Old c section scar pain pregnancy

Post-Cesarean Wound Infection: How Did This Happen?

A post-cesarean wound infection is an infection that occurs after a C-section, which is also referred to as an abdominal or cesarean delivery. It’s usually due to a bacterial infection in the surgical incision site.

Common signs include fever (100.5ºF to 103ºF, or 38ºC to 39.4ºC), wound sensitivity, redness and swelling at the site, and lower abdominal pain. It’s important to get treated promptly to prevent complications from the infection.

Some women are more likely than others to get a post-cesarean wound infection. Risk factors can include:

  • Obesity
  • Diabetes or an immunosuppressive disorder (like HIV)
  • Chorioamnionitis (infection of the amniotic fluid and fetal membrane) during labor
  • Taking long-term steroids (by mouth or intravenously)
  • Poor prenatal care (few visits to a doctor)
  • Previous cesarean deliveries
  • Lack of cautionary antibiotics or pre-incision antimicrobial care
  • A long labor or surgery
  • Excessive blood loss during labor, delivery, or surgery

According to a 2012 study published in the South African Medical Journal, women who receive nylon sutures after a cesarean delivery are also more likely to develop an infection. Staple sutures can also be problematic. Sutures made from polyglycolide (PGA) are preferable because they are both absorbable and biodegradable.

If you’ve had a cesarean delivery, it’s important to monitor the appearance of your wound and follow your doctor’s postoperative instructions closely. If you’re unable to see the wound, have a loved one check the wound every other day to watch for warning signs of a wound infection. Having a cesarean delivery can also put you at risk for other problems, such as blood clots.

Call your doctor for advice or seek medical care if you have any of these symptoms after your release from the hospital:

  • Severe abdominal pain
  • Redness at the incision site
  • Swelling of the incision site
  • Pus discharge from the incision site
  • Pain at the incision site that doesn’t go away or gets worse
  • Fever higher than 100.4ºF (38ºC)
  • Painful urination
  • Foul-smelling vaginal discharge
  • Bleeding that soaks a feminine pad within an hour
  • Bleeding that contains large clots
  • Leg pain or swelling

Some post-cesarean wound infections are taken care of prior to a patient being discharged from the hospital. However, many infections don’t appear until after you leave the hospital. In fact, many post-cesarean wound infections usually appear within the first couple of weeks after delivery. For this reason, most of these infections are diagnosed at follow-up visits.

Wound infections are diagnosed by:

  • Wound appearance
  • Healing progress
  • Presence of common infection symptoms
  • Presence of certain bacteria

Your doctor may have to open the wound to make a diagnosis and provide you with proper treatment. If pus is draining from the incision, the doctor may use a needle to remove pus from the wound. The fluid may be sent to a lab to identify any bacteria that are present.

A post-cesarean wound infection is categorized as either wound cellulitis or a wound (abdominal) abscess. These wound infections may also spread and cause problems with organs, the skin, the blood, and local tissue.


Cellulitis of the wound is typically the result of either staphylococcal or streptococcal bacteria. These strains are part of the normal bacteria found on the skin.

With cellulitis, infected tissue under the skin becomes inflamed. Redness and swelling spread quickly from the surgical incision outward to nearby skin. The infected skin is usually warm and tender to the touch. In general, pus isn’t present in the incision itself.

Wound (abdominal) abscess

A wound (abdominal) abscess is caused by the same bacteria as wound cellulitis and other bacteria. Infection at the site of the surgical incision leads to redness, tenderness, and swelling along the edges of the incision. Pus collects in a tissue cavity caused by the bacterial infection. Most wound abscesses also ooze pus from the incision.

Abscesses can form at the uterine incision, scar tissue, ovaries, and other tissue or nearby organs when an infection is present after surgery.

Some bacteria that cause a wound abscess can also cause endometritis. This is a post-cesarean irritation of the uterine lining that can cause:

Other common infections after a C-section aren’t always present in women who have an incision site infection. These include thrush and urinary tract or bladder infections:

Thrush is caused by the fungus Candida, which is normally present in the human body. This fungus can cause an infection in people taking steroids or antibiotics and in people with weakened immune systems. The fungus can cause a vaginal yeast infection or fragile red and white sores in the mouth. Medication isn’t always needed, but an antifungal drug or mouthwash may help you fight the infection. Eat yogurt and other probiotics to prevent the overgrowth of yeast, especially if you have been on antibiotics.

Urinary tract and bladder infections

Catheters used during your hospital stay can cause urinary tract and bladder infections. These infections are usually the result of E. coli bacteria and are treatable with an antibiotic. They can cause a burning feeling during urination, a frequent need to urinate, and a fever.

If you have wound cellulitis, antibiotics should clear up the infection. Antibiotics specifically target staphylococcal and streptococcal bacteria. In the hospital, wound infections are usually treated with intravenous antibiotics. If you’re being treated as an outpatient, you will be given or prescribed antibiotics to take at home.

Wound abscesses are also treated with antibiotics and require special care. Your doctor will open the incision throughout the infected area, and then drain the pus. After the area is carefully washed, your doctor will prevent pus accumulation by putting an antiseptic with gauze on it. The wound will need to be regularly checked to ensure proper healing.

After several days of antibiotic treatment and irrigation, your doctor will check the incision again. At this point, the wound may be closed again or allowed to heal on its own.

Some surgical site infections are out of your control. If you’ve had a C-section, however, you can take certain steps to reduce the chances of getting an infection. If you’re thinking about an elective C-section, you can take measures to prevent complications.

If you’ve already had this type of surgery, here are some measures you can take:

  • Follow the wound care instructions and postoperative medication directions given by your doctor or nurse. If you have questions, don’t hesitate to call your doctor.
  • If you have been given antibiotics to treat or prevent an infection, don’t skip doses or stop using them until you have finished the entire course of treatment.
  • Clean your wound and change the wound dressings regularly.
  • Don’t wear tight clothing or apply body lotions over the wound.
  • Ask for advice on holding and feeding the baby to avoid uncomfortable pressure on your wound, particularly if you plan to breastfeed.
  • Try to avoid allowing skin folds to cover and touch the incision area.
  • Take your temperature with an oral thermometer if you feel feverish. Seek medical care or call your doctor if you experience a fever over 100ºF (37.7ºC).
  • Seek medical care for incision sites that contain pus, swell, become more painful, or show redness on the skin that spreads from the incision site.

