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June 6, 2025 22 mins
Have you had a C-section, appendectomy, hysterectomy, laparoscopy, or any abdominal surgery? Then this video is for you.
Dr. Allison Feldt, PT, DPT—founder of Body Motion Physical Therapy—dives deep into how abdominal scar tissue can wreak havoc on your core, pelvic floor, and overall function years after surgery. From back pain to bloating, painful periods, incontinence, painful sex, and even scoliosis—scar tissue could be the hidden culprit.
✨ In this episode of the Aligned & Elevated Podcast, you’ll learn: – Why scar tissue doesn’t just stay in one place – How it affects your organs, pelvic floor, and posture – What symptoms like hip pain, painful ovulation, cramping, and fatigue might really mean – How we treat abdominal scarring at Body Motion PT with hands-on therapy, visceral mobilization, red light, shockwave, and ENTT
💡 You don’t have to live in pain. You just need the right care.
📲 Share this with someone who’s had abdominal surgery—it could change their life. 📍 Located in Edmonds or Poulsbo, WA? Book your session today at Body Motion Physical Therapy. 💬 Questions or comments? Drop them below—we’d love to hear from you!
#AbdominalScarTissue #PelvicFloorPT #CSectionRecovery #CoreHealing #VisceralTherapy #BodyMotionPT #ScarTissueRelief #WomenHealingWomen #ChronicPainRelief
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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome to another episode of the Aligned and Elevated Podcast.
I'm your host, doctor Allison Felt, owner of Body Motion,
Physical Therapy, mom of three all things health and wellness related,
and you're.

Speaker 2 (00:12):
Public flo or physical therapist.

Speaker 1 (00:14):
So here's what we're talking about today, and we're talking
about abdominal surgery. We are talking to anyone who's ever
had an abdominal surgery. If you've ever had an abdominal surgery,
or you know someone that has, please pass this episode
along to them. I need you to know that if
you have an abdominal surgery, this is gonna leave you
scar tissue, and you want to learn how to deal

(00:35):
with that scar tissue so it doesn't affect you later
in life. So many times I come across people who've
had abdominal surgeries and for one reason or another, it's
impacting them. Maybe it's causing them hit pain, maybe it's
causing them back pain.

Speaker 2 (00:50):
Maybe they have.

Speaker 1 (00:51):
Extremely excruciating ovulations where they are ovulating every single month,
and or maybe they have excruciating menstrual cycles where menstruation
is very painful, and maybe they have a lot of
heavy bleeding because of this previous scar tissue in their body.
Scar tissue leaves so such a big impact in the body,

(01:14):
and it is really underrated the effects that it has.
People are like, I'm just going to go for surgery
and I'll be good to go. And the reality is,
even if you have surgery to remove scar tissue and
or remove endometriosis, or you have an appendect to me
when you're a kid, that leaves scar tissue in the

(01:35):
body and that impacts our function. I cannot tell you
how many times I have worked with women who have
some degree of scoliosis in their spine and I'll see it,
so that's where their spine is twisted a little bit.
And then I'll come to their bellies and look at
their bellies and they have scar tissue, and a lot
of times it's due to an appendectomy.

Speaker 2 (01:54):
So when they have their appendix, me when they're a.

Speaker 1 (01:56):
Kid, and then you realize, oh my gosh, that appendix
surgery left you scar tissue and you're usually in the
right lower quadrant, and then that's created a pull on
the spine, creating a little bit of a spinal twist,
causing a scoliosis. That's super sad because scoliosis can cause

(02:19):
excruciating low back pain and not to mention also deformity.
So we need to prevent this scar tissue from wreaking
havoc on the body once you have an abdominal surgery.
So what I want to talk about is once you
have an abdominal surgery, what needs to happen. And so
even if you're listening to this and you had an
abdominal surgery twenty years ago, thirty years ago, forty years ago,

(02:42):
it's never too late. The reality is even scar tishoe
can migrate inside the body. I think the stat is
seven percent sea sections end up having a bowel obstruction
due to migrated scar tissue. That's a massive amount of
bowel obstructions after a sea section. Usually this takes years
and years to develop. But still like we have to

(03:04):
deal with this scar tissue. We need to dissolve the
scar tissue as best as humanly possible, and then we
need to get it moving as best as humanly possible,
because if there is scar tissue pulling on the organs
or connecting to their organs, it's going to impact their function.
It can cause bloating, it can cause severe cramping, it

(03:27):
can cause severe pain. Now, a lot of times people
will go to the emergency room because they had abdominal
pain or like shooting pain and or cramping, or they
can't get their vowels to move, and so they'll have
to go get like an enema, or sometimes they'll get
colonoscopies because and that's like the only thing that will

(03:47):
clear them out.

