How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (2024)

infertility caused by adhesions

chronic pain caused by adhesions

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C-sections are one of the most common surgeries in the U.S. For many women a c-section isn’t a choice — it is the only safe way to deliver the baby. Most c-section are routine and go as planned. However, many women are unaware of the post-surgical complications that can occur months or even years after a C-section. When the body heals from the procedure, it forms bands of internal scar tissue called adhesions. Adhesions can cause a host of problems if left untreated, including chronic pain, female infertility and life-threatening bowel obstructions. Unfortunately, they are often misdiagnosed because adhesions and pelvic adhesions do not appear on diagnostic tests such as x-rays.

Many of us know about the scar that is left after c-section, but you may be surprised to learn that the way your scar looks can be an indication of your internal healing. Research now suggests that there is a strong correlation between the physical characteristics of an external c-section scar and the adhesions underneath it. Women can use researchers’ findings to help determine whether they have adhesions after a c-section.

What are adhesions?

C-section scar tissue is strands of collagen that form in the body after a surgery, trauma, infection or inflammation. Unfortunately, they are rarely discussed and many patients have never heard the term ‘adhesions.’ Because they are part of the body’s natural healing process, there is no way to prevent adhesions from forming and the surgeries designed to remove them cause more to form.

Adhesions can look like spider webs covering the organs or like filmy, white strands of nylon rope constricting structures inside the body. These powerful strands of collagen wrap around structures at the healing site and can restrict blood flow or reduce the function of internal organs. They can bind tissues and organs, resulting in mild to excruciating pain.

Symptoms of Post C-Section Adhesions and Scar Tissue

When we talk to patients, they often have an ‘aha moment.’ We begin describing what someone with post-surgical adhesions typically experiences and the common response is “Wow, you’re describing me!” Women who have had c-section often know something is wrong – they can feel it, whether is a specific pain or a tightness that they have trouble describing. Unfortunately, many physicians will tell them that pain after c-section is common and that there is nothing to be done about it.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (1)The following are common symptoms of adhesions after a c-section. If these describe you, you may have adhesions.

  • Non-diagnosable abdominal pain (sometimes years after your c-section)
  • Trouble standing up straight
  • Swollen/bloated abdomen
  • Pain during intercourse
  • Painful bowel movements
  • Secondary infertility
  • Chronic pelvic pain
  • Increased menstrual pain (since c-section)
  • Pain/tenderness at the location of your scar
  • Swelling after c-section
  • c-section scar pain

Now that you are familiar with the symptoms of post c-section adhesions, we will look at the different visual characteristics of a c-section scar and what it can tell you about the presence of adhesions.

How to Tell if You Have C-Section Scar Tissue

Lay flat on your back and examine your c-section scar. Women with flat, small scars without significant pigment changes (changes in skin color) are less likely to have adhesions in their pelvis.However, a scar that pulls towards the back (indented) or one that is raised and thick — with or without changes in the color of the skin in that area — suggests the presence of dense adhesions. Additionally, women with scars that are darker in color than the rest of their skin are are much more likely to have adhesions, regardless of whether the scar indents, lays flat or protrudes out.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (2)

If your scar looks like the example above — indented without any changes to the pigment — there is a high probability that you have adhesions. Because the skin is indented, women with this type of scar are more likely to have dense adhesions than those whose scar looks similar but is flat, without indentation. If you have c-section scar pain you most likely also have c-section scar tissue.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (3)

If you scar looks similar to this second image above (raised with pigment change), you also likely have adhesions. Women with this type of scar are most likely to have dense adhesions, which cause pain and dysfunction, because the scar exhibits characteristics from both risk categories — raised and different pigmentation than the surrounding skin.

What to Do if You Think You Have Adhesions

If your symptoms match those described in this article and your scar resembles the examples provided, there is a high probability that you have adhesions. Few options exist for women with abdominal adhesions after a c-section. Surgeons can cut or burn (lyse) adhesions, but the invasive procedure leads to the formation of new adhesions. Some women are able to live without treatment, while others experience recurring, debilitating pain and dysfunction.

If you or a woman you know is suffering from adhesions after a c-section, we encourage you to fill out a contact form or call us at 1-352-336-1433. You will be able to schedule a phone consultation with one of our certified therapists, at no cost, and learn whether our non-surgical treatment is appropriate for you.

References:

http://www.ncbi.nlm.nih.gov/pubmed/25304098

http://www.ncbi.nlm.nih.gov/pubmed/18178195

http://www.ncbi.nlm.nih.gov/pubmed/21306338

Related Content:

  • Prior C-Section Can Cause Adhesions
  • The Appearance of a C-Section Scar Can Provide Clues About Abdominal Adhesions
  • How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue)
  • C-Section Pain
  • Why Do I Have Pain After C-Section?
  • Study Points to Link Between C-Section and Adhesions

Blog Categories:

  • C-Sections

If you’d like a free consult, please take 20 minutes and fill out this form and we can determine if therapy would be a good fit for you.