Women with vaginal deliveries are less likely to get postpartum infections. In some cases, however, vaginal birth after C-section (VBAC) is dangerous because of other risks to the mother and baby. Discuss your personal risk factors with your doctor.

If you haven’t had a C-section, here are some steps you can take:

  • Maintain a healthy weight. If you aren’t yet pregnant, exercise and follow a healthy diet to avoid pregnancy with an obese body mass index (BMI).
  • Opt for a vaginal, spontaneous labor and delivery if possible. Women with vaginal deliveries are less likely to get postpartum infections. (This is the case even in women who’ve had a C-section, but VBAC is dangerous in some cases. It should be discussed with a doctor.)
  • Treat preexisting conditions that cause your immune system to be compromised. If you have an infection or illness, try to have it treated before pregnancy or before your due date if it’s safe for you and the baby to do so.

You should also opt for the safest method of wound closure. If your doctor plans to use staples, ask if an alternate method is available (such as PGA sutures). Ask for pre-incision antibiotics and thorough wound care instructions from those treating you at the hospital. Also, ask to be checked for signs of infection before you go home from the hospital.

In some cases, a wound infection can cause serious complications. Examples include:

  • Necrotizing fasciitis, which is a bacterial infection that destroys healthy tissue
  • Ruptured fascia or dehiscence of the wound, which is an opening of the skin and tissue layers that were sutured after the surgery
  • Evisceration, which is an opening of the wound with the bowel coming through the incision

If you develop any of these problems, they’ll need surgical repair. This can also result in a much longer recovery time. In rare cases, complications may be fatal.

If you’re treated early, you can recover from a post-cesarean infection with few long-term consequences. According to the Mayo Clinic, normal incision healing takes four to six weeks. However, if a wound infection is detected before you’re discharged from the hospital, your hospital stay could be at least a few days longer. (This will also increase your hospitalization costs.)

If you’ve already been sent home by the time your post-cesarean wound infection occurs, you may need to be readmitted to receive intravenous drugs or further surgery. Some of these infections can be treated on an outpatient basis with extra doctor visits and antibiotics.

I wear my C Section Scar like a Badge of Honor

My journey to motherhood began like most of you. I looked down at a pregnancy kit and saw those two red lines and a positive sign. I could barely believe what I saw.. I sat back down and just stared. My body felt anxious. I kept looking at the pregnancy test kit again and again in excitement. This little tiny test just told me that a baby has begun growing inside me and that was an awesome feeling.

My pregnancy went through very well and nothing out of the ordinary, until I was scanned on a routine check up on the 37 th week. A huge dreadful moment awaited me. I heard the most undesirable word from my gynecologist. She asked me to get admitted to the hospital. I was wheeled in for an emergency C-section as my amniotic fluid index was too low for the baby to move inside and they could not retain the baby anymore inside as it might kill the baby.

I was trembling with fear and speechless. I had never dreamt of such a day. We were left with no option and there was very little time in our hands, my husband prompted and gave me a smile and said “let us handle it”. Now that we have packed the bags and made up our minds, we reached the hospital on the day of the surgery fixed by our doctor.

I was taken to the laboratory to run a few blood tests and scans. My gynecologist came and checked the reports and informed the nurses to prepare me for “the day”. I was given a patient gown and after all the preparations, they took me to the operation theatre.

My heart was literally in my mouth, tears overflowed through my eyes, my hands and legs were shivering and suddenly I felt choked and thirsty, I know for sure that I would not be given water to drink. I saw the monitor beep and blink and I felt as though I’m going to my graveyard and I panicked, I was terrified for my baby’s health condition.

I was transferred to an operating table and met two more doctors I’d never seen before. I was catheterized and held upright for anesthesia to be administered. I could not feel anything below the waist, but could smell the burning flesh as the skin of my belly was cautioned. After forty long minutes, the doctor showed up with a baby boy in her arms. “Is that him? Is he OK ” I asked, so dizzied. He kicked me with his tiny feet in response and that was the moment I was waiting for.!

Childbirth is unpredictable, it was not my choice. I’m proud of what I went through and every mom should be proud of their birth journey. It is all equally amazing and surprisingly powerful. So please stop making the “pity you” face when a woman has a C-section. We need to give each other power, don’t empathize or criticise. We need your support not pity.

To all the women out there who went under the knives, shout out bravely, you are not alone and we don’t need pity but support. Let’s not shame them saying it’s no painful like a normal delivery. Its more dreadful than what you could even imagine. Stop judging and saying you went under the knives without pain. It is essential to understand that it’s really scary and you have a scar for your life that’s precious.

After 6 months, my C-section scar still hurts, and I have numb spots. Is this normal?

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Avoid or heal three major issues of bladder frequency, low back pain and pain with intercourse by massaging your c-section scar. You can also change the way your scar looks by releasing the scar tissue with massage. This video shows you exactly what to do!

Video Link ► THthyCC2Dds

DISCLAIMER: The information in this video are provided for general and educational purposes only and do not constitute any legal, medical or other professional advice on any subject matter. It is always better to see a doctor depending upon the intensity of the case.

My music(ukulele) is licensed under a Creative Commons License:

You are free to use the music in your multimedia project (online videos(youtube. ), websites, animations, etc.) as long as you credit me, For example: “Music: ” or “Royalty Free Music from Bensound”

Watch the video again – THthyCC2Dds

Keywords: C-Section Scar Removal, remove C-Section scars, Removal of C-Section scars, C-Section Scar Treatment, How to Get Rid of C-Section Scar Naturally, c section scar, c section, how to remove a c section scar, after c section, natural remedies, home remedies, post c section recovery

Hi, my name is Kate. I am a woman, a wife and mum of two daughters. I started this channel after watching YouTube for many years and wishing that I had documented our daughters life more. So, here we are with a toddler and a baby and what better time to start this journey and to document our lives to cherish forever.

Video Link ►zpeEEiFZbSg

Numerous studies have shown that women who start walking within a couple hours of a c section or by the next day, heal much faster than those who stay in bed.

The sooner you start exercising, the better your body will heal. However, when I say exercise, I don’t mean full out grabbing the weights and jumping into an intense workout or how soon can you exercise after a c section going for a jog.

The following exercises should be completely avoided for at least three months after your baby is born; longer if you feel it’s necessary. It’s always better to be safe than sorry.