Speaker 2 (03:48):
And then they're on.

Speaker 1 (03:49):
These hard drugs or hard stimulants to get their vowels
to move.

Speaker 2 (03:54):
If only they.

Speaker 1 (03:55):
Had just had a public for physical therapist, someone that
could help them get their organs moving, someone that could
help them get their public floor moving. The deal is,
when you have an abdominal surgery, think about this as
wearing a one piece unit suit, so like those really
cool suits that people wear in the stands at like
hockey games. And when I say really cool, I mean

(04:15):
they look like the person is wearing like a literal condom.
So maybe not so cool, but for some reason they're
just funny looking, right they and then they kind of
look like aliens. And what happens is if you imagine
that in your little alien suit, you cut a piece
of the abdominal area and there's and then you sew

(04:36):
it back up. That's going to make it so things
don't stretch it easily. But what happens over time is
the scar tissue hardens. It's the body's way of responding
to the to the abrasive cut or the incision, and
it hardens because that's the body's compensation mechanism to make
sure it doesn't retear there again. But it continues to harden,
and it continues to bunch up, and it continues to

(04:57):
bunch up and bunch up and bunch up, and all
this sudden you have scar tissue and all these organs
that have stuck to that area that has made it
extremely hard to get that organ to move. It's in
every single time we have any abdominal surgery, even like
gallbladder surgery. When you have a gall bladder surgery and
your gallbladders are moved, you have scar tissue there, and

(05:19):
so your diaphragm is going to not be able to
move as well because of scar tissue from the gallbladder.
Your liver isn't going to be able to move as
well because of that scar tissue from the gallbladder. So
you want to resolve that scar tissue and dissolve that
scar tissue. My clinic in Edmunds in body motion physical therapy,

(05:40):
and we also have our location in pulls. Both we
use probably floor physical therapy, so traditional hands on methods
that help move the organs. So we use a lot
of what's called visceral manipulation where we get the organs
to move again. This restores their natural function, their natural movement.
When you get organs moving again, what happens is that

(06:04):
they function a whole lot better.

Speaker 2 (06:06):
If you get your colon.

Speaker 1 (06:07):
Moving all of a sudden, your colon is going to
be able to do paristalsis a ton better. Parasasis is
where it pumps the poop in the colon, so it
will help you have bowel movements.

Speaker 2 (06:18):
So you want to have parasauces.

Speaker 1 (06:19):
Parastalsis is a normal response after eating. So when we eat,
will get gastric emptying where the stomach empties its contents
into the intestines and then from the intestines, it's going
to move from the small intestines, it'll move into the
large intestines, which is the colon, and then the colon
is going to pump the poop all the way through

(06:41):
the rectum and then you'll have your bowel movement. We
need that pumping action the peristalsis to work. But when
we have scar tissue in the abdominal area, it affects
the ability of that parasalsice to happen. Same goes for
the if you have scar tissue in your abdominal cavity,

(07:03):
there is implications on how.

Speaker 2 (07:05):
Well that uterus can contract and relax.

Speaker 1 (07:08):
Why does a uterus need to contract and relax. Because
women need to slough their menstrual their uterine lining every
single month. So if you've had scar tissue somewhere in
your endopelvic fascia or in your abdomen, so that the
abdomen has fascia inside of it, and that is often
what's cut when we have abdominal surgeries. There's endopelvic fascia

(07:31):
and then there's peritoneum. And when we have cuts in
these fascia and we have scar tissue in the pressia,
all of it becomes a little bit more sticky, a
little bit more tight, and these organs don't move as well,
and so they don't operate as well. And so it's
really common to get this type of pain or pains

(07:54):
or limited function of these organs after after some.

Speaker 2 (08:01):
Kind of abdominal surgery.

