C Section Pain And Adhesions

C-section pain is commonly caused by adhesion formation that occurs after the surgery. Adhesions form as the first step in the healing process after any surgery, trauma, infection, or inflammation. As the first step in the healing process, tiny strands of collagen rush to the site that has been cut. There, they lay down in a random pattern to create the powerful bonds we call adhesions.

After a C-section, these adhesions remain in the body for life, as a permanent by-product of the surgery. Wherever they form, adhesions join internal bodily structures with strong glue-like bonds that can last a lifetime

As the body’s tissues heal and adhesions form, the tissues begin to shrink. This can result in an uncomfortable pulling sensation or pain. This contraction creates more mechanical irritation, often perpetuating the process of adhesion formation.

When adhesions form in the delicate folds of the bowels, they can create pain or digestive problems such as diarrhea, constipation, or irritable bowel syndrome. In severe cases, these adhesions can cause bowel obstruction, a potentially life-threatening condition. C-section adhesions can also form in the delicate tissues of the reproductive tract, causing secondary infertility, pelvic pain or intercourse pain.

Adhesions may impair fertility in women by causing blockage of the fallopian tubes. It has been estimated that:

* At least one-third of women who suffer from pelvic pain have adhesions as a cause of or contributor to the pain.
* Adhesions involving the ovaries or fallopian tubes are responsible for 15-20 percent of female infertility cases.
* Small bowel obstruction is often a surgical emergency and is particularly common after gynecological surgery.

The British Journal of Surgery, 1999 (Ellis)1 reported that 35% of all open abdominal or pelvic surgery patients were readmitted to the hospital more than twice to treat post-surgical adhesions, during the 10 years after their original surgery. Many follow-up surgeries (22%) occurred in the first year after surgery, and readmissions continued steadily throughout the 10-year period of the study.

According to a recent study in Birth (2008), 18 percent of women who underwent C-section surgery reported pain at the incision six months postpartum. A study in Digestive Surgery showed that more than 90% of patients develop adhesions following open abdominal surgery and 55% to 100% of women develop adhesions following pelvic surgery. Adhesions can also be a cause of painful sex after a c-section

C section adhesions can cause ongoing pain or dysfunction, long after the surface scars have healed. You can reduce the likelihood of these complications by using our Deluxe C Section Recovery Kit. Our uniquely designed 100% Cotton Bikini Belt can be worn immediately after cesarean delivery, or other abdominal surgery. The  Hem It In Binder can be worn three weeks post surgery, to further accelerate your healing and reduce pain.

The kit also includes  the Hemming Scar Therapy Guide, created by a Professional Massage therapist who experienced an emergency C Section. The DVD guide gives you many simple and effective tools to reduce adhesions and other complication and assist you in a faster and better c section recovery.

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  1. I had my c-section 12 months ago and still get alot of aching and pain underneath the scar. I have been to the doctors and he just prescribed me some pain killers and that was all. Is there anything that will work to rid me of the pain or will i need to go in for corrective surgery?

  2. csectionadmin says:

    Hi Carla
    You should certainly get our Self Massage DVD and follow the program diligently for several months. The pain is possibly from adhesions, if this brings no improvement definitely get a second opinion and an ultrasound to have a look inside.

    All the best

  3. Mrs. Looker says:

    I had my daughter 6 months ago and I am having horrible pain where my incision was. It is very painful during intercorse and if any type of pressure is applied there. I have talked to some people and they say I’m being dramatic but the pain sometimes drops me to my knees. What should I do and what could cause it?

  4. I had my son 16 months ago by emergency c-section and just 2 days ago I’ve been experience really bad pain I could barely move yesterday. I don’t have any insurance so I don’t know if I should go to the ER or what? I don’t know if it is that serious, no one around me can really help because everyone had natural birth. Should I go to the doctor or just continue to take pain pills?

  5. csectionadmin says:

    hi Brittany – i do hope you got medical help

  6. Elizabeth Lovelace says:

    Hi, I,m 33 and had 3 c-sections. on my last c-section my son is 2 and half now and I have pain when I have my period.Its a quick pain that last a second or so. I went a had a scan done.and i toke it to my doctor and he said I have scar tissue and If I do execise’s my scar tissue will strech out and will have less pain and it will go away.

  7. csectionadmin says:

    Hi Elizabeth

    exercise may help, and certainly has many other benefits. I’d think regularity and consistency will be key. And as we say.. it’s never too late to work on an old scar!

