Pