How Your C-Section Scar Is Causing Your Pain
A Caesarean section (C-section) doesn’t just affect the skin. It cuts through fascia, muscle, and the uterus. As these tissues heal, they often form adhesions - tight bands of scar tissue that restrict muscle movement and irritate nerves. Even when the scar looks healed, deep internal scarring can quietly cause pain long after the C-section.
We found a study titled, ‘Comparison of Incidence of Low Back Pain in Women with Normal Vaginal Delivery and Caesarean Section.’ The researchers found that 77% of women developed back pain after delivery, and over 90% had moderate to severe pain. Since C-sections greatly increase internal scarring and adhesions, they are now recognised as a major contributor to long-term post-birth pain.
Another research paper titled, ‘Abdominal adhesions in gynaecologic surgery after caesarean section: a longitudinal population-based register study.’ It showed that 37% of women with a previous C-section develop adhesions, compared with only 10% after vaginal birth. The chances increase with repeat surgeries: 37% after one C-section, 42% after two, and nearly 60% after three or more.
These adhesions can pull on pelvic tissues, leading to lower back pain, pelvic pain, hip pain, and a tight or pulling sensation across the scar.
The good news? This pain is treatable.
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