A hysterectomy, whether performed laparoscopically or through an open abdominal incision, can bring significant changes to the body. While many patients recover well in the initial weeks, it is not uncommon for low back pain, hip pain, and even pelvic discomfort to develop over time. One of the primary reasons for these lingering issues is the formation of scar tissue and its impact on surrounding muscles and organs. Hina delves into hysterectomy side effects: how scar tissue develops, its effects on the body, and potential solutions to alleviate pain and tension.
The Formation of Scar Tissue After Hysterectomy
After any surgery, including a hysterectomy, the body initiates a healing process. This involves the formation of scar tissue at the surgical site. Scar tissue begins to develop within days after surgery and continues to solidify over weeks, months, and even up to two years. Initially, the patient may feel fine, but as the scar tissue becomes denser, it can start to restrict movement and cause discomfort.
The process of scar tissue formation occurs not just at the external incision site but also internally, where surgical instruments have interacted with tissues. This internal scar tissue can spread and affect multiple structures, leading to complications such as pain, stiffness, and limited mobility.
Understanding Visceral Fascia and Its Role in Post-Surgical Pain
To fully grasp the impact of scar tissue, it’s important to understand the role of visceral fascia. Visceral fascia is a connective tissue that surrounds and supports internal organs. It allows for mobility between organs, preventing them from pressing against each other uncomfortably.
However, after a hysterectomy, scar tissue can compromise this natural movement. When scar tissue forms around or between organs, it can cause them to adhere to each other, reducing their flexibility. This restriction can lead to symptoms such as:
- Bladder discomfort
- Increased urinary frequency or retention
- Rectal pain or tailbone discomfort
- Pain during or after intercourse
- Pelvic and lower abdominal pain
How Scar Tissue Contributes to Muscle Tension and Pain
Scar tissue does not only affect internal organs—it also impacts surrounding muscles. The pelvic floor muscles, which provide support to the bladder, uterus, and rectum, can become tight and restricted due to scar tissue formation. This can lead to symptoms such as:
- Hip pain
- Low back pain
- Pelvic floor dysfunction
- Muscle spasms
The pelvic floor consists of 14 muscles that work together to maintain stability in the lower body. When scar tissue pulls on these muscles, they can become tense and spastic, making movement painful. This tension can extend beyond the pelvic floor, affecting the abdominal, hip, and lower back muscles, further contributing to discomfort.
The Connection Between Surgery and Muscle Tension
A hysterectomy is a major surgical procedure, and surgery itself is a form of trauma. Even when performed with precision, the body responds to surgery by entering a protective state, which can lead to increased muscle tension. This tension can develop subconsciously, further exacerbating post-operative pain and discomfort.
Muscles that commonly become affected after a hysterectomy include:
- Pelvic floor muscles: Directly impacted by scar tissue and surgical trauma
- Lower back muscles: Often tighten due to postural changes after surgery
- Hip muscles (including psoas and iliacus): Can become stiff due to compensatory movement patterns
Addressing Scar Tissue and Muscle Tension
Many patients are not informed about the importance of post-surgical rehabilitation, particularly in addressing scar tissue and muscle tension. While some physical therapy programs focus on strengthening, this approach may not be effective if scar tissue and muscle restrictions are not addressed first.
Treatment Approaches
- Manual Therapy: Hands-on techniques such as myofascial release can help break down scar tissue and restore mobility.
- Pelvic Floor Therapy: Targeted exercises and stretches can help alleviate tension and improve function.
- Scar Tissue Mobilization: Gentle techniques to soften and release adhesions can prevent further complications.
- Posture and Movement Correction: Addressing postural imbalances can reduce strain on the affected muscles.
- Breathing Exercises: Proper diaphragmatic breathing can help relax the pelvic floor and surrounding muscles.
Online Rehabilitation Programs
For those who do not have access to specialized physical therapy, online programs tailored to post-hysterectomy recovery can be beneficial. These programs focus on:
- Reducing tension and scar tissue formation
- Improving pelvic floor and core function
- Alleviating pain and discomfort through guided exercises
Hysterectomy Side Effects – Final Thoughts
A hysterectomy is a life-changing procedure that can have long-term effects on the body. While recovery may initially seem smooth, the gradual development of scar tissue and muscle tension can lead to unexpected pain and discomfort. Understanding how scar tissue forms and its impact on the body is key to addressing these issues effectively. With the right treatment approach, including manual therapy, pelvic floor exercises, and scar tissue mobilization, many patients can find relief and regain mobility. If you’re experiencing pain after a hysterectomy, seeking specialized care or an appropriate rehabilitation program can make a significant difference in your recovery journey.
Also Read: Why Your Gym Workouts Are Causing Pelvic Pain?
I’m Hina Sheth. I have been treating complex orthopedics, sports and pelvic floor physical problems for over 25 years with amazing results. Now I want to bring my knowledge to the global community so I can spread my knowledge to you.
Our bodies are complex systems of 600 muscles and organs intertwined in a fascial system that all work together. Imbalances in this system such as trigger points, visceral and myofascial restrictions can lead to joint, pelvic, and organ issues.
Factors like nutrition, exercise, sleep, and stress play a crucial role. Unfortunately, our current healthcare model does not look at our bodies as a whole and oftentimes compartmentalize musculoskeletal injuries and dysfunctions.
At Rebalance, our goal is to holistically treat this complex system to restore harmony in the body. By addressing these imbalances, we help clients improve their overall health and well-being. Our vision is to empower individuals to create a healthier lifestyle for themselves.
