C-Section Scar Massage: Why It Matters and How to Do It
C-sections are a significant part of many pregnancy journeys, yet many women are left with little guidance on how to care for their bodies after surgery. Often, movement restrictions are given for six weeks, but beyond that, recovery support is minimal. Many women experience discomfort in their incision and surrounding areas even months or years postpartum.
Understanding C-Section Incisions and Healing
A C-section incision is typically a horizontal cut along the bikini line, though this may vary depending on the doctor and circumstances. Several layers of tissue—including the skin, abdominal muscles, and uterus—are cut to deliver the baby and placenta. These layers are then sutured back together, meaning multiple tissues need to heal postpartum, not just the skin.
As the body repairs itself, scar tissue is formed in a disorganized matrix, much like a pile of pick-up sticks. Without intervention, this scar tissue can create adhesions, leading to restricted mobility and discomfort. The goal of scar massage is to improve tissue alignment, prevent adhesions, and enhance overall healing.
Benefits of C-Section Scar Massage
Scar massage can be beneficial for:
Increasing localized blood flow
Relieving pain and tightness
Reducing numbness
Improving tissue mobility and flexibility
Some women may experience increased sensitivity or nerve-like sensations around the scar. Massage helps desensitize the area and promotes better tissue adaptation to different pressures.
When to Start C-Section Scar Massage
Scar massage should only be performed once the incision is fully healed, typically around six weeks postpartum. The scar should appear pink with no scabbing or gaps. If any part of the incision starts to reopen, massage should be stopped until it is completely healed.
How to Perform C-Section Scar Massage
Step 1: Prepare the Scar
Apply vitamin E oil, coconut oil, massage cream, or moisturizer to reduce friction.
Alternatively, try massaging without oil to allow for better grip and tissue movement. This may be applied a little further out postpartum as it can be more intense.
Step 2: Massage Techniques
Use different motions to promote scar mobility:
Up and down movements
Side-to-side motions
Circular motions (clockwise and counterclockwise)
Working at various angles and depths
Pay special attention to areas with puckering, as these may have deeper adhesions. Focus more on these areas to improve tissue mobility.
Step 3: Skin-Rolling Technique
Gently lift the skin between the thumb and fingers and roll along the incision.
This technique helps separate restrictive fascial layers.
It may feel uncomfortable at first but is highly effective in reducing adhesions.
Step 4: Cupping Therapy (12 Weeks Postpartum & Beyond)
Around 12 weeks postpartum, cupping can be introduced to lift the tissues and help treat a C-section shelf.
Cupping enhances circulation and further improves scar mobility.
How Often to Perform Scar Massage
Try to incorporate scar massage for 5-10 minutes per day. Many women find it helpful to do after a shower, before bed, or before a workout—choose a time that works best for you.
Final Thoughts
If you're unsure about performing scar massage or experience persistent discomfort, a pelvic floor physical therapist can provide guidance. Massage is not only beneficial for physical healing but also helps restore connection to this part of the body after birth. Incorporating this practice can significantly reduce long-term pain and improve overall recovery.
I offer a C-section Scar Mini Course with videos on how to perform the above techniques. Check it out here!
