Скачать или смотреть Perineal Scar Pain: Massage or Surgery? Expert Guide to Comfort & Healing After Birth!

Perineal Scar Pain: Massage or Surgery? Expert Guide to Comfort & Healing After Birth!
Detailed Long Description
Dealing with discomfort, pain, or a "pulling" sensation from an episiotomy or tear scar? 🤔 Perineal scarring from vaginal birth can leave lasting effects, causing issues when sitting, walking, exercising, or having sex. Many women feel embarrassed or grieve lost sensation, and it is absolutely not "just cosmetic".
This video explores evidence-based solutions for managing painful or restrictive perineal scar tissue, guided by expert insights from The Women's Health Clinic.
🔗 https://thewomenshealth.clinic/faq/ca...
Perineal Scar Massage vs. Surgical Revision ⚕️
Perineal scar massage and surgical revision can both significantly improve comfort, function, and sensation.
1. Perineal Scar Massage 💆‍♀️
Massage is a therapeutic technique involving gently stretching and mobilizing the scar tissue, both internally and externally. It is usually the first-line treatment for recent, mild scarring.
How it helps:
Softens and Stretches: Massage helps soften, stretch, and desensitize scar tissue, especially when started early (ideally 6–8 weeks postpartum, once initial healing is complete).
Breaks down Adhesions: It helps separate scar tissue layers that may “stick” to underlying muscle or fascia, restoring natural glide.
Improves Elasticity: Regular stretching encourages collagen fibers to realign in a more flexible pattern.
Desensitizes Nerves: Controlled touch can retrain hypersensitive nerve pathways, reducing pain.
A specialist pelvic health physiotherapist typically teaches the correct techniques, such as Skin Rolling (pinching the scar to separate the skin from muscle) and Thiele Massage (internal pressure to stretch deep muscle fibers).
Important Clinical Note: If you are breastfeeding, low estrogen levels may make the scar rigid; Topical Estrogen Cream applied directly to the scar can soften it significantly. Additionally, do NOT massage if you see Granulation Tissue (raw, red spots that bleed easily), which requires treatment with Silver Nitrate.
2. Perineal Scar Revision (Perineoplasty) 🔪
Revision surgery (also called Fenton's Procedure or perineoplasty) is a minor surgical procedure used to remove, reshape, or release problematic scar tissue. This procedure is functional, addressing pain, restricted movement, and sexual dysfunction.
When is Surgery Considered? Revision may be recommended when:
Conservative approaches (physiotherapy, massage) have not provided sufficient relief after several months.
The scar is bulky, raised, or causes deep tethering.
The scar causes painful intercourse (superficial dyspareunia) that prevents intimacy.
There is vaginal narrowing or distortion.
There is a structural "step" deformity or a Neuroma (trapped nerve causing electric shock pain).
The surgeon excises the old scar, releases tight bands, and closes the area in anatomical layers. Recovery typically takes 4–6 weeks. The right approach should be guided by a clinical assessment of the scar's texture, mobility, and tenderness.
Around 85% of women experience perineal trauma during vaginal birth, and approximately 10–20% develop chronic scar-related symptoms. Specialist care, including physiotherapy and specialist gynaecological services, is emphasized by current best practice.
💬 https://wa.me/447700142989
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Keywords: Perineal scar massage, Perineal scar revision, Episiotomy healing, Childbirth tear recovery, Dyspareunia, Painful sex, Perineoplasty, Fenton's Procedure, Pelvic health, Postpartum recovery, Scar tissue, Granulation tissue, Women's health, Vaginal atrophy, Dr Farzana Khan
#Hashtags: #PerinealScar #PostpartumRecovery #WomensHealth #Episiotomy #ChildbirthRecovery #Dyspareunia #PerinealMassage #PerinealRevision #PelvicFloor #DrFarzanaKhan #VaginalHealth