#Crunches & Sit ups

#Full Body Plank Exercises

#Lifting Anything Heavier than Your Baby

Watch other videos:

How to Get Rid of C-Section Scar Naturally?► THthyCC2Dds

DISCLAIMER: The information in this video are provided for general and educational purposes only and do not constitute any legal, medical or other professional advice on any subject matter. It is always better to see a doctor depending upon the intensity of the case.

Music credit: FREE Creative Commons License

My music(ukulele) is licensed under a Creative Commons License:

You are free to use the music in your multimedia project (online videos(youtube. ), websites, animations, etc.) as long as you credit me, For example: “Music: ” or “Royalty Free Music from Bensound”

Dr. Jen Gunter

Wielding the lasso of truth

Persistent pain after a c-section: when is it nerve pain and what can you do?

Surgical scar in patient with iliohypogastric neuropathy

Persistent pelvic and/or abdominal pain post c-section often poses a diagnostic and treatment dilemma, because most OB/GYNs know very little about pain and most pain doctors know very little about the pelvis.

But that’s where I come in, being both board certified in OB/GYN and Pain Medicine.

It is hard to know how many women have persistent pain post c-section, because it hasn’t really been studied. All I can tell you is that I see several women a month with this problem. We do know is that 1-3% of women will have persistent nerve pain post c-section (although this is only one cause of pelvic pain). Today’s post will focus on that one type of pain, which typically means pain from one or all of these three nerves in the belly wall: ilioinguinal nerve, iliohypogastric nerve, or genitofemoral nerve.

This kind of nerve pain does not imply that anything was done incorrectly at the time of surgery. Surgery is injury and unfortunately as surgeons cut tissues we also cut the small nerves in the skin (that is what produces the weird numbness or strange feelings that you have over a scar that came sometimes persist for years, because nerves don’t heal quite as well as other tissues). I had a nephrectomy when I was 11-years-old and my scar is still numb in places and gets odd sensations, especially itching, from time to time (that’s part of my massive scar in the picture, BTW).

With surgery we avoid the important nerves; however, the ilioinguinal, iliohypogastric, and genitofemoral nerves (which allow you to feel sensations on your abdomen) run quite close to the edge of a c-section incision and they can be bruised, crushed, or trapped by scar tissue. The nerve can also be cut, but this is less likely to cause pain and more likely to produce complete numbness. Sometimes when these nerves are cut both numbness and pain can result, a condition called anesthesia dolorosa, which can be very challenging to treat.

How do you know if the pain that is persisting after your c-section is this kind of nerve pain?

Pain from the ilioinguinal, iliohypogastric, and/or genitofemoral nerves is a superficial pain that is typically felt at the edges of the scar. It will almost always be described as a burning pain and sometimes there may be electric shock-like sensations. The area will hurt to light touch, meaning clothes, the waist band of pants/jeans, wearing a seat belt, or just touching the area lightly with your fingers will hurt. If you can push on the area and not reproduce the pain, the ilioinguinal/iliohypogastric/genitofemoral nerves are less likely to be the culprit.

The diagnosis is confirmed with a nerve block, basically injecting an anesthetic (numbing medication, typically lidocaine) around the nerve to cause temporary numbness. If there is both numbness and pain relief, the diagnosis of a peripheral nerve injury is confirmed. If there is numbness but no change in the pain the cause is probably something else. If there is no numbness then the nerve block was done incorrectly and should be repeated or you should see someone who can do it correctly. The doctor should keep you in the office after the nerve block and repeat their exam once the area is numb to A) confirm that they have done the nerve block correctly and B) to see if the nerve block worked.

Once neuropathic (nerve) pain from the ilioinguinal/iliohypogastric/genitofemoral nerves has been confirmed, initial treatment may include all or some of the following:

  • A Lidoderm® patch (topical numbing medication applied to the affected area).
  • A series of nerve blocks using steroid medication. At a cellular level, pain is related to inflammation and steroids are potent anti-inflammatories. Sometimes there is scaring around the nerve, and since steroids cause fatty tissue to shrink a little for some people this extra millimeter or two of space that is freed up after the injection takes the pressure off the nerve and reduces the pain. Most people feel improvement from steroids 5-7 days after the injection.
  • Adjunctive mediations, which work on how the pain is processed at a cellular level. The best and most studied option is a class of drugs called tricyclic antidepressants (TCAs, although they are no prescribed because your doctor thinks you are depressed, they are pretty poor antidepressants). Drugs traditionally used for epilepsy (like gabapentin or topiramate) can also be used. I favor nortriptyline because it has fewer side effects than some of the other TCAs and unlike the epilepsy drugs is only once a day. Nortriptyline is also generic and can be taken if you are breastfeeding. Often these types of medications are not needed long-term. The goal is to get the pain controlled for 4-6 months and then assess whether or not a trial of stopping the medication is indicated and desired.
  • Getting screened for depression. Depression makes pain worse. It’s not the cause of your pain, but it is like pouring fuel on a fire and you can’t put out a fire out with a steady infusion of gasoline.
  • Controlling the pain with ibuprofen or opioids, although in reality opioids are not that great for this kind of nerve pain. The BEST pain relief you can expect from opioids with any kind of chronic pain is about a 30-60% improvement, and in my experience it seems to be less than that for nerve injury related pain.
  • Weight loss if you are overweight. When you are overweight and your belly hangs down a little (I hate to use this term, but if I say muffin-top everyone knows what I mean) it puts traction on the ilioinguinal and iliohypogastric nerves. Some people can even develop nerve pain from the ilioinguinal and iliohypogastric nerves simply due to obesity without any prior surgery in the area.
  • Mind-body work. Stress and anxiety make pain worse. This doesn’t mean the pain is in your head, but rather the chemical changes of stress and anxiety will worsen your pain. Deep belly breathing (like Lamaze) or yoga are just a couple of ways to harness the mind-body connection to improve your pain.

If all else fails (and in my experience this is rare) surgery on the nerve ending to clean up scar tissue or even removing the damaged end of the nerve can be an option. However, this should only be considered when A) the diagnosis is 100% certain (meaning confirmed by nerve blocks), B) the other treatments have been tried and failed and C) there has been an in-depth discussion about the bad things that can happen after this kind of surgery.

There are certainly many other causes of persistent pain after a c-section and I will address those in another post in the next day or two. Remember, this blog does not represent individual medical advice.

