When a family member asked, “Why are you seeing a PT postpartum?” During a recent session with a mom at 5 weeks post-C-section, I realized how many people aren’t aware of the benefits pelvic physical therapy offers after childbirth—whether the birth was vaginal or via Cesarean. A C-section is major abdominal surgery, and postpartum recovery requires more than just time; it requires support, education, and guidance. Here’s a glimpse into what postpartum PT care looks like and why it’s so important, even after a C-section.

What We Did During the First Visit

During our session, we addressed several key areas to support this new mom’s recovery and well-being:

1. Abdominal Wall and Scar Assessment
• We gently assessed her abdominal wall to monitor healing and checked her

C-section scar to ensure there were no signs of excessive tension, adhesions, or restrictions that could affect her mobility. Scar tissue, if left untreated, can lead to discomfort and impaired movement.

1. Ribcage Mobility and Positioning
• We evaluated her ribcage, which often shifts during pregnancy, impacting breathing and posture. Restoring ribcage mobility helps support proper breathing mechanics and core recovery.
2. Hip and Glute Tension
• We noticed some glute atrophy, which is common postpartum, especially after a C-section where early mobility is limited. Weak glutes can affect posture and movement, so we began helping her reconnect to these muscles to rebuild strength and prevent further weakening.
3. Breathwork and Core Reconnection
• We introduced gentle breathing exercises to help her engage her core muscles again. Coordinating breath with movement is a critical part of core recovery, and we ensured these exercises could be done easily with her baby right next to her.
4. New Thumb Pain (De Quervain’s Tenosynovitis)
• She had developed thumb pain from holding and feeding her baby, known as De Quervain’s tenosynovitis. We treated this with kinesiotape and showed her ways to protect her thumb when holding her baby to prevent further strain.
5. Creating a Safe Healing Plan
• We mapped out a personalized recovery plan focused on glute and core strengthening, ensuring she can care for her baby safely and avoid injury.

Beyond the First Visit

 Our care doesn’t end with the first session. We will continue to address any new aches and pains that arise, including tension and discomfort in her neck and upper back, which are common from spending 15+ hours a day in a forward-bent posture while nursing, pumping, and holding the baby. We’ll help her manage these postural strains and provide techniques to release muscle tension.

 As her core begins to heal, we’ll progress her recovery exercises to safely build strength and support her return to daily activities and exercise. Whether her goal is to ease back into walking, start strength training, or simply move with greater ease, we’ll ensure her recovery is safe and sustainable.

Why Pelvic PT Matters Post-C-Section

Pelvic physical therapy after a C-section is about far more than pelvic floor care—it supports the whole body. We address scar healing, core recovery, posture, and pain, ensuring that new moms don’t just get through postpartum, but thrive. Without guidance, unresolved scar tissue, muscle imbalances, and lingering aches can become chronic issues down the road.

Our role is to provide both physical and emotional support. It’s easy for new moms to push their own needs aside, especially when they are nursing, pumping, and getting minimal sleep. We work with them to create recovery plans that balance baby care with self-care, empowering them to move confidently and advocate for what they need.

A Roadmap to Recovery

This mom now has a plan to heal, reconnect with her body, and safely care for her baby. She knows how to start early core exercises, protect her thumb, and strengthen her glutes. We’ve also discussed the importance of setting boundaries with family to help her get the rest she needs.

Over the next few weeks and months, we’ll continue to progress her recovery and address any challenges that arise. Whether it’s managing upper back pain or resuming exercise, we’ll ensure she has the tools to meet these demands safely.

So, if someone asks, “Why are you seeing a PT postpartum?” the answer is simple: Because every mom deserves support to heal fully and thrive in her new role. Postpartum recovery doesn’t happen on its own. With expert care and guidance, moms can feel empowered, supported, and ready to take on the challenges of motherhood without sacrificing their health.

Common Postpartum & C-Section Recovery Questions

• How long does it take for my abdominal muscles to heal after a C-section?

Healing times vary, but it typically takes 6-8 weeks for initial healing of the incision. However, full recovery of abdominal strength and coordination can take several months, especially without guided exercises. Pelvic PT helps ensure the muscles heal properly and are re-engaged safely over time.

• When can I start exercising again postpartum?

For C-section recovery, light activities like walking can usually begin a few weeks after birth. However, engaging in core work, running, or lifting should wait until cleared by your healthcare provider and guided by a PT to ensure your body is ready. Early postpartum PT focuses on breathwork and gentle movements to set the foundation for future exercise.

• Why am I experiencing back, neck, and shoulder pain postpartum?

Many new moms experience musculoskeletal pain from the forward-bent posture of nursing, pumping, and baby care. Weak glutes and core muscles, combined with repetitive movements, can also contribute. Pelvic PT addresses these imbalances through manual therapy, posture education, and strengthening exercises to alleviate pain.

• How can I eat to support healing postpartum?

Postpartum nutrition plays a critical role in recovery. Focus on high-protein meals to support tissue repair and muscle recovery. Ensure adequate hydration by drinking water with electrolytes, especially if you are breastfeeding. Continuing with high-quality prenatal vitamins with magnesium will further support your healing, energy, and mood during this time.

• Can I still benefit from PT if I’m months or years postpartum?

Absolutely. It’s never too late to address issues like abdominal weakness, scar tissue, or pelvic pain. Many women don’t realize they can benefit from pelvic PT long after giving birth, whether they’re struggling with pain, incontinence, or simply want to regain strength and confidence.

• What if I don’t feel pain in my pelvic area—should I still see a pelvic PT?

Yes! Pelvic PT isn’t just for managing pain. It focuses on restoring balance, strength, and coordination throughout your body. Whether it’s reconnecting with your core, improving posture, or preventing future issues, pelvic PT is a proactive way to ensure your long-term health and function.