Select Language

infertility caused by adhesions

chronic pain caused by adhesions

Table of Contents

C-sections are one of the most common surgeries in the U.S. For many women a c-section isn’t a choice — it is the only safe way to deliver the baby. Most c-section are routine and go as planned. However, many women are unaware of the post-surgical complications that can occur months or even years after a C-section. When the body heals from the procedure, it forms bands of internal scar tissue called adhesions. Adhesions can cause a host of problems if left untreated, including chronic pain, female infertility and life-threatening bowel obstructions. Unfortunately, they are often misdiagnosed because adhesions and pelvic adhesions do not appear on diagnostic tests such as x-rays.

Many of us know about the scar that is left after c-section, but you may be surprised to learn that the way your scar looks can be an indication of your internal healing. Research now suggests that there is a strong correlation between the physical characteristics of an external c-section scar and the adhesions underneath it. Women can use researchers’ findings to help determine whether they have adhesions after a c-section.

What are adhesions?

C-section scar tissue is strands of collagen that form in the body after a surgery, trauma, infection or inflammation. Unfortunately, they are rarely discussed and many patients have never heard the term ‘adhesions.’ Because they are part of the body’s natural healing process, there is no way to prevent adhesions from forming and the surgeries designed to remove them cause more to form.

Adhesions can look like spider webs covering the organs or like filmy, white strands of nylon rope constricting structures inside the body. These powerful strands of collagen wrap around structures at the healing site and can restrict blood flow or reduce the function of internal organs. They can bind tissues and organs, resulting in mild to excruciating pain.

Symptoms of Post C-Section Adhesions and Scar Tissue

When we talk to patients, they often have an ‘aha moment.’ We begin describing what someone with post-surgical adhesions typically experiences and the common response is “Wow, you’re describing me!” Women who have had c-section often know something is wrong – they can feel it, whether is a specific pain or a tightness that they have trouble describing. Unfortunately, many physicians will tell them that pain after c-section is common and that there is nothing to be done about it.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (4)The following are common symptoms of adhesions after a c-section. If these describe you, you may have adhesions.

  • Non-diagnosable abdominal pain (sometimes years after your c-section)
  • Trouble standing up straight
  • Swollen/bloated abdomen
  • Pain during intercourse
  • Painful bowel movements
  • Secondary infertility
  • Chronic pelvic pain
  • Increased menstrual pain (since c-section)
  • Pain/tenderness at the location of your scar
  • Swelling after c-section
  • c-section scar pain

Now that you are familiar with the symptoms of post c-section adhesions, we will look at the different visual characteristics of a c-section scar and what it can tell you about the presence of adhesions.

How to Tell if You Have C-Section Scar Tissue

Lay flat on your back and examine your c-section scar. Women with flat, small scars without significant pigment changes (changes in skin color) are less likely to have adhesions in their pelvis.However, a scar that pulls towards the back (indented) or one that is raised and thick — with or without changes in the color of the skin in that area — suggests the presence of dense adhesions. Additionally, women with scars that are darker in color than the rest of their skin are are much more likely to have adhesions, regardless of whether the scar indents, lays flat or protrudes out.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (5)

If your scar looks like the example above — indented without any changes to the pigment — there is a high probability that you have adhesions. Because the skin is indented, women with this type of scar are more likely to have dense adhesions than those whose scar looks similar but is flat, without indentation. If you have c-section scar pain you most likely also have c-section scar tissue.

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (6)

If you scar looks similar to this second image above (raised with pigment change), you also likely have adhesions. Women with this type of scar are most likely to have dense adhesions, which cause pain and dysfunction, because the scar exhibits characteristics from both risk categories — raised and different pigmentation than the surrounding skin.

What to Do if You Think You Have Adhesions

If your symptoms match those described in this article and your scar resembles the examples provided, there is a high probability that you have adhesions. Few options exist for women with abdominal adhesions after a c-section. Surgeons can cut or burn (lyse) adhesions, but the invasive procedure leads to the formation of new adhesions. Some women are able to live without treatment, while others experience recurring, debilitating pain and dysfunction.

If you or a woman you know is suffering from adhesions after a c-section, we encourage you to fill out a contact form or call us at 1-352-336-1433. You will be able to schedule a phone consultation with one of our certified therapists, at no cost, and learn whether our non-surgical treatment is appropriate for you.