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I have these unpleasant sensations (not exactly pain) in the centre section of my abdomen from the navel to the pubis following abdominoplasty in early 2007. Guess it’s never going away. Very interesting to know what possibilities are available if it ever bothers me too much to ignore any more. Thanks for a very interesting blog, which I’ve just discovered.

I am an occupational therapist who has been completing scar release for about 4 years now, with truly miraculous outcomes – without medication, drugs, injections etc. My practice (and group of 30 other clinicians trained across Ontario that I oversee) revolves around treating numerous different types of scars (after mastectomy, burns, “failed surgeries” etc). The technique is essentially painless, non-invasive and inexpensive, involving applying direct current to the scar area to repolarize the underlying scar tissue, and breaking up adhesions in the fascia. You can find more information about it at http://www. etpseducation. com. I’m in Toronto, but Florida is the state with seemingly the most representation in clinicians using this treatment for chronic pain after surgery. I’d be happy to discuss further with you.

Hi Tamra has this technique been used to treat endometriosis by any chance, and is there anyone doing this procedure in Australia?

Hi Tamra …I need ur helo / advise on how I can or wat I can ask my doctor to do to assist me …after twenty years I am now hving a flare up especially worst in The area where the sutre ends..its very painful.. I hv tried a few things some helped for a while but reappear..am very frustrated I need it gone..looking forward to hearng fr you soon …Even. .

I had a left nephrectomy in 1992, but prior to that I had 3 c-sections, and since I have had a gall bladder removed, I am obese and had a gastric bypass, but after I loss 100 pounds, I never lost another pound, and am gaining back. I am in constand pain with my abdomen internally and also my left flank side is always hurting, I feel that as my bowels move, it is pushing against scar tissue, I may be wrong, but it seems the case, if I have a bout with loose bowels, I do not hurt as much in my back, but i cramp up in my stomach. Any suggestions?

Hi, I can truly relate. In 2004 I had my first csection and recent 2011 had my second c-section and have been in pain ever since. I also had the lapband and lost a hundred pounds before having the second baby. I had an iud removed because my gyne couldn’t figure why I was having abdominal cramping, pelivc and cesction pain radiating down my upper thigh making it almost impossible to walk or do my daily activities and it worsens during my cycle time. Prayerfully i’ll see if the pain imporves since I removed the iud a week ago and lose some of this baby weight around my abdomen will make it better.

I had the same problem. It’s been 6 years since my last C-section. Did your pain get better?

Yes I had a complete hysteretomy since March 2014, and was left with chronic problems afterwards. I have had many tests done, but I have the exact same problems as you do with the left flank and pain in the abdomin on both incision points, just the two port holes that were done. It gets worse with exercise so I can’t do that. I was doing much better in my recovery, than I went for a walk and since then have regreted ever since. It inflammed both points so severely that my stomach and bowls felt like a vice. And the pain has never stopped since. I ended up in the hospital again, they did tests CT scan nothing showed, but still pain. Pain has been chronic and bad for two weeks now none stop. I would appreciate anyones help, I find it very crippling and I am not working and have no support system. Can anyone help!

You have a nerve trapped in scar tissue. I have the same thing. Try to get a cortisone shots directly into the pain spots on your flanks. You will most likely need a pain doctor for this. I have suffered with this for 5 years. I had to quit a job of over 100k a year from the pain. Document all your problems with a doctor. You will need long term treatment for this. Sorry I am so blunt!

Hi yes try hot water bottle it works but u have to keep it hot an stay of ya feet give it 15 mins it improves also hot baths showers some people use cold water, also heat blanket

Thanks so much for this helpful information. I’m getting ready to start Nortriptyline for genitofemoral nerve pain following recent c-section. You mentioned favoring this med over others because of the fewer SE as well as being able to take while breastfeeding. My pharmacist was not able to provide me much information on the effect this drug has on infants. I’m currently breastfeeding and just wanted to know if you’re able to provide me any additional information, effects etc. Thanks a million!

I am lazar posting comments from South India,

I wish to get some clarification regarding post c-section pain. My wife had c-section for the second child about 3and 1/2 years back. Still she feels lot of pain during the date period. Some time it is persistent for long i. e. for weeks after the period is over. Further during summer or winter months she gets lots of pain. She is telling that pain comes exactly at the end of the stitch, where some time we notice some swelling also. Please guide us what kind of treatment is necessary.

I had two emergency sections 24 and 14 years ago and still have chrinic pain from adhesions near the bowel. i also had ruptures between the lower bowel and vaginal wall requiring further surgery.

I find regular swimming and trying to keep my weight on the lower side all seriously help the pain. I am also under a pain specialist and my regular tweaking of medications, usually a mix of slow release anti-inflammatories and anti-epileptic drugs used for neuropathic pain help. Keep a pain diary to help your doctors understand the extent and type of pain.

Don’t give up and insist on seeing specialists: although I’m grateful for the essential surgery, the long-term effects have been gruesome. I would never recommend a section as a lifestyle choice. Mine were both essential and saved myself and my kids.

I had my 2nd C-section 2 yrs back and i still have persistent chronic pain around the cesarean wound area off and on. But recently the pain has gotten worse especially when my period is due. I had consulted many gynaes and they said its nerve pain and nothing can be done and prescribed some Gabapentin. I have not gotten any nerve block as the doctor felt it was not necessary. Please advise what can be done to alleviate this pain.

