Pelvic Pain: The Role of Scar Tissue

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Scar tissue is a common contributing factor to pelvic pain. The good news is: it’s an issue that’s highly treatable with PT.

In this blog, I plan to give you the rundown of how scar tissue can impair the pelvic floor as well as how PT and self-treatment can successfully treat these impairments.

Before we get into what scar tissue does, let’s take a look at what it is. Scar tissue is fibrous tissue that replaces normal tissue after an injury. It’s made of the same stuff as the tissue it replaces—collagen. However, the quality of the collagen is inferior to the tissue it replaces. Plus, the tissue is usually not as elastic as the original tissue. This is especially the case with a keloid scar, one type of scar that is extremely restricted and raised.

It’s important to bear in mind that the scar that you can see is actually only the tip of the iceberg as most scars extend deeper into the body than the bit of scar that is outwardly visible.

Scarring that affects the pelvic floor can happen as a result of any trauma to the area, including a C-section, perineum tear or episiotomy during childbirth as well as a prostatectomy, a hysterectomy, a vasectomy, bowel surgery, endometriosis surgery, bartholin’s abscess removal, or physical injury.

And there are three major ways that scarring within or adjacent to the pelvic floor can cause problems:

First...

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