Vaginal/Perineal Deeper Scar Tissue Mobilization: 10+ Weeks Postpartum

This video demonstrates progressive, deeper scar mobilization techniques following vaginal/perineal tearing. Around 10-12 weeks postpartum, the scar has entered a remodeling phase, and slightly deeper work may help improve mobility, reduce restrictions, and support overall abdominal function.

How to Perform this Safely:

• Begin with gentle techniques first and then gradually adding depth as tolerated

• Use slow, sustained pressure into the tissue (never sharp or forceful)

• You may begin to:

  • Gently lift or roll the scar between your fingers

  • Move the scar and surrounding tissues in multiple directions

  • Apply light stretch to the tissue, staying within a comfortable range

• Keep breathing relaxed - no bracing or holding your breath

• Work in short 5-10 minute durations, allowing the tissue to adapt overtime

What to avoid:

• Do not use painful pressure

• Do not assume “deeper is better” — progress should be gradual

Stop and Seek Guidance if you notice:

• Pain that lingers or worsens after treatment

• Increased sensitivity, inflammation, or swelling

• Any changes in the scar such as redness or irritation

• Feeling of pelvis heaviness, pressure, or discomfort with activity

Deep scar mobilization should feel tolerable and controlled. Everyone heals differently, and some people may need more time before progressing to deeper techniques.

This video is educational only and does not replace individualized care. If you are unsure whether this is appropriate for you, or if you have complications related to your C-section/perineal scar tissue, please consult your healthcare provider or a pelvic health physical therapist. 

*You should be feeling generally stable and your scar should appear fully healed and able to tolerate at least light mobilization.  You may perform as long as your provider has not advised against direct mobilization.