Therapy scars after cesarean section / Rehabilitation of scars after cesarean
We all know that a scar remains after a cesarean section. Most, however, focus on the aesthetic aspect, i.e. what you see on the skin, forgetting that the emperor scar is a more complex problem, affecting deep layers under the visible skin. During emperors they are cut all layers of the abdominal wall. The procedure, despite the universality of carrying out, is serious.
Even after the correct healing process (soft tissues heal 4-6 weeks, and scar remodeling lasts 2 years), skin in the area of the scar does not resemble healthy tissue, both in structure and function. This has many consequences.
- half a year after cutting can be felt pain around the scar. This is the most normal symptom,
- may appear excessive tissue sensitivity around the scar - it can be so severe that discomfort causes you to wear a particular type of underwear,
- sensory disorders - no sensation or reduced sensation under or above the scar,
- reaction to a change in weather - the scar may be noticeable when the weather changes, the reason is the tension in soft tissues,
- dysmenorrhea - lower abdominal tension and adhesions can lead to dysmenorrhea,
- scar problems may appear even a few years after a cesarean section (e.g. backache). Then, most often, we don't associate pain and discomfort with the surgery performed years ago.
It is often the case that the scar looks flawless on the outside, but underneath the skin, adhesions and fasciae form. The resulting inflammation can affect even the peritoneum, bone structures and ligaments of the spine. Deep adhesions can tease for years, imitating uterine, bladder or intestinal diseases.
To avoid the negative effects of cesarean section, you can perform scar therapy, in other words, scar rehabilitation (ask for the referral of your gynecologist!). Treatments under the guidance of a physiotherapist can be planned after about 4-5 weeks after delivery. The good news is that you can also work on scars for women who are a few years after cutting. This is especially recommended if it is planned another pregnancy. Working on a scar can bring many benefits and avoid unpleasant consequences. A scar can cause spotting between periods, pain in the lower abdomen and problems with becoming pregnant.
Scar loss / diversion / Niche symptom
During cesarean section comes to dissection of the abdominal wall and uterus. The uterus is strongly stretched and well supplied with blood, the doctor must sew it up quickly after bringing the baby and placenta. During the puerperium, the uterus shrinks quickly, arises after a few weeks union and scar on the uterus.
Usually this process goes without complications. Sometimes, however, arises hematoma in the wound, infection appears, whether there is uterine wall ischaemia. Consequently, it arises defect in the wall of the uterus (Niche symptom)which unfortunately can cause a lot of problems. Scar loss after caesarean section occurs until in 10% of women giving birth by caesarean section.
Considering the above risk, every woman after Caesarean section should have an ultrasound examination through a vaginal probe to detect any irregularities. Unfortunately, many women do not perform this test (e.g. because the office does not have the necessary equipment). The condition of the young mother is checked during a classic gynecological examination and interview, and this is not enough to identify scar problems.
How do you recognize that you may have a scar?
Note the following symptoms, which may occur individually or all at once:
- lower abdominal pain
- abnormal bleeding between periods,
- problems getting pregnant (secondary infertility),
- painful urination.
The above symptoms most often occur when a woman begins menstruating after delivery. These symptoms get worse over the years. They are aggravated by hormonal fluctuations and vaginal fibroids or endometriosis.
Symptom Niche requires surgery.