Nothing can quite prepare you for what’s to come following an episiotomy or perineal tear. You may find yourself swollen or sore and there’s a chance you may find your wound becoming infected. As scar therapists, the wound healing process is of vital importance as it impacts the resulting scar which we want to be supple, stretchy and pliable.

You may feel your scar is pretty good but it’s worth an assessment since after menopause some women complain of painful intercourse as the declining oestrogen reduces the vaginal lubrication highlighting problems from long ago. It may seem ages away but scars take around 2 years to mature so a little input now can go a long way to preventing problems later.

What is scar therapy?

Scar therapy is a group of manual therapy techniques to help support the remodelling of your scar. Scars take around 2 years to mature so there is plenty of time to work on them and there are lots of techniques you can apply at home to encourage flexibility, pliability and reduce tethering.

What is cold laser therapy?

We use cold laser therapy in our clinical practice to support wound healing and tissue repair.  Cold laser therapy is a form of light therapy harnessing the fact that different cells in your body respond to different sources of light. It’s already used extensively in healthcare...

  • Babies with jaundice are given light therapy as this stimulates the cells to get rid of the bilirubin in the blood
  • Those with psoriasis use light therapy as this stimulates the cells of the skin to heal
  • Humans use sunlight to help the vitamin D we eat to be turned in to a Vitamin D our body can use

How can scar therapy and cold laser support recovery?

It isn’t uncommon for episiotomies to become infected in which case cold laser therapy can support in the early days through having a bactericidal effect and stimulating tissue healing which can further encourage tissue repair.

Later, perineal scars may become thick, hard or tender. This may be uncomfortable during sexual intercourse; in some cases may even lead to a significant pain. Cold laser therapy and scar therapy offers a way of softening perineal scars, aiming to improve their elasticity and texture to help the scar tissue become more supple and stretchy.

How does cold laser therapy work?

The light is applied to the episiotomy wound giving those damaged cells energy to be able to actively heal. Depending on the cells which have been damaged will determine which wavelength of light is applied. For example, a wound which is infected will need different cells to be stimulated as opposed to a scar that has thickened.

In 1998 NASA needed their astronauts to be able to heal themselves in space should they cut themselves – they sent cold laser therapy devices. Today, hundreds of peer-reviewed research papers have been produced and the studies continue to grow.

Cold laser emits no heat, sound, or vibration and most importantly it is not painful making it one of the few treatment choices available to many women after having a baby. We may also use this treatment modality to support baby's after a tongue-tie division and with women who are experiencing nipple pain or mastitis.

What can Cold Laser & Scar Therapy help with?

  • Wound healing
  • Pain reduction
  • Infection management
  • Increasing blood flow to the area
  • Reduction of inflammation.... and so much more!

What does a Mummy MOT when recovering from an episiotomy or perineal tear involve?

It all depends on how many weeks / months / years post-partum you are and what you’re experiencing. But here are some of the areas we might explore with you:

  • A thorough assessment of your neuro-musculoskeletal system
  • A whole-body approach; analysis of your posture, holding positions, postural retraining and specific exercise prescription if required
  • Discussing and investigating the possible causes of pain and trauma
  • Applying low-level laser therapy to the wound / scar if required
  • Scar therapy and demonstrating scar release techniques to you
  • In-depth / internal assessment of pelvic floor
  • Assessment and support of diastasis recti (tummy gap)

Please get in touch if you have any questions and we look forward to supporting you in your post-natal recovery.

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