I have also had my 2nd c-section exactly 2 years ago and suffer from nerve damage on the left side of my incision. My first baby – no real issues (just early stages of toxemia during the last couple of weeks) and no issues at all with my second pregnancy (except for the pains of carrying another large baby). Since I’ve had my second child my incision opened and was infected at 3 weeks post delivery, have had 2 nerve blocks (that haven’t worked), a torn muscle and hernia repair (all at the exact same site as where the pain is located) along with scar tissue removal. I’ve been prescribed Gabapentin also but have not taken it because I fear of the side effects. My period has become irregular and incredibly painful and heavy when I do have it. The nerve pain flairs up so bad that a week before it is due I double over quite often. I have searched extensively on the internet for “chronic pain after pregnancy/childbirth” and this article by Dr. Gunter is the first one that I have found that relates to me. I’ve been searching on and off for a year and a half while I am having pain flare ups, crying while I sit at my computer. My life has become a downward spiral since I have had this pain along with a list of other chronic illnesses since having my baby (she was 10.8lbs). I’ve had numerous Upper Respiratory Infections (with bronchial coughs), ear infections, MRSA, flu’s, neck and back pain (I’ve been told the back pain is due to the nerve damage – I also get severe muscle spasms). My stomach has been severely stretched out from both of my pregnancies that I still look pregnant to strangers, losing weight there has been the most difficult for me with the constant fear that I am going to hurt myself doing a simple sit-up (my muscle tear was from setting down groceries and my hernia happened while lying in bed reading). Before pregnancy I only had a cough once a year – no other health issues and was an avid swimer and runner. I absolutely love and adore my children, everyday with my aches and pains is a reminder that “Hey! They were there!”. I’ve found that alternating hot and cold packs help (especially the hot), putting a pillow under my left knee, alternating Tylenol and Motrin (if you do not have an aspirin allergy), acupuncture, and a good healthy support system. My husband has been my savior, my insurance is through the roof, my Mother and sisters have been a good ear to chat with. I’m lucky I work for myself because with the days that I have had to call in sick I would of been fired long ago. The other day my husband expressed interest in another baby. I would love to have another but have fear of how my body would handle another pregnancy and recovery. Most say “mind over matter” but after having 2 large babies, 2 c-sections and chronic pain and illnesses it can be tough to put your mind to it when in constant physical pain. My biggest hope right now is that I can be the best mother to my children that I can be.

OMG me too. I’m 6 years after C-section. Suddenly this pain pops out. I was exercising and suddenly felt like sth happened. A month after, thi weird pain started over my right hip, into the groin and leg. It moved to the belly button. I also have weird pain, like an ttack whhen my period is due. Even though I have normal periods with no special pain,. I’ve sen a doctor who mentioned the nerve thing. He said “laparscopy” but I guess I will give my body a chance. I will see other doctors. I can’t rush into surgeries ….

I am having some pain that you just described and notice more around my period, did you ever get this resolved?

Or did you get more testing done?

The best thing that ever happened to me, was meeting an anesthesiologist who knew how to treat the nerve pain. He implanted a perferial nerve stimulator. I had been bedridden before the stimulator, after I was my old self. I no longer needed pain meds, and am fully active! Find an anestesologist that can do the same for you.

I had my 6th c-section annd a had my tubes tide cut n removed almost 9 months ago… I have had abdominal pain since! : (

I also had an exploritory surgery 6 weeks later which they found that tissue that was growing where it shouldn’t have been! : (

He thought the problem was fixed but yet here I am still having pain… Its like a sharp stabbing/ pulling where my scar is at! My dr says he nor any dr around the local areas will not perform another surgery cause it juz causes more scar tissue! I was taking hydrocodone but my dr switched me to tramidol

Cause I have been on the pain pills for so long! It doesn’t take the pain away it juz makes it so its not so bad! Its really hard to function without having something to help with the pain…

I am at wits ends cause my dr will not do anymore for this! At times I juz wish they would cut out my stomach…

I don’t regret having my last baby… I juz regret what I have to put my husband thru! : (

I juz want my life back… And want life to be like it was before my last c-section! Can you help me??

Can’t they do operation to remove the excess scar tissue?

I have had 5 c-sections and have constant pain around the right end of my incinsion, into my hip and into my glutes and back. Does this sound like nerve pain or something else worth investigating? I can’t find a good pain doctor who understands pelvic issues.

Omg that is the exact way Im feeling but on my left side. Ive had 5 csections as well. Any answers out there?

I had my c-section over 6 years ago. I have this pain mostly when I am laying down and go to roll over where my scar is I get this awful “shock” and I can’t move for a minute. Recently it has gotten worse and is now happening when I am up and moving around and also my hips are beginning to hurt when I lay down. Is this nerve pain like what you are describing?

Hi, like many here I had 2 C Sections. The 1st was 5 years ago when I delivered my twins. Everything was fine until my 2nd C Section almost 3years ago, where I failed to delivery naturally again. This 2nd C Section took longer to heal and there is almost always a sharp pain during bowel / when there is gas in the tummy. This is especially true during the period week. Just early this week, I almost fainted in my bathroom while trying to clear my bowel during my period week. Have tired asking my gyn a year ago but she can’t seems to understand what I am saying. It felt like the pain is on the internal wound. My gyn even did a scan and she simply say the wound was healing fine. Now that I have read your article. Please advice if there is anything I can do to at least reduce the pain? Thank you.

Hello, where do you live? I’ve made a career out of treating scars, especially c-sections that have had complicated recoveries, and can work with you remotely by teaching you how to use a device that you can rent for a month.

Your pain sounds like mine. After 2 c sections, I found out I had endomeitrios. I have been in severe burnig stinging tearingpain for 4 years now. When you had your second surgery the dr most likely spread the tiny cells. I had them growing on my entire abdominal wll. The make a glue substance that makes your pelvic frozen, and very painful bowel movements as well…good luck

I had a c section on sunday 13th May, I have rEcovered nicely but have ths persistent pain just under the navel thrs some numbness on top. This pain makes it so hard fo me to pee or walk. When I touch this area it feels hard n sore. Plz assist

My wife suffers from persistent pain around the c-section scare and our son is 8 months old. Where do we find a doctor that will fix this problem. The OB/GYN that delivered our son gave us the willies when he could not figure out the baby was breach. An urgent c-cection was needed when he found the hard lump on my wife’s side was the babies head. Then he continued cutting my wife open after she told him the spinal block failed to work. Now she is scared to see any doctor in our area. Can you give us a recommendation for a good doctor located in Western United States who will provide real treatment similar to the procedure you described in your article.

I have been having pain like many of the above women. I had a C-section almost 13 years ago. Within a year or two I began to have this intense right groin pain, mainly where top of thigh goes into pelvis, and the pain travels down my right thigh into my knee. I’ve found it manageable with exercise, i. e. yoga/hip opening exercises, as well as swimming or bike riding along with appropriate rest. But I have been getting flareups which are excruciating and almost incapacitating! When it’s bad I cannot raise my right leg and it’s difficult to climb stairs, and I pretty much have an awful limp. Then there are times when my right leg does not feel “tight” or particularly painful and almost as if nothing had been happening! A lot of “clicking” at the top of my right leg too. I’ve been researching all sorts of things in order to find out what it is, and I think I might have stumbled on the right track here!

