Importance of Myofascial Release After Endometriosis Surgery

Surgery for endometriosis (laparoscopy or excision) is often a key step in managing pain and restoring fertility. But after surgery, many women are left with new challenges: scar tissue, tightness, and lingering pelvic pain. This is where myofascial release becomes a vital part of recovery.

What Happens After Surgery

·        - Scar Tissue & Adhesions: Healing creates fibrous tissue that can limit mobility of abdominal wall and pelvic organs.

·        - Muscle Guarding: Pelvic floor and abdominal muscles tighten to protect the area, which can create more pain.

·        - Restricted Circulation: Stiff fascia can impair blood flow and delay healing.

·        - Nerve Sensitization: Pain pathways may remain “switched on,” leading to persistent discomfort.

Role of Myofascial Release

Myofascial release is a gentle, hands-on physiotherapy technique that targets the fascia — the connective tissue surrounding muscles and organs.

✅ Improved Scar Mobility – prevents adhesions from restricting movement

✅ Pain Reduction – releases muscle guarding and decreases pressure on nerves

✅ Better Circulation – promotes healing and reduces swelling

✅ Posture Restoration – frees up abdominal wall and hips for better alignment

✅ Improved Organ Mobility – supports bowel and bladder comfort

When to Start

• Begin breathing exercises immediately post-op (with clearance).• Start gentle scar desensitization 2–4 weeks after surgery (once fully healed).• Progress to myofascial release and visceral mobilization from 4–6 weeks, guided by a pelvic health physiotherapist.

Integration with Recovery

Myofascial release works best when combined with:- Gentle stretching (hips, spine)- Core and pelvic floor re-education- Gradual return to activity and strengthening- Lifestyle advice for posture and flare-up management

MindHerWellness Takeaway 💜

Endometriosis surgery is not the end of the journey — it’s the beginning of recovery. Myofascial release helps you move past pain, regain mobility, and prevent long-term complications like adhesions and chronic pelvic pain.