Speaker 1 (08:03):
So why am I hot on this today and why
am I talking about this because essentially, in the locker
room on Sunday, I was done skating and the guy
was telling me about his girlfriend had to go to
the er because she was having abdominal pain and she
has a lot going on, and I don't know anything
about her, honestly, he obviously he doesn't know either, right,
Like he was like, she's just in pain, and then

(08:25):
she got pain medicine and the pain medicine worked, and
so we could go home to the hospital, but they
didn't find anything. And so but in whatever, you know,
like a man's explanation, and honestly, like God bless him
for like taking her and like being amazing for her, right.

Speaker 2 (08:39):
But he doesn't know what's happening in her body.

Speaker 1 (08:42):
And my guess is that she was probably having like
maybe some severe ovulation pain maybe, And because she I
did ask. I was like, how she had any previous
surgeries and he said, yes, she had an appedectomy when
she was a teenager.

Speaker 2 (08:56):
And I'm like done, And her pain was on her
right hand side. I'm like, okay, scar tissue related, you.

Speaker 1 (09:02):
Know, close to that ovary that appendix on the right
is close to that right ovary. So it's really to me,
I'm like, straightforward scar tissue causing this pain. Let's release
some of that scar tissue. Melt some of that scar tissue,
Let's get the organs moving. When they remove the appendix,
the appendix is this like little tail like structure that's

(09:25):
attached to this secum. The secum is the start of
the large intestine. And what happens is in a lot
of people, not everybody, there's anatomical differences, but in a
lot of women, there's a ligament that goes from the
appendix that's attached to the secum to the ovary, and
that little ligament is called the ligament of clia. And

(09:49):
when we remove that appendix, now you get scar tissue.

Speaker 2 (09:55):
Well, if that scar tissue.

Speaker 1 (09:57):
Is pulling on that ligament of pla, it's going to
really pu hole on that right ovary, creating a severe
you know, restriction and that ovary to move in the body. Well,
when that ovary gets the cue from the body with
hormonal input to ovulate, So drop an egg into the

(10:18):
fallopian tube so it can go get fertilized. We usually
ovulate once a month on this, usually alternating each side.
Not everybody is the same. Not everybody ovulates on both sides,
it's all.

Speaker 2 (10:30):
You know. Everybody is different.

Speaker 1 (10:31):
But if we are ovulating on that side, releasing an
egg down that fallopian tube, and you have severe scar tissue, well,
when that ovulation occurs, you either A are not going
to drop the egg or B it's going to be
excruciating because that ovary is having to move through the
scar tissue that can feel severely restricted. When you have

(10:53):
scar tissue and you have an organ that's wanting to
move against that scar tissue, it's going to cause pain,
it's going to cause cramping, and it's often going to
cause bloating. It's often going to cause constipation because if
we aren't getting the normal movement in our abdominal region,
it's going to freak havoc.

Speaker 2 (11:12):
Now, my guess is this girl and I don't know her.

Speaker 1 (11:15):
And I hope she listens to this, and I hope
I get a chance to meet her and help her.
But my guess is that she probably also has some
right si pain, so pain on the right lower back,
maybe because she has some hip pain. But if you
have scar tissue in your belly. It's going to add
some point pull on your low back or pull on
your side joint because of its location and connection in

(11:40):
the end of pelvic fascia and in the peritinal fashia
which can pull on the spine and pull on the hip.
It's all connected the fashia.

Speaker 2 (11:48):
In your belly.

Speaker 1 (11:49):
When we were talking about those condom uni suits, Okay,
when you cut that open and you stitch that back up, it.

Speaker 2 (11:57):
Also then pulls up on the pelvic floor.

Speaker 1 (12:00):
Now, if you've been here at all, you know that
having anything pull up on the pelvic floor isn't good.
If I mean you have a type vagina, it just doesn't.
That's not helpful. Okay, that's not good for anyone. I know,
like in the sexual scene that might feel like, oh yeah,
that's good.

Speaker 2 (12:16):
I want that. I want to be tight.

