Specialist Pelvic Health Physiotherapy in London
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Women's Health

Post-Operative Pelvic Pain

Some people experience ongoing pelvic pain following surgery due to changes in muscles, scar tissue or the body's healing response. Symptoms can vary depending on the type of procedure.

Most women recover well after pelvic surgery, but it is not uncommon to experience pain, stiffness or discomfort during the healing process. In some cases, symptoms may persist for longer than expected and begin to affect mobility, exercise, bladder or bowel function, intimacy, or confidence in returning to everyday activities.

Persistent pain after surgery does not necessarily mean that something has gone wrong. As tissues heal, changes to muscles, scar tissue and the nervous system can sometimes contribute to ongoing discomfort.

Pelvic health physiotherapy can be an important part of recovery, helping to restore movement, improve muscle function and support a gradual return to normal activities.

What types of surgery can lead to pelvic pain?

Post-operative pelvic pain may occur following a range of procedures, including:

  • Hysterectomy
  • Endometriosis surgery
  • Prolapse repair
  • Caesarean section
  • Ovarian surgery
  • Vaginal or perineal surgery
  • Laparoscopic (keyhole) procedures
  • Colorectal or urological surgery involving the pelvis

While some discomfort is expected during healing, persistent symptoms should be assessed to identify any contributing factors.

Common symptoms

Women may experience:

  • Ongoing pelvic pain
  • Scar sensitivity or tightness
  • Lower abdominal discomfort
  • Pain around the pelvis or hips
  • Pain during movement
  • Pain during sexual intercourse
  • Bladder or bowel symptoms
  • A feeling of tightness or pulling around surgical scars
  • Reduced confidence returning to exercise

Symptoms may develop soon after surgery or become more noticeable as activity levels increase.

Why can pain continue after surgery?

Several factors may contribute to ongoing symptoms, including:

Scar tissue

Scar tissue forms as part of the normal healing process. Occasionally, it can become less mobile and contribute to tightness or discomfort.

Pelvic floor muscle dysfunction

Following surgery, the pelvic floor muscles may become:

  • Tight and protective
  • Weak after a period of reduced activity
  • Poorly coordinated

Changes in movement

It is natural to protect the body after surgery, but altered movement patterns can sometimes place additional strain on surrounding muscles and joints.

Nervous system sensitivity

Following surgery, the nervous system may become temporarily more sensitive, particularly if pain has been present for a prolonged period.

How is post-operative pelvic pain assessed?

Your physiotherapist will discuss:

  • Your surgery and recovery
  • Current symptoms
  • Activities that are difficult
  • Exercise goals
  • Previous treatments

Assessment may include:

  • Scar assessment
  • Abdominal muscle function
  • Pelvic floor assessment (where appropriate and with consent)
  • Movement analysis
  • Assessment of the hips, pelvis and lower back

This helps us identify the factors contributing to your symptoms and create an individual rehabilitation plan.

How can pelvic health physiotherapy help?

Treatment is tailored to your surgery, stage of healing and personal goals.

It may include:

Scar management

Advice and treatment to improve scar mobility, reduce sensitivity and support comfortable movement.

Pelvic floor rehabilitation

Depending on your assessment, treatment may focus on:

  • Improving muscle relaxation
  • Restoring coordination
  • Strengthening where appropriate
  • Supporting bladder and bowel function

Manual therapy

Hands-on treatment may help reduce muscle tension and improve tissue mobility where appropriate.

Exercise rehabilitation

A progressive rehabilitation programme can help you safely return to:

  • Walking
  • Strength training
  • Running
  • Pilates or yoga
  • Sport
  • Everyday activities

The emphasis is on rebuilding confidence gradually while respecting the healing process.

What outcomes can I expect?

Recovery varies depending on the type of surgery, the healing process and your individual circumstances.

Our aim is to help you:

  • Reduce pain and discomfort
  • Improve mobility
  • Restore strength and function
  • Return confidently to exercise
  • Improve your overall quality of life

Many women benefit from understanding how their body is healing and having a structured rehabilitation plan tailored to their recovery.

Supporting your recovery

Recovering from pelvic surgery is about more than allowing the wound to heal—it is about helping your whole body recover and restoring confidence in movement and daily life.

Our specialist pelvic health physiotherapists provide personalised, one-to-one rehabilitation designed around your individual needs and goals.

Whether you are recovering from recent surgery or managing longer-term post-operative symptoms, we are here to support you throughout your recovery.

Here for you

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