My story is similar to Ellys’. Approximately, a year after my second Cessarean I went to the doctor because the inside of my leg was numb. My strength was not impacted. The doctor checked me out and sent me home. Several months later, I had itching on the outside base of my quad. A few months later, i woke up with a sort of sciatica pain except it mostly affected the center and base of my quad and around my knee. I coud not lift my leg to do stairs for a week and could only lie down with a heating pad. A few months later, I was running and I had sudden intense sharp groin pain. At first it was intense and would come back when I twisted or spread my leg. It is much better now but my groin and base of my quad hurts all the time which increases when I stand or walk. I have been searching for a diagnosis for a year and a half. Last week, I came a website of a doctor who specializes in scar related nerve issues. He recommended massaging the scar along with other things. I went on you tube and found a video about massaging my Cessarean scar. I do it for 5 minutes a day and I already have improvement. I wish I had been informed about the importance of massaging my scar. Apparently, scar tissue can trap a nerve or nerves. I am so excited that I finally have an answer and now I can work to solve my issue.

I had hyster in 2001. In year 2010 I felt sharp pain all along incision line in the very lower abs. I went to Dr and received Dx of nerve pain. I asked her if it could be related to hysterectomy but she said no due to the 9 year time lag.

Now pain has spread around to abs, upper left leg, and back. It hurts to wear pants, to sit down, and the car seat belt is the worst.

I am under care of a pain PA and am on gabapentin and lidoderm patch.

Anyone hear of such a thing so many years later after surgery? Perhaps, they are unrelated.

Yes, I had the same thing happen to me. I lived in Japan when I had four major surgeries to remove my uterus, then three months later my left ovary which was attached to my lining of my abdomen. At that time I begged them to take out my right ovary too, because when I had my period my right side hurt even worse than the left. Two months later exactly on my 33birthday I started having the same symptoms as the left side only worse. I had to be rushed into the operating room with a chocolate cyst and ruptured appendix and peritonitis. They thought I was going to die so they called my family to come from the States. One doctor who I became very good friend’s with said I had so many adhesions it took forever to do the operations. To make a long story a little shorter I married and we adopted four little boys who are all bigger than me now. But exactly at the time of the 9/11 terrorist in New York I was back in Japan taking my sons swimming and I noticed when I kicked my legs extreme pain in my lower right abdomen. I couldn’t decide what to do as I hadn’t been to a Gyn. since my hysterectomy twenty years before, but finally I went, and boy did we get the surprise of our lives, as the doctor was finishing her examination I mentioned the pain on my lower right side, so right away she did an inter-vaginal ultra sound and she found a huge tumor in my lower right abdomen and at first she insisted it was my ovary and I said it was impossible. So she told me straight out it might be cancer and she wanted me to go to a university hospital which I did. It was the worst operation of my life, it took many hours to complete the operation because of all the old adhesions, then as I was about to be released my intestines stopped fuctioing and I had ileus. I have been in excruciating pain ever since. I’ve had to have every pain treatment available, plus over hundreds of blocks so many they can’t find a place on my back to do the epi, I’ve used every medication available, I’ve been on morphine for ten years since, last year I had a spinal stimulator implanted, and now use an electric wheel chair because the nerves are so damaged, but even the wheel chair has it’s trade off’s. I have shooting pain down my left leg, my bowels have been injured as well as my bladder by the adhesions that have ensnared the nerves. The only good position is laying down in bed, standing or sitting for long periods just lead to tears and more bed time. So Mary the answer is “yes you can have pain, and if you haven’t go as quickly as possible to a Gyn. or Surgeon and have a complete very through examinationation, you might be the one exception your doctor hasn’t seen before. My doctor was a famous cancer doctor but she had never seen a Woffarian Cyst before, but she warned me I can get cancer or more benign cyst, so don’t ignore a change in pain. I also found out I have pelvic floor symptoms and I. C. Which makes sitting and wearing tight jeans etc. Difficult. Just don’t ignore it. I suggest a trip to a University clinic if there is one in your area. Linda in Japan.

P. S I’m starting to have different symptoms again so this time I won’t ignore them. I want to see my grandchildren. Please don’t any of you take your own lives. I lost my husband to suicide three years ago and I think my illness played a big part in his decision, he left me with a lot of guilt.

Thank you for your heartfelt reply. I have been to a lot of doctors and thet haven’t found much of anything. They find gallstones and I did have gallbladder removed.


I now believe my post is in error. I had recent MRI and Dr said I had bulging disc in my spine. The pain radiated from back to abdomen. I am now undergoing steroid injections in spine.

I had a c-section nearly three years ago. I have been having intermittent pain which has worsened recently. I had some scans done today which showed no hernias etc. Last week my GP prescribed me a slow realeasing anti-inflammatory which has helped but the scan hurn going over the scar. I need to back to my GP in a week. I will try and lose some more weight and hopefully that will help. If not maybe surgery to remove some of the excess scar tissue. Excellent article.

I have four children and my last one was a c section. that was almost 2 yrs ago. Ever since I have had moderate to extreme pain on the lower right and mid side of my pelvic. I have been to doctors and more doctors. They said first it was my bladder then cysts on my overy yet It feels like a muscle deep down that has been torn. Now another thing is that an hour or so after my ceserian I coughed really hard and no one had showed my the pillow thing yet and so it hurt so bad. It is the exact same place that hurts to this day. I have gone through the nerve blocks and scar tissure removal surgury, nothing works at all. The pain will go away evey once in a whille for even up to a few weeks but then comes back with a vengance. Any one have any thoughts.

I just had my 3rd Cesarean 2-1/2 weeks ago. My first two c/s recoveries were a breeze. This time, however, I experienced a horrible tearing, burning pain at the right side of my incision two days after surgery when I lunged out of bed to attend to my son who seemed to be choking in his bassinet next to me. From that moment, movement became excruciating, and I could no longer lie on my right side. Gradually the pain has diminished, and as of last night I can finally lie on my right side without pain. I was told the same thing by my doctors: the incision looks fine, nothing is amiss. But as another poster said, the pain is deep inside. It isn’t constant, but flares up for an unbearable 5 seconds, causing me to cry out and double over when I attempt to move in certain positions: rolling over in bed, climbing into bed, sitting on a soft sofa, getting up from bed or sitting. The closest any doctor came to acknowledging the problem was to suggest that I pulled a muscle and that pain reliever (Voltaren, Tylenol 3s) along with icing the area should help. This, along with time and reduced activity seems to be making a difference – my only hope is that it isn’t a recurring issue as it seems to be for so many people here. Just thought I would throw the icing idea out there as I haven’t seen it mentioned – and the pillow suggestion is a good one, to, as I found that the paid could be subdued somewhat if I held onto the area during certain position adjustments. Good luck!