Speaker 1 (12:18):
No, Like, we need people that have really conditioned pelvic
floors that feel really good during intimacy. They have dynamic
pelvic floors. They have pelvic floors that can open and contract,
and when they open they can over extend, which is
a really helpful motion to have. And that's where all

(12:39):
of our strength comes from. And so the more you
can actually overextend and elongate the muscle and eccentrically elongate
the muscle, the more you can concentrically contract the muscle,
and that's where all the muscle hydration, the muscle tone
you want to feel really tight and good, that's where
that comes from. It's from having that ability to elongate

(13:01):
the muscle. Now, that is extremely important, and what happens
with abdominal scar tissue is that it pulls significantly on
the pelvic floor itself. And so when you have that
condom tight utice suit and you stitch it back up,
say from a C section, it's gonna then pull up

(13:22):
on the palvic floor again. That up motion and that
tightness that is going to restrict its ability to fully elongate.
Because this fascia is the same fashion that goes down
into the pelvic floor. The fascion layer of the abdominal
wall typically turns into the second layer of the palvic floor.
There are three layers of the pelvic floor. We have

(13:42):
the first layer, which is more muscular sure that second
and that's where like the clatorus is. And then we
have the second layer where that you have like the
urethral shinter and then a lot more fascia, and then
you have the third layer, which are like deep pelvic
floor muscles that are also connected to the hip as well.
When you get the abdominal scar tissue, it's gonna pull

(14:04):
up on that facial layer. But if that facial layer
is tight and can't extend, all the layers of the
pelvic floor become affected and they essentially feel like from
a clinical standpoint, when we're doing these evaluations, it essentially
feels like all the three layers of the pelvic floor
are glued together.

Speaker 2 (14:21):
Now, what does that turn into?

Speaker 1 (14:23):
Symptom wise, Well, that can turn into urgency where you
feel like you have to pee all the freaking time.
That can turn into the inability to climax so where
you just like can't have an orgasm. That can turn
into urinary leakage where you actually like leak urine when
you jump or run. That can turn into low back pain.
That can turn into pelvic pain. That can turn into

(14:45):
difficulty having intercourse. It might feel a little burning when
you have intercourse. That's that tension in that fascial layer
of the pelvic floor. Then you might have it where
you get a lot of pain with like deeper thrusting intercourse.
So I feel like your partner's hitting something, You're like, oh,
maybe he's hitting my cervix or But when you get

(15:05):
that feeling that he's quote unquote hitting something or you
feel like he's hitting your cervix, that's that deep pelvic
floor tension that just needs to be released.

Speaker 2 (15:14):
And once those muscles are.

Speaker 1 (15:15):
Released, you won't feel like he's hitting something anymore and
that pain will go away. But again, this can all
stem from having an abdominal surgery and dealing with the
skearchishue abdominally and then also healing the pelvic floor tension
is going to help dissolve every single one of these
symptoms so you don't have to deal with them. And

(15:37):
not only that, it's going to amplify your life because
when your belly can move and your pelvit floor can move,
you all of a sudden have a super strong and
fit core without freaking doing exercises. Okay, like you just
get your pelvic floor range emotion, Just get your belly
range emotion.

Speaker 2 (15:57):
Then it will start working for you in your daily life.

Speaker 1 (16:00):
You do not have to intentionally necessarily work it out. Now, Yes,
is it good to make sure that your core turned
on appropriately and is coordinated when you're.

Speaker 2 (16:09):
Doing certain exercises.

Speaker 1 (16:10):
Yes, do we want your lower ta to be working
when you get up from a chair, Yes, just in
the same way that we want your glups to be working.
But imagine if your core was actually working for you,
you probably wouldn't have to do much core exercises because
you lifting up your kids or getting up out of
a chair or going on a walk is going to
naturally activate your core. But if your core is frozen

(16:32):
shut because of scar tissue in your abdomen or because
of scar tissue and your public core, then you were
going to have a really hard time strengthening your core
at all. And then even just doing isolated core work
is going to be completely and utterly ineffective because you
don't have range of motion of your core and so
it's all tied together. And then you know, this additional tightness,

(16:53):
this scar tissue is going to rea havoc later on.

Speaker 2 (16:56):
It's going to create more.

Speaker 1 (16:57):
And more issues because you don't have that dynamic movement,
and that's where we get into a lot of the
symptoms of like having that shooting pain or having you know,
painful intercourse or having that just like constant low back ache,
or having that SI pain or having that HIT pain
and or having that sciatica and so dissolving the scar

(17:20):
tissue abominably after a surgery is hands down so important.
But for some freaking reason, nobody knows that. So please,
That's why I'm saying, send this to your friends, you know,
Send them the Spotify, send them the YouTube, whatever it is,
Send this to them, because everybody needs to know that

(17:41):
if you've had abdominal surgery, you have abominal scar tissue.
If you have abdominal scar tissue, you're gonna have a
weak core because that scar tissue doesn't move. If you
have a weak core, you are going to end up
with incontinence later on, if you don't already have it.

