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Reclaiming Strength: A New Mom’s Guide to Post-Cesarean Gym Comeback

Recovering from a C-section is a journey that requires patience and care, especially when considering a return to the gym. Your body has gone through significant changes, and it’s essential to prioritize healing while also regaining strength and fitness. Here are some key tips to help you safely navigate your post-operative fitness journey. 

  •  Listen to Your Body:  Pay attention to your body’s signals.  New pain, leaking, pelvic pressure, or scar discomfort are all signs to check in.  If you are unsure about how to return to the gym, this is a good time to set up an appointment with a pelvic floor PT who can help guide you as you recover.  
  • Start Slow: Ease back into exercise with lower-impact activities. Walking, stretching, and pelvic floor and deep core exercises are great starting points. Gradually increase intensity as you feel more comfortable. Remember, it’s not about how fast you can return to your pre-pregnancy workouts but rather how well you can support your body’s healing process.  It takes about 3 months for your c-section scar to fully heal and for the connective tissue to return to near pre-pregnancy strength. 
  • Focus on Core Strength: Pregnancy and any type of delivery can weaken your core muscles and decrease the connective tissue in the abdominal wall and pelvic floor. Incorporating specific exercises to strengthen this area is crucial. Begin with exercises like pelvic tilts, pelvic brace with toe taps, and bridges. Avoid traditional crunches or sit-ups initially, as they can place undue strain on your healing incision. 
  • Pay Attention to Your Incision: Your C-section incision should be fully healed before you return to workouts. Monitor the area for any signs of infection, such as redness, swelling, or discharge. If you have concerns, consult your doctor.  We can start doing gentle scar tissue mobilization about 6 weeks after delivery.  Dry needling for improved scar tissue mobility is another treatment option to improve healing.  
  • Stay Hydrated and Nourished: Postpartum recovery requires adequate hydration and nutrition. Ensure you’re drinking plenty of water and consuming a balanced diet rich in vitamins and minerals to support your healing and energy levels. 
  •  Consider Professional Guidance with Pelvic Floor PT: If you’re uncertain about where to begin or want to ensure you’re exercising safely, consider working with a pelvic floor physical therapist. They can help design a personalized program that caters to your needs and goals while keeping your safety in mind.  
  • Be Kind to Yourself: Remember that postpartum recovery takes time just like pregnancy takes time. Celebrate small victories and don’t compare your progress to others. Focus on your well-being and enjoy the journey of getting back into fitness.  

— Jennifer Cumming, PT, MSPT, CLT, WCS


Disclaimer: This blog is here for your help. It is the opinion of a Licensed Physical Therapist. If you experience the symptoms addressed you should seek the help of a medical professional who can diagnose and develop a treatment plan that is individualized for you.

Jennifer founded Foundational Concepts, Specialty Physical Therapy in 2013 to focus on pelvic floor physical therapy. She is board certified in women’s health specialty physical therapy and holds a certification in lymphedema therapy. She also has specialty training in assessment and treatment of the temporomandibular joint (TMJ dysfunction) and the integrative systems model. She is an adjunct professor at Rockhurst Physical Therapy program and is clinical faculty for resident education for HCAMidwest gynecology and KU internal resident residents. She has presented at Combined Sections, American Urology Association, and Urology Association of Physician Assistants.

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