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Scar Tissue 101: How Your C-Section Scar Affects the Pelvic Floor

You had a C-section. Whether it was planned or unexpected, it brought your baby safely into the world—but now, months or even years later, something doesn’t feel quite right. Maybe you’re experiencing pelvic pressure, back pain, or tightness around your scar.


You’re not imagining it: your C-section scar can absolutely affect your pelvic floor.


At Auria Pelvic Health, we believe in looking at the full picture. Let’s break down what scar tissue is, how it can impact your pelvic health, and what you can do to feel better.



What Is Scar Tissue?


After any surgery—including a Cesarean birth—your body repairs itself by creating scar tissue.


This tissue is made of collagen, and while it’s a normal part of healing, it can sometimes become dense, tight, or stuck to surrounding tissues like muscles, fascia, and organs.


The C-section incision may only be a few inches long on the outside, but internally, it passes through seven layers of tissue. That means the potential for restrictions goes deep—well beyond what you see on your skin.


How Can a C-Section Scar Affect the Pelvic Floor?


Your core, pelvic floor, and abdominal wall work as a team. If scar tissue disrupts one part of that system, it can cause a chain reaction.


Common effects include:


  • Pelvic floor dysfunction: Scar adhesions can create tension or imbalance, leading to leaking, pelvic heaviness, or pain with intercourse.

  • Core weakness or bulging: If the scar restricts proper core engagement, you may notice doming or difficulty regaining strength.

  • Hip or back pain: Compensations from tight or restricted tissues can throw off your posture and movement patterns.

  • Bladder or bowel issues: The scar can tug on fascial connections to the bladder, uterus, or intestines, sometimes contributing to urgency, constipation, or discomfort.

  • Numbness, tingling, or sensitivity around the scar area itself


Even if your scar looks fine on the outside, internal restrictions can remain for months—or years—if not addressed.


Signs Your C-Section Scar Might Be Affecting You


You may benefit from scar tissue release if you notice:


  • A pulling sensation when you stretch, twist, or stand up tall

  • Discomfort or tightness during intimacy

  • A feeling of "disconnect" from your core

  • Difficulty returning to exercise

  • Emotional sensitivity or avoidance around the scar area


Scar tissue can affect more than just your muscles—it can impact how you feel in your body.


We’re here to help you reconnect, without judgment.



What Can Pelvic Floor Therapy Do?


Pelvic floor therapy can:


  • Assess and treat scar tissue using gentle, targeted techniques

  • Improve mobility and blood flow to the area

  • Restore core and pelvic floor coordination

  • Provide tools for self-massage, breathing, and movement

  • Help you feel empowered and confident in your healing process


Scar work is never painful and always guided by your comfort. Our goal is to restore ease, function, and awareness—so your scar becomes just one part of your story, not the thing holding you back.


When to Start Therapy


It’s never too late to address scar tissue. Whether you’re 6 weeks postpartum or 6 years past your last birth, we can help. Ideally, therapy can begin once your incision is fully healed and cleared by your provider (typically around 6–8 weeks postpartum).



Take the Next Step in Healing


Your scar doesn’t have to limit you. If you're experiencing pelvic floor symptoms after a C-section, you deserve care that looks below the surface.


Contact Auria Pelvic Health to book a scar and pelvic floor evaluation. We’re here to help you heal from the inside out.



Auria Pelvic Health

8929 S Sepulveda Blvd., Ste. 412

Los Angeles, CA 90045

Phone: 213-699-3996


Empowering C-section recovery—one layer at a time.




Article Written By Dr. Sasha Speer, DPT


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