I had my 2nd c-section 6 months back. I thought I recovered well from it as I didn’t seem to be having any pain. But now after 6 months I seem to be having this constant abdominal pain. The pain is no where near the incision but a few inches above it. It’s kind of throbbing from the inside. If I try pressing my stomach to actually check it then it doesn’t hurt. But getting up and or sitting down is very uncomfortable. Any ideas as to what might be causing it?

Hello to all my pain friends lol i wanted to share that mostly every thing everyone one person has said on there post i have my self it been 7 years as of augs 22 2012 . i have problems with my bowels my urien i constenly have uti” and they say there in no infection and it hurts the bladder and the whole right side of my stomic when i pee and it also hurts my right kidnney they said that it because of the fact that my bladder droped and i cant hold my pee to long or eles i pee on myself not willingly i have pelvick pain and the inside of the vigina canal it hurt when every it feels like it but also not to be nasty but when i get arosed and then during intercores the canale hurt and i suffer so i try to stay away from it and of cores i have a husband and can not keep it always from him but try alot not to have it cause it cause so musch pain and swelling but and i have had all types of scans to show nothing and went to the gyn and there is nothing they say they aslo trying to tell me that it from my back desies i have disk degeneration and bulging disked no fulied in it anymore and the spin is norrowing to cause neverdamge in my back but they are crazy i have this since i was 16 yrs old and i never had what i feel now but the whole lower part of my stomic is numb most of the time and when pushed on by the doc’s it hurt really bad and then i have to go to the er for the pain if i touch it lightly to the touch it hurts but if and when i push on it lightly it does not then if i wear pants wait what are those again i have not been able to wear them for 7 yrs and buttens forget it they hurt my belly butten area, seat belt for get it i am always puling them away from my lower stomick and top stomic i had my gaul bladder out when i was 20 yrs old that sergery did hurt, no afterwards hurting at least for the belly butten area and the frist c-section niether no hurting it was fast to heal and nothing hurted but of cores my side where the gaul bladder was takeing out but found out yrs latter i have had gerd and a pouch in it so gas get stuck in it and hurts very very bad, but my lower stomic it feel like its stuffed only below the belly butten is always numb i have increessed pain when i get gas or i always feel constapaied like feeling i cant eat some fuits due to this i feel like it is ripping or coming undone on the inside of the musel in there, wow it hurts when i use it and or snezze or cough and or if i am in a certain postion i cant sit on certain furiture or chairs or anything for that matter and a low car forget it is like it will eat my stiomic and cause so much pain in not funny it burns my stomic and i can’t reach with out the right side musle hurting or locking up from the right side shoulder wing around my right side to the right side of my stomic down to my kidnny i know what one user said that his wife felt all that pain because she was not numb the needle did not work i too was on the table and the novacane woreoff and i felt them pulling and tugging every part of my musel on my right side and a completely horrifing buring feeling in my stomic and then started to throw up and my head felt like it was to explode and the doc put something in the iv and i was out only to wake up with everyone gone they sent everyone home and i woke up in the intensive care uint and as i was coming to i herd the nurse talking that the doctors gave me to much medicine it was enogh to kill me i was lucky to be waking up. so i feel for you both i know what it is to be in fear no teriffied of the doctors and i only just went recently back to them now cause i cant take the pain no more and much more i do fear the side effets too cause do you see what they put in it, it can cause haullusanations suideal thought tendecs or action or can cause server blatter problem heart attacts ect do we look like ginne pigs that they can experiment on? why dont they take it an tell us how they feel and see if they get labeld of a nut job sorry i have very strong emotions about this. any who did or does any one also have pain while they are cuting up food or holding things or squshing in their stomics to fit in to any jeans or clothing? i have this all the time and the the pms i have this symtoms like two weeks before and some times weeks after havey bleeding longer periods and twice a month and now its weird 4 days for the last 2 months and is it like every 15 days for any one? it been like this since the c section and they say i have to keep a log of all my days and of the pain like what i am doing when i doing it and so forth on. its like what i say to them is not enogh or my word is not bond. i found this page by asking this same question. oh and yes i also was told like two yrs after the c sec that i have alot of scar tissue and the only way to get rid of it is more surgery does this make anysence so you fix it by creating more scar tissue? i think they had to much coffee on their watch. my next step is to ask for an mri of the stomic and the back musle to see if there is nerve damge or musle damge i know i have musle spaums on the right side since then and it get so tight that it wont stop or relese and my dr wont do anything for it oh thats becuse they said i have acid refluc so it prevent me from taking some meds and as far as the pain i am swered i am allergic to tylenal 3 and perks and mortrine. i thought i was the only one feeling this any many many dr’s thought i was nuts including my family. so thank you all i know now i am not alone sorry not try to encuorge this pain by knowing that we are all one in this hurting. and maybe we all can help one another by posting what has worked for us and what has not an maybe we can find a way out instead of the dr’s. i had no chiose but to get the frist c-section my son had a head at 14 and a half inches and beside he was transversied he was side ways, and well the last was repet of the frist they said i had to have it and kind of force me to have one even though i was aginst it so when they seen that [ you know they get paid more to do this surgery> they said my meberains was going to ruputer and i would bleed internal and even die and can kill my child from haveing her nature. sicck doctors i can rember what they said the main one you the resident doc what the F……. this thing is so frecking thick there is no way that this would have rupture this is like 8-9 inches thick she could have had it nautrlley so why did you tell me that it would ruture? ah well i am known for the sugery and they the cloth droped and i seen a baby blow tourch he was buring my skin to melt through it to get through the scar tissue cause the knife was not cutting it. so maybe this is why we all feel burning for? any thoughts

Thank you to who wrote this paper all of the things you have said is what i am feeing and much more even what the other post have said too i relly think it time that you’s the dr’s and many others rethink how you give woman c-section. i tell you my mother had two e – mergency c-sec but the old one on top of the stomic and she has had no problems at all with her stomic. it’s either that or the dr’s are getting careless of what the are doing and people are hruting for thier whole live’s while the dr’s are not and to think we paid you for this pain? i think not

I’ve had one emergency c section and 3 more after that, I get a pain Time to time on top of my cut

I have had 5 csections and am having alot of pain. My OB is no help and my uterus is shot from all of the surgeries. They said I had a ton of scar tissue and can no longer get a hysterectomy because my organs had all adhered to each other. I have arranged my own appts for physical therapy, message therapy, nerve blocks and chiropractor visits and nothing is helping. I can’t get any info or direction for help. I live in a tiny town and pain issues are completely taboo – it’s embarrassing to even address but I am really having a hard time and a life to keep up with and small children to take care of. Can you offer any help/direction? I am desperate.