  8. I had a c-section a year ago and have started experiencing pain from what I’m sure are adhesions. Would the massage DVD still help even after a year? Can it help to break up the adhesions, or only to keep them from forming?

  9. Rachel W says:

    I had my c section over 16 years ago. I have recently started working out. When I attempt any ab exercise I get a sharp shooting pain that lasts for days. After reading your post I also want to not that I have been having digestive issues for many years that I see a gastric doctor for. I am beginning to wander if the two things are related. How does a doctor determine what could be causing this horrible pain?

  10. csectionadmin says:

    Hi Rachel

    When you see your doctor next, brin gup the possibility that your problems may be the result fo adhesions from the c-section and ask them how to determine if this may be true. Depending on your doctor you may have to push to get your needs met.

    All the best

  11. csectionadmin says:

    Hi Maren

    your first step is to talk to your doctor and share your thoughts on adhesions causing your pain. The self massage can help, but you really need to see your doctor as well.

  12. Hi!
    I had a c-section about 6 years ago,i had always felt some pain around the area but never tought much about it,i suffer from constipation so i tought that would be the cause.But even after the contipation issue was ofter still felt pain,now i have pain during intercorse and after to the point it made me cry.All i want to know is if this could be connected to the c-section and how can my doctor help me?

  13. HI Ana

    Thank you for commenting and sharing your experience of post surgery complications. I am unsure if anyone is aware that 93% of abdominal surgeries result in abdominal adhesions (scar tissue) and result in 1$Billion annually spent on secondary surgeries to remove scar tissue. The symptoms you describe sound like you first experienced intestinal blockages, or restriction in the bowel, which then transformed into restrictions on your uterus/cervix and possibly vagina. I am surprised you haven’t had bladder issues yet, as that is very common. Did you r Dr sew up all 6 layers, or did they skip the peritoneal sac? This balloon like sac separates out the muscles from the organs, and 50% of all Dr’s skip sewing it up..Why? Who knows, some think its important others do not but more than likely it will create repeat surgery later on, the Dr’s and medical institutions don’t think its important? I went to an ACOG conference and out of 4 Dr’s that would answer the question, 2 males laughed when I asked them, a 3rd female Dr said she pushed the 2 sides together (approximated), but did not sew, and the 4th, a WIC Dr said she always sutured the sac…..WIC is the Medical services provided to support low-income women. I thought the responses were interesting and sad.
    As a Massage therapist, and I am not a Dr, I can say that the fascia, or web like tissue in our bodies, has a tensile strength of 6000pounds per square inch. Fascia helps us to have a shape, it is what holds our bodies together, the internal glue that surrounds veins, muscles, bones, tendons and organs.Here is a great website wiht fascial information …. It is the bundles of collagen fibers, that got disorganized from surgery, which have become matted, dry, and have connected one structure to another, as that is its job to create security, which is most likely pulling or compressing your internal structures.
    In other words, if you didn’t model you internal scar and your external scar with massage after your surgery, most likely you have a web inside which is causing pain and issues..they can open you back up and cut scar tissue out. Your partner can put clean fingers inside of you and press gently on your internal vaginal walls and listen to your guidance, to stretch out the area..YOu have to hold the moves or stretches for at least 90 seconds and it can be very gentle, because any movement is different than no movement…this is a whole aspect of PT work that is not discussed openly. I am not a PT, I am a LMT, who dated a PT who did this work all the time, because it can be effective, and the issues you describe are very common for women. The PT needs to wear gloves and a neutral person needs to be in the room, you should also be draped.
    This is why we support massage post surgery and the use of Vitagel, as a hemostat, because when you reduce bleeding with surgery it reduces scar tissue, and Vitagel has collagen in it to lay down a layer to help with the healing process. Why isn’t it standard in cesareans? I don’t know….why isn’t binding standard? I feel now that somehow a superwoman label is placed on new mothers, even with surgery. The other thing you may want to check for, if you have fevers or infection, is the fact that perhaps the Dr left a sponge or other thing inside of you, but most likely your pains and issues are scar tissue related. There are some positions in yoga that can reduce symptoms, like forward bends with your head supported, or gentle twists. I would definitely pay a visit to a Dr who specializes in scar tissue removal, and has a great record of success. All the best to you in your process.

  14. Guilaine says:

    I had a c-section 8 years ago it still hurts like crazy will a support belt help with the pain

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