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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain At The Incision Site After C-section Delivery?

Hey.i had a c-section 4 weeks ago.i get sharp sticking cramps in my incision getting strong.but it feels more on the inside.and also pulling sensation on the edges of the incision outside. I am unable to feel my bladder when it gets full i just get n pulling sensation in the middle of the incision straight down the virgina. Alot of bubble sounds and popping at the abdormen side and abdormen is still saw and feels very burny.is this normal.my gp says it can be the uterus that is stuck to the intestine and with the shrinking of the uterus there can still be pain.i dont know what to think thou.it just feels like im healing veru slow and this sindden cramps inside the incision worries me.
Wed, 6 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

Firstly congratulations on becoming a mother. Secondly, sorry to hear about the symptoms you are facing.

These symptoms are common in most of the C-section surgery as there is a horizontal incision made at the lower abdomen region which will almost cut the major muscles of the abdomen and some deep muscles of the pelvic floor.

Due to the cut and suture later on, there is a change in the bio-mechanics of the muscles and the pain is common due to the weakness.

Usually, the team of the gynecologist consists of the physiotherapist too who has to work over the muscles of the abdomen and pelvic floor post surgery to help provide strength in the muscles.

During pregnancy, there is abdominal muscles stretch and lengthening of it and after the surgery there is a total weakness.

A need to have some physiotherapy post surgery is advised so there is no trouble to the internal organs like the uterus and the bladder.

Most cases responds well to the exercise and have a good strength in the muscles to avoid such symptoms.

I will advise you to meet up the physiotherapist who can help you make the abdominal and pelvic floor muscles stronger so the unusual cramps and pain can be avoided.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Causes Pain At The Incision Site After C-section Delivery?

Hello, Firstly congratulations on becoming a mother. Secondly, sorry to hear about the symptoms you are facing. These symptoms are common in most of the C-section surgery as there is a horizontal incision made at the lower abdomen region which will almost cut the major muscles of the abdomen and some deep muscles of the pelvic floor. Due to the cut and suture later on, there is a change in the bio-mechanics of the muscles and the pain is common due to the weakness. Usually, the team of the gynecologist consists of the physiotherapist too who has to work over the muscles of the abdomen and pelvic floor post surgery to help provide strength in the muscles. During pregnancy, there is abdominal muscles stretch and lengthening of it and after the surgery there is a total weakness. A need to have some physiotherapy post surgery is advised so there is no trouble to the internal organs like the uterus and the bladder. Most cases responds well to the exercise and have a good strength in the muscles to avoid such symptoms. I will advise you to meet up the physiotherapist who can help you make the abdominal and pelvic floor muscles stronger so the unusual cramps and pain can be avoided. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist