Enhancing Post-Cesarean Recovery: A Narrative Review on Adhesions and the Role of Myofascial Release |
Paper ID : 1037-IPTCCU. (R1) |
Authors |
Nourhan Samir Ibrahim *, Doaa A. Osman, Hossam eldein Hussein Kamel, Mahitab Mohamed Yosri Enhancing Post-Cesarean Recovery: A Narrative Review on Adhesions and the Role of Myofascial Release |
Abstract |
Abstract Background: Cesarean section is widely performed and generally safe but often leads to complications such as intra-abdominal adhesions. These adhesions can result in chronic pelvic pain, infertility, bowel issues, and menstrual discomfort, affecting women’s quality of life and complicating future surgeries. Objectives: This review aims to examine the causes and effects of adhesions following CS, explore their impact on pelvic health and menstrual pain, and evaluate the potential role of myofascial release (MFR) as a conservative manual therapy. It also highlights gaps in current rehabilitation strategies and the need for non-surgical management. Methods: A narrative literature review was conducted using PubMed, Scopus, Web of Science, and Google Scholar, covering publications from 2000 to 2024. Keywords included CS, adhesions, myofascial release, manual therapy, and pelvic pain. Studies were included if they addressed adhesion formation post-CS and conservative therapeutic approaches. Results: Intra-abdominal adhesions are a key contributor to post-cesarean complications. MFR appears promising in reducing pain and improving recovery, though further evidence is required to support its integration into standard postpartum care. Conclusion: Findings suggest that adhesions are a significant source of chronic pain and dysfunction after cesarean delivery. MFR may improve fascial mobility and reduce pain, offering a non-invasive treatment option. However, existing research is limited and lacks standardized protocols. More clinical trials are needed to confirm its efficacy. |
Keywords |
cesarean section, adhesions, myofascial release, manual therapy, postpartum rehabilitation |
Status: Accepted |