I was wondering if you ever considered changing the structure of your blog?

Its very well written; I love what youve got to say.

But maybe you could a little more in the way of content so people could connect with

It better. Youve got an awful lot of text for only having 1 or 2 pictures.

Maybe you could space it out better?

We feel we are fighting a losing battle. My daughter had a cholecystectomy July 2011 and has been left with a debilitating pain much worse that the symptoms of the gallbladder issues. She has seen 17 doctors, ranging from OB/GYN, GI, Pain Management, Neurosurgeon, Internal Medicine. She has been to UTSW and Scott and White in Temple, Texas, and has had 5 Prolotherapy injections as well as Neural Therapy injections. My daughter has had to move back home and is unable to work. She is a 27 year old, petite young lady. She has also gone through physical therapy with no success. She is on Nortriptolene, and has been for over a year. She can tell a significant difference if she misses a dose. She is unable to tollerate Percocett, the Tens Unit caused severe skin irritation, and the Lidocaine patch doesn’t provide much relief. Recently, a surgeon suggested he clip the nerve, which we believe to be the iliohypogastric nerve. She has a appointment with him to discuss this possibility later this week. I am an RN and very uneasy about more surgery. What I would like an opinion on, is should she have the nerve clipped, what are the “bad things” that can result, and are we at the point that we should take that risk to finally give her some relief?

I had 2 csection in 2 years. After my second ome 10mths ago I habe been in constant pain right next to my scar on the right..it started the morning after my csection …I can’t be touch or wear clothes on the area…when. its cold outside or damp or really hot I am in excruciating pain! …I’ve had nerve blocks and nerve burning and nothing has helped …I’m now on long terms disability and can not work..

I take neurontin and amnitrytiline at bed time but can not tolerate it during the day…I’ve seen 4 different pain management drs who have done. nerve injection that have not helped at all… this has never happened to anyone elsd in my OB practice …I hate that this happened to me and am deathly afarid I will br stuck like this. my whole life.

If anyone knows if this will ever get better please let me know …thr burning stabbing shocking pain has ruined my life!

I had my second c-section 2 years ago and from then I have had pain from my c – section scar to the side of my body and going down the front and back of my leg all the way to my foot. I see a chiropractor regularly but have found one who has made a world of difference. He does graston which breaks up the scar tissue on my scar and abdomen which has helped tremendously. He also works on the soft tissue and the pain in the front of my leg and back is almost gone. I still have some pain but I know if I keep getting treatment eventually it will all go away. I do exercise regularly too so Thayer definitely helps the core get stronger. The chiropractor is a sports medicine chiropractor so you need to find one of those. If they want to constantly adjust you then you are at the wrong office. Hope this helps. Lucille

Hi I had a c-section about 4woe ago and I am having very bad pains on my right side, and it progresses into my lower right back its a sharp stabbing pain. I am having sharp stabbing pain right now and just took some tylenol to help but no such luck, I am in a a lot of pain wanted to know if that is normal?

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I have been having pain in my scar for years and I’m about to see someone because I just cant take it anymore. The pain is only in one part of my scar and it has a black spot and hurts especially the week after my period ends. I dont even do ab excercises anymore because I am scared of doing damage. I had my last child six years ago and it was my second c-section. I was told I have a lot of internal scar tissue and I guess maybe that is the problem. I use topical pain gel but it doesnt really help. Just had it with this pain every single month. I think I may have to pursue surgery to fix the nerves as mentioned above.

My son will be 10 in March (2013), and I STILL have pain at the site of my c-section. I had a doctor mention adhesions, but said nothing more about it. We have been trying to have another baby since March 2004 (my son’s first birthday), and have been unsuccessful. Could the pain at my scar have anything to do with my infertility? We have been heartbroken for almost 9 years and have not found any answers at all. Please help!

I will just explain alittle of my situation so you get the gull picture of whats going on. I was pregnant, 10days overdue, went to hospital to be inducedat 8am by 7pm they were going to send me home for not dilating much then my water broke and i finally got to 10cm. I pushed hard for over an hr with no progress babys hrt rt increased and i had a fever so i hada csection. That went fine its what happened next that didnt go so well. After they got baby out (3:57am mon)they started to work on getting my uterus to contract back down it wouldnt. They worked on me for 2hrs massaging my uterus, injecting me with the max they could of anything they could to help with no success i had lost a 1&1/2ltrs of blood and the dr looked over the drape and said they have to do hysterectomy so i was put out. I woke up to find out the dr that came in did B-lynch compression suture instead to save the uterus. Long story short i ended up with endometritis, infection in uterus & incision a hematoma under incision, bled for over 9mnths straight after and now its been over 2yrs and im still in major pain in the uterus and the drs wont do a hysterectomy or scopes to see how much scar tissue damage there is and tell us not sure if it would be safe to have another baby. Lets just say its been an emotional/painful rollercoaster ride for 2yrs and we dont have any answers as to why so im trying to see if anyone can give me some information. Ive even been trying to do kegels this past 2 weeks and i end up in so much pain for two days I cant continue and everytime i do it i get a shooting cold tingling sensation up my entire body on every squeeze.

I have had lots of pain where I had my c section for the last 7 years. It burns really bad most of the time. It always feels like a freshly done surgery. On a scale from 1 to 10, its a constant 6 sometimes 7. It hurts when a get up cough pretty much everything. I just want the pain to go away.

I had cs but 1wk later i feel pain, stomach, swoln ft. Help

По материалам:

Http://www. healthline. com/health/pregnancy/post-cesarean-wound-infection

Http://www. helloamma. com/wear-c-section-scar-like-badge-honor/

Http://tubethe. com/watch/emwsZ2w4_vE/after-6-months-my-c-section-scar-still-hurts-and-i-have-numb-spots-is-this-normal. html

Http://drjengunter. wordpress. com/2011/09/09/persistent-pain-after-a-c-section-when-is-it-nerve-pain-and-what-can-you-do/