Why C-Section Scars Can Hurt Years Later and What to Do About It
It’s been years since your C-section. You’ve healed, your scar has faded, and you don’t even think about it much anymore. Then suddenly—out of nowhere—it hurts. Maybe it’s tender when you cough, or there’s a dull ache when you move. If this sounds familiar, you’re not alone. It’s been two years since my last c-section and I never have pain in my c-section scar because I do regular scar massage, core rehab, and mobility exercises. But I have a pretty bad cold, and my scar is suddenly extremely painful. C-section scars can occasionally cause discomfort years after surgery, and understanding why this happens can empower you to care for your body long-term.
Why Can a C-Section Scar Hurt Years Later
It might feel surprising—or even frustrating—to experience pain in a scar that’s long since healed. However, this can happen for several reasons, especially when your body is stressed from a cold.
1. Scar Tissue Sensitivity
Even a well-healed scar is made of scar tissue, which is denser and less elastic than your natural skin. When your body is dealing with additional stressors, such as illness or physical strain, the tissues around your scar may become more sensitive. Increased inflammation, tension, or fluid retention during times of stress can make the scar tissue feel tender or tight.
2. Nerve Irritation
C-section scars involve cutting through several layers of tissue, including nerves. While most nerves heal over time, they can remain sensitive or prone to irritation. Activities like coughing, sneezing, or certain movements can create pressure or stretch the scar area, leading to discomfort. Think of it as your body’s way of reminding you that the area was once injured—even if it’s fully healed.
3. Muscle Tension
The core muscles and pelvic floor are closely connected and work together to stabilize your body. These muscles tighten and contract repeatedly when you’re coughing, sneezing, or straining due to illness. This tension can pull on your scar, leading to pain or discomfort. Over time, regular mobility work and core rehab can help, but during periods of extra strain, it’s not uncommon for your scar to act up.
4. (Rare but Possible) Infection
Developing an infection years after surgery is uncommon, but it’s not impossible. If your scar pain is accompanied by redness, warmth, swelling, discharge, or a fever, these could be signs of an infection. Always reach out to your doctor if you suspect something isn’t right—better safe than sorry.
How to Manage C-Section Scar Pain
Experiencing scar pain years later doesn’t necessarily mean something is wrong. However, it’s a sign that your body needs some extra attention. Here’s how you can manage the discomfort and support your healing.
1. Gentle Self-Care
Start with the basics: comfort and care. A warm compress to the scar area can help relax tight tissues and reduce tenderness. Avoid heavy lifting or straining until the pain subsides, and give your body the rest it needs to recover.
2. Massage and Mobility Work
Regular scar massage and mobility exercises are essential to keep scar tissue flexible and reduce sensitivity. If you’re experiencing pain, gentle massage can help release tension, while mobility exercises can improve circulation and restore movement.
Here are a few scar mobility exercises you can try:
A. Gentle Scar Massage
Place two fingers on your scar and use light circular motions to massage the area.
Gradually move the skin side-to-side and up and down, being mindful of any tenderness.
If it feels comfortable, spend about 1–2 minutes on this.
B. Seated Side Stretch
Sit on a chair or the floor and raise one arm overhead.
Slowly bend to the opposite side, feeling a gentle stretch along your waist and core.
Hold for 10–15 seconds and repeat on the other side.
C. Cat-Cow Stretch
Start on your hands and knees.
Inhale as you arch your back (Cow), letting your belly drop and your head lift.
Exhale as you round your back (Cat), drawing your belly button toward your spine.
Repeat 8–10 times, focusing on smooth, controlled movement.
D. Pelvic Tilts
Lie on your back with your knees bent and feet flat on the floor.
Gently tilt your pelvis backward so your lower back presses into the floor.
Return to a neutral position and repeat 10–12 times.
These exercises can help reduce tension, improve mobility, and enhance circulation around your scar.
3. Wear Comfortable Clothing
Tight or restrictive clothing can irritate the scar area, especially when the area is already tender. Opt for loose, soft fabrics that won’t press on your scar, and avoid anything with seams or elastic that hits directly on the incision site.
4. Stay Hydrated and Eat Anti-Inflammatory Foods
Supporting your body from the inside out can also make a difference. Staying hydrated helps keep tissues supple, while anti-inflammatory foods like leafy greens, berries, salmon, and turmeric can reduce overall inflammation.
When to Call Your Doctor
While occasional scar discomfort is normal, certain signs warrant a call to your doctor. Reach out if you experience any of the following:
Persistent or severe pain that doesn’t improve with rest or gentle care.
Redness, swelling, or warmth around the scar area.
Discharge from the scar.
Fever or flu-like symptoms accompany the pain.
Difficulty moving or performing daily activities due to the pain.
Trust your instincts—if something feels off or you’re unsure, it’s always better to err on the side of caution and seek professional advice.
How to Prevent Scar Pain Long-Term
Even if you’re not currently experiencing scar pain, proactive care can make a big difference in how your body feels over time. Here are some tips for maintaining scar health and mobility:
1. Make Scar Massage a Habit
Incorporate scar massage into your weekly routine, even if you’re not experiencing pain. Regular massage helps keep the tissue flexible and can prevent adhesions from forming.
2. Focus on Core and Pelvic Floor Rehab
Strengthening your core and pelvic floor muscles supports your entire body and reduces strain on your scar. If you’re unsure where to start, work with a professional.
3. Practice Good Posture
Poor posture can increase tension in your core and pull on your scar. Be mindful of how you’re sitting, standing, and carrying your baby, and consider incorporating posture-focused exercises like wall angels or seated rows.
4. Stay Active
Movement is medicine. A gentle, consistent activity like walking, yoga, or Pilates can improve circulation, reduce stiffness, and support overall mobility.
Your c-section scar is part of your story—a testament to your body's strength and resilience. While occasional discomfort may occur, it’s often a reminder that your body is asking for attention, not a sign of something wrong. By practicing self-care, staying proactive, and listening to your body, you can manage scar pain and support your recovery for years.
If you’re struggling with scar pain or want to learn more about core rehab, let’s talk! Book a private or group coaching session with me, and together, we’ll create a plan to help you feel strong, confident, and connected to your body again.
