A caesarean section is major abdominal surgery and the scar it leaves deserves expert care and attention. Having a C-section can take a huge toll on the body - physically and emotionally- and for some women, the scar can affect the clothes they wear, intimacy with their partner, returning to exercise and simply moving with confidence again.
A caesarean incision passes through seven layers of tissue including skin, subcutaneous fat, fascia, abdominal muscles (though these are separated and not cut) and the uterus, with each layer needing to heal in turn. The scar tissue that forms is not as strong or flexible as healthy skin which is why issues with skin function, comfort and appearance can arise.
As healing progresses, adhesions can form – fibrous bands of scar tissue can develop between internal structures such as the uterus, abdominal wall, bladder or bowel, causing pain, restricted movement and bladder symptoms.
Following an episiotomy or tear, scar tissue layers can become tight as the wound heals and cause discomfort during intercourse and daily activities.
Scar therapy is about supporting healing, restoring movement and helping your scar feel more comfortable over time.
Your first appointment is a 60 minute consultation. Assessment and treatment designed to feel unhurried and supportive.
Your assessment will include a full history of your pregnancy and birth. The scar will be assessed in terms of its appearance, texture, sensitivity and mobility. Posture and movement checks will take place. The abdominals will be checked for any presence of diastasis recti, and the pelvic floor muscles will be screened.
Treatment may include scar mobilisation and massage to improve tissue flexibility and breakdown adhesions and restore movement. Desensitisation to reduce nerve sensitivity and improve tolerance to touch. Core and bladder rehabilitation as needed, and advice on silicon therapy and scar creams as appropriate. A home programme will also be given with instructions on self massage and scar therapy as appropriate, scar products and exercises to support recovery between appointments.
Every scar and every recovery is different. Your physiotherapist will review your progress at each appointment and adjust your plan accordingly.
You can usually begin scar therapy around six weeks after birth, once there is no infection, all stitches have healed and there are no open areas. Indirect techniques can sometimes be used earlier. You should also feel emotionally ready there’s no rush and the treatment is always paced around you.
No. C-section massage is a gentle treatment. If your scar feels sensitive, numb or uncomfortable, everything is adapted to suit you. Treatment is always guided by how your body feels on the day and nothing is done without your full consent.
You should only touch your scar when you feel ready. Your physiotherapist will guide you gently and safely, and only suggest self-care techniques if and when appropriate. Many women feel unsure at first and this is completely OK. Support is always paced around you.
Yes. Itchiness, tingling and numbness are common as the scar and surrounding nerves heal. Scar massage, alongside the right products and hydration advice, can help reduce irritation and support healthier tissue recovery.
Many women describe a pulling or tight sensation around their scar, which can sometimes lead to discomfort elsewhere in the body – such as the chest back or pelvic floor. This is often related to the way the scar tissue and connective tissue heal beneath the skin. Scar massage helps by gently softening these restrictions, improving movement and reducing discomfort over time.
No, even old scars can benefit from treatment. Scar tissue can respond well to mobilisation and desensitisation techniques regardless of how long ago the birth took place. It’s never too late to seek help.
Our Women’s Health Assessment will thoroughly assess your scar and provide appropriate scar therapy to help you recover well.