References:

http://www.ncbi.nlm.nih.gov/pubmed/25304098

http://www.ncbi.nlm.nih.gov/pubmed/18178195

http://www.ncbi.nlm.nih.gov/pubmed/21306338

Related Content:

  • Prior C-Section Can Cause Adhesions
  • The Appearance of a C-Section Scar Can Provide Clues About Abdominal Adhesions
  • How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue)
  • C-Section Pain
  • Why Do I Have Pain After C-Section?
  • Study Points to Link Between C-Section and Adhesions

Blog Categories:

  • C-Sections

If you’d like a free consult, please take 20 minutes and fill out this form and we can determine if therapy would be a good fit for you.

Select Language

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How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (7)

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How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage (2024)

FAQs

How to Tell if You Have Adhesions After C-Section ( C-Section Scar Tissue) - Clear Passage? ›

Summary. An adhesion is a band of scar tissue that joins two surfaces of the body that are usually separate. The formation of scar tissue is the body's repair mechanism in response to tissue disturbance caused by surgery, infection, injury (trauma) or radiation.

What is the difference between scar tissue and adhesions? ›

Summary. An adhesion is a band of scar tissue that joins two surfaces of the body that are usually separate. The formation of scar tissue is the body's repair mechanism in response to tissue disturbance caused by surgery, infection, injury (trauma) or radiation.

What do adhesions after a C-section feel like? ›

There are also some other symptoms of intestinal adhesions after cesarean section such as cramps, vomiting, flatulence, abdominal swelling, constipation, loss of appetite and nausea; urinary tract disorder, frequent urination or urinary retention; anemia and nutritional deficiencies due to poor diet, anorexia, ...

Can C section scar tissue cause blockage? ›

Caesarean section is the most common abdominal surgery performed on women worldwide. Adhesions represent a severe complication of cesarean section and can cause different degrees of bowel obstruction.

What do lower abdominal adhesions feel like? ›

However, they can cause kinks or twists in the gut, reducing the movement of the gut, causing obstruction and other symptoms, including recurrent episodes of colicky (cramping) abdominal pain, bloating, nausea (feeling sick), vomiting (being sick) and a change in stool frequency and consistency.

What test shows abdominal scar tissue? ›

Endoscopy (a way of looking inside the body using a flexible tube that has a small camera on the end) may help diagnose adhesions: Hysteroscopy looks inside the uterus. Laparoscopy looks inside the abdomen and pelvis.

When is it too late to massage scar tissue? ›

Typically, scar massage is recommended 2-3 weeks after surgery once the scar is fully closed with no scabbing, but it can be done between 6 weeks to 50 years after surgery. During the initial healing phase, the body is focused on closing the wound and preventing infection.

How do I know if I have scar tissue after a C-section? ›

C-sections can cause scarring. In some women, these scars become thick, raised, and red. That may mean that your scar is hypertrophic, where your body created more scar tissue than necessary. A hypertrophic scar is harmless, but it may get irritated when you wear clothes or you may not like how it looks.

Can you pass tissue after C-section? ›

Vaginal bleeding after a c-section is a normal part of the childbirth process. Your body will expel leftover mucus, tissue and blood. This substance is called lochia. The bleeding will likely be heavy at first and then lessen over time.

What does C-section scar tissue pain feel like? ›

Overgrown scar tissue from a c-section can cause numbness, pain, and tightness in the lower abdomen. It can also be difficult to activate your abdominal muscles, leading to subsequent feelings of weakness or back pain.

Will adhesions show on ultrasound? ›

Tests like ultrasounds, CT scans and MRI scans also do not detect pelvic scar tissue in most cases, so a thorough look into the patient's history and a pelvic examination may help in determining whether adhesions are present.

What do back adhesions feel like? ›

A muscle adhesion occurs when the fascia gets tight or crinkled, causing stiffness and soreness. It can also occur as a result of scar tissue that happens after an injury. Indeed, adhesions usually occur after an injury or some sort of overuse. Thankfully, though painful, they can be relatively easy to treat.

How do you treat C section scar adhesions? ›

Surgical treatment is widely used to treat adhesion of C-section scars and consists of cutting the scar along the original incision and releasing the adhesions between the subcutaneous fat and the abdominal wall muscle.

What is the best treatment for internal scar tissue? ›

Physical therapy can be a viable option for scar tissue treatment and associated pain. Physical therapists use a combination of active and passive motion to break down and retrain scar tissue. Active motion refers to a patient moving the affected area under his or her own power.

What are the symptoms of internal scar tissue? ›

Indications of Internal Scar Tissue:

Changes in organ function or symptoms such as difficulty swallowing, breathing, or gastrointestinal issues. Restricted range of motion or stiffness in joints or muscles.

How do you break up scar tissue? ›

There are many types of therapies for scar tissue, but the standard treatment commonly involves exercise and massage — specifically, stretching and pulling the scar tissue to soften, align and elongate it.

What does scar tissue pain feel like? ›

Scar tissue can have a local area of pain when touched or stretched or it can produce a referred pain that feel like that of a nerve which is a constant annoying burn that occasionally turns sharp.

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