Speaker 2 (17:57):
You are going to end up.

Speaker 1 (17:58):
Being a little bent over during the grocery store because
that scar tissue is going to get tighter and tighter
and tighter and continue to pull you forward, and you're
going to need the grocery cart to just hold you
up right because your body's going to fatigue in the
constant fight against the star tissue. So no matter how
much you strengthen your back to prevent that bending over,

(18:19):
you're still going to be pulled over by that scar tissue.
We have to heal the scar tissue so it doesn't
affect your spinal movement, so it doesn't affect the quality
of your life. So take this as a message. This
is my PSA, my soapbox to everyone listening to this.
If you've had an abominal surgery, a C section, an appendectomy,

(18:41):
a laproscope, a gall bladder surgery and appendectomy, a hysterectomy,
an over your removal, a cyst removal, a fibroid removal, endometriosis, resections,
all of it.

Speaker 2 (18:58):
No matter what.

Speaker 1 (18:58):
Kind of abominal surgery you've had, you need to have
some work done to dissolve that scar tissue. And again
in my clinic, what we're doing is pretty revolutionary because
we're using a lot of regenerative tools to help dissolve
this scar tissue along with pelvic floor physical therapy we use,
but pelvic floor physical therapy is very much a hands

(19:18):
on therapy where we move organs around in the belly
through the abdominal wall, and then we also do internal
palvic floor work inside the pelvis. Now we can actually
get at some of the internal work without doing internal
pelvic floor work. If you're completely opposed to that, you
can still vastly improve the quality of your pelvic floor.

Speaker 2 (19:40):
And then we also use recovery tools. We use red
light therapy.

Speaker 1 (19:45):
We use ePAT technology, which is radio pressure shock wave technology,
which are sound waves that essentially break up the scar tissue,
totally dissolving the scar tissue. We use our hands to
dissolve the scar tissue and get the organs moving again.
And then we also use EMTT, which is an electromagnetic
pulse that is high frequency that goes into the tissue,

(20:08):
making the cells more permeable and so that bad stuff
can leave the cells, good stuff can enter. It decreases
inflammation and gives the cells more movement, so allowing the
tissue to move more. And it's absolutely completely and utterly
just ridiculously effective. It's really good for pain, it's really
good for inflammation, and now we're seeing it's really good

(20:28):
to help with parastalsis, improve gastric functioning and to really
get movement abdominantly great dearing to help with some mental cramps.
And then we're starting to implement that into our fertility protocols,
but we will talk about that another podcast. So I
hope you found this information beneficial and I hope that

(20:51):
this can help someone that you know with the bomb.

Speaker 2 (20:54):
Of scar tissue and or help you yourself.

Speaker 1 (20:57):
You do not need to suffer, and I need you
to know how how connected your abdominal scar tissue is
into the orthopedic pain that you're feeling, even if it's
me pain, even if it's planifreschitis, even if it's your
shoulder or your neck, like if you have abdominal scard tissue,
it is pulling in your body somewhere. We just need
to find where we need to release it. We need

(21:17):
to reduce that scar tissue, and then we need to
get those organs moving so then we can totally and
utterly heal your core and allow your core to start
functioning again. The body is pretty epicate healing and pretty
amazing at forming compensations. We just need to work through
those so that we can not have the pain and

(21:38):
feel really good. And it's just incredible that this isn't
well known. And so back to the story about the
guy in the locker room, his poor girlfriend is probably
going to have to go through I don't know five
ten years of like going in and out as specialists
that can't recognize her pain and don't really know what's
causing it, and then she's eventually going to think this

(22:00):
is in our frickin' head and feel crazy, and because
that's what women are made to do, Like they literally
are just made to feel like they're crazy because of
this random pain that they're.

Speaker 2 (22:10):
Having, when in reality, no one's.

Speaker 1 (22:12):
Just freaking connected the dots for them, right, So it's infuriating.

Speaker 2 (22:16):
A little bit, But that's why we're here.

Speaker 1 (22:17):
We're talking about it, we're spreading, we're spreading the message,
and I hope you find this information valuable.

Speaker 2 (22:23):
Thanks for being here. Until next time, Take care,
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