There is quite a lot of inflammation after any surgery. With a hysterectomy, the fascia which attaches from the front of the pelvis to the back of the pelvis is severely disrupted. There are blood vessels that need to be detached all along the edge of the uterus and they are found within the fascia. While the surgery is occurring, the fluid between the layers of fascia is exposed to air. The air causes the fluid to thicken and adhesions to form. The inflammation that is present after the surgery causes the fluid to stay in a thickened state and more adhesions are formed.
The adhesions form quickly after surgery and they restrict movement quite a lot. They can be worked on as soon as the surface scar has healed. The scar tissue continues to form over the next few weeks so you need to have regular treatment to keep it free from binding down all the tissue that has been disturbed by the surgery.
You can start to assist with the inflammation that started with the surgery by doing fluid dynamic treatments. After one month post op, you can start to have specific treatment to work on the adhesions from the surgery.
The adhesions cause a binding of the fascial layers. They can restrict motion and can cause pain.
When the inflammation is reduced and the scar tissue has been freed up, there is improved movement and less pain. You can start doing exercises to help improve the strength of the pelvic floor, lower abdominals, lower back and leg muscles.
You can reach Janice Webber, PT, and Tai Chi Instructor at 469-3214. She works at Janice Webber Physiotherapy Services in Dartmouth. She treats women and men with urinary incontinence, pelvic pain, and post op recovery including chronic pain.