in a tension that it will not affect my third section?

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