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The journal Pelvic Health

The Hidden Consequences of Abdominal Surgeries

By Dr. Allison Feldt, PT, DPT 3 min read

If you’ve undergone a C-section, appendectomy, hysterectomy, laparoscopy, gallbladder removal, or any abdominal surgery, there’s a critical fact to know: scar tissue is unavoidable. Without proactive steps to break it down and restore function, this scar tissue can lead to significant problems down the road.

Scar tissue isn’t just skin-deep—it can disrupt organ function, restrict movement, and trigger pain that radiates throughout your body, creating a cascade of issues that affect your daily life.

What Scar Tissue Really Does
Scar tissue forms as your body heals from surgery, creating adhesions—dense, fibrous bands that stiffen and stick together. Unlike healthy tissue, these adhesions can cause:

  • Low back and hip pain
  • Scoliosis from childhood surgeries like appendectomy
  • Painful periods or ovulation
  • Constipation, bloating, and digestive issues
  • Infertility and chronic pelvic pain
  • Incontinence and painful intercourse

Why Movement Matters Post-Surgery
Your abdomen is a dynamic network of organs, fascia, and muscles. Scar tissue can disrupt this system, impairing:

  • Peristalsis: The muscle contractions that move food and waste through your digestive tract.
  • Uterine function: Limiting contractions needed for menstruation or conception.
  • Hormonal signaling: Particularly during ovulation, where scar tissue (e.g., from an appendectomy) may cause severe pain or prevent ovulation entirely.

Scar tissue’s impact extends to your pelvic floor, creating a ripple effect of dysfunction.

The Scar Tissue-Pelvic Floor Link
Your abdominal fascia acts like a connected bodysuit. Surgery disrupts this, and the resulting scar tissue pulls on your pelvic floor, leading to:

  • Urinary urgency or leakage
  • Pain during intercourse, especially with deep penetration
  • Low libido or difficulty climaxing
  • Chronic SI joint or hip pain
  • A sensation of “hitting something” during intimacy
  • Weak core activation

Why “Strengthening Your Core” Isn’t Enough
Scar tissue restricts movement, making traditional core exercises ineffective. You can’t strengthen what can’t move freely. True core strength begins with restoring mobility—prioritizing range of motion before strength.

Once your pelvic floor and abdominal fascia are mobile, your core will naturally engage during daily activities like lifting, walking, or standing, building strength without endless crunches.

Hands-On Healing for Lasting Results
At Body Motion Physical Therapy, we use visceral manipulation and pelvic floor physical therapy—specialized hands-on techniques to restore mobility to your organs and fascia. These methods:

  • Enhance organ movement
  • Improve digestion and relieve constipation
  • Reduce bloating and menstrual pain
  • Boost fertility
  • Alleviate pelvic and low back pain

Advanced Therapies We Use
We pair manual therapy with regenerative treatments to break down scar tissue and promote healing:

  • Red Light Therapy: Reduces inflammation and supports tissue repair.
  • EPAT Shockwave Therapy: Uses sound waves to dissolve adhesions.
  • ENTT (Electromagnetic Pulse Therapy): Enhances cellular health, reduces inflammation, and supports organ function.

Together, these therapies and expert pelvic floor care restore your body’s natural function and resilience.

A Personal Note
This issue is personal to me, especially after learning about a woman who visited the ER for severe abdominal pain. Her teenage appendectomy likely left scar tissue affecting her ovary, pelvis, and core—undiagnosed and untreated.

If you’ve had any abdominal surgery, no matter how long ago, scar tissue could be silently impacting your health and quality of life.

Act Now to Reclaim Your Health
Scar tissue becomes more restrictive over time, contributing to poor posture, limited mobility, and risks like incontinence or chronic pain as you age. Don’t wait for symptoms to worsen.

Share this with a friend who’s had abdominal surgery. This is your reminder to prioritize your healing.

You deserve to feel strong, mobile, and pain-free—no more suffering in silence.

Ready to Heal?
Visit Body Motion Physical Therapy in Edmonds or Poulsbo, WA, to start your journey to pain-free movement. Your core can be strong, your pelvic floor can be healthy, and your body can fully recover.

Follow @bodymotionpt for more insights or [book a consultation today] to get started.

Dr. Allison Feldt, PT, DPT, founder of Body Motion Physical Therapy

About the author

Dr. Allison Feldt, PT, DPT

Allison is a pelvic floor physical therapist and the founder of Body Motion PT in Edmonds. A mom who knows the aftermath of pregnancy and birth firsthand, she's on a mission to help women restore their core and pelvic floor at every stage of life.

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