C-Section Recovery in Los Angeles: Why Pelvic Therapy Matters

Apr 1

C-sections are major surgeries, yet many new parents receive little guidance beyond “Don’t lift anything heavy.” At The Pelvic Model, we believe C-section recovery deserves the same prehab and rehab as any other surgery—just like knee or hip procedures.

In Highland Park, Los Angeles, we see many new parents looking for structured, individualized care before and after their C-section. If you're experiencing pain, numbness, tightness, or core weakness, pelvic physical therapy can be a game-changer for your recovery.

How a C-Section Affects Your Core and Pelvic Floor

Your core system includes the diaphragm, abdominal muscles, back muscles (multifidi), and pelvic floor—all of which work together for stability and movement. A C-section disrupts this system by cutting through multiple layers of tissue.

Layers Involved in a C-Section Surgery

1️⃣ Skin – The first incision is made in the lower abdomen, usually a bikini-line incision.
2️⃣ Subcutaneous Fat – This layer is gently separated to access deeper structures.
3️⃣ Fascia (Rectus Sheath) – A strong connective tissue layer that supports abdominal muscles.
4️⃣ Rectus Abdominis Muscles – These muscles aren’t cut but are pulled apart to access the uterus.
5️⃣ Peritoneum – A thin membrane lining the abdominal cavity.
6️⃣ Uterus (Myometrium) – A horizontal incision is typically made for better healing.
7️⃣ Amniotic Sac – The last layer before the baby is delivered.

Once the baby is born, these layers are stitched back together, and some may heal naturally while others may need more help to recover. This process affects core function and mobility, which is why C-section recovery requires more than just rest.

Why Does C-Section Rehab Matter?

Even though a C-section bypasses the vaginal canal, it still affects the pelvic floor and core:

✅ Scar Tissue & Tightness – Adhesions from the incision can cause pain, pulling, or restricted movement in the abdomen, pelvis, hips, and lower back.
✅ Weakened Core Connection – Surgery disrupts deep core muscles, including the transverse abdominis, making it harder to regain stability.
✅ Pelvic Floor Dysfunction – Pregnancy alone stresses the pelvic floor, and postpartum issues like leakage, pressure, or discomfort can still occur after a C-section.

Without rehab, these issues can linger for months or even years—but pelvic PT can help speed up and optimize healing.

What to Expect from C-Section Pelvic Floor Rehab

At The Pelvic Model, we take a full-body approach to C-section recovery. Here's what rehab typically includes:

1️⃣ Scar Tissue Mobilization

Gently mobilizing the C-section scar and surrounding areas to reduce tightness and improve circulation.
Helping reduce numbness, sensitivity, or discomfort around the incision area. If the patient is experiencing numbness and discomfort on the incision site, we will also incorporate techniques to make it feel normal again.
Improving abdominal mobility and posture by releasing tension caused by scar tissue.

2️⃣ Restoring Core Strength & Stability

Rebuilding deep core strength using breathwork, abdominal activation, and pelvic floor coordination.
Addressing diastasis recti (abdominal separation) if present.
Improving posture and alignment to prevent long-term issues.
Given the above, we are looking further than just the core. We individualize each program to the individual based on their goals.

3️⃣ Pelvic Floor Rehab

Assessing pelvic floor function to determine if muscles are long and weak or clenching tightly. We assess each patient accordingly in order to optimize their treatment plan.
Helping with bladder control, bowel health, back pain, pain with intercourse or pelvic pressure (& more) if needed. These all tie into each other, so a proper program will help further recovery.
Supporting overall core-pelvic floor coordination for better stability and movement.

4️⃣ Full-Body Movement & Functional Strength

Teaching you how to safely return to lifting, running, or exercising without discomfort.
Addressing postural imbalances to prevent aches and pains.
Building strength and endurance so you feel confident in your movement postpartum.

Recover Stronger with Pelvic PT

Recovering from a C-section is not just about resting—it’s about rebuilding. Whether you're weeks or years postpartum, it’s never too late to improve your core function and relieve discomfort.

At The Pelvic Model, we specialize in C-section and postpartum rehab, helping new parents in Highland Park, Los Angeles and Surrounding Areas (Pasadena, Glendale, and Northeast Los Angeles) feel stronger and more supported in their recovery.

💬 Want to learn more? Schedule a consultation with us today!

Rachel Daof