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Postpartum Perineal Body Scar Massage

Your perineal body is the area between your vagina and anus. It is part of the pelvic floor and plays a role in continence and sexual function. 

Up to 85% of people who have a vaginal delivery will experience some type of perineal injury with resulting scar tissue. 

Perineal scar massage is a gentle technique that can be used to help soften scar tissue and decrease pain and tightness. 

Your scar should be well-healed before beginning massage (at least 6 weeks postpartum but confirm with your OB).

Preparation and Tips:

  • Start by washing your hands and finding a comfortable reclined position with your legs supported by pillows. Use an organic lubricant on your thumb or finger.
  • Practicing deep breathing may be helpful to further relax tissues.
  • Practice techniques for 5 minutes every 2-3 days within your tolerance or as recommended by your therapist
  • If touching the area is too painful or sensitive initially, desensitize the area with light touch of fingers, gentle water movement, or soft textured materials like tissues.
  • A small vibrator may also be used to help desensitize the scar and improve circulation.

Techniques:

Perineal body massage: Place your thumb or finger directly on the perineum and apply gentle pressure. Move the tissue slowly up and down and side to side. If you find one direction or specific spot feels more restricted, you may hold a stretch in that direction until you begin to feel the discomfort or restriction lessen (or about 90 seconds). 

Testing changes. 

Internal scar massage: Place your thumb inside the vaginal opening up to the first knuckle and sweep in a U shape along the bottom of the vaginal opening. If an area feels restricted, you may hold that for 90 seconds then see if the restriction lessens. If this feels too tender, you can start with light touch and no pressure. 

 

Scar rolling: Place your thumb inside the vaginal opening and your finger on the perineum and massage in a circular motion as if you are rolling a ball between your thumb and forefinger. Do this for 2-3 min or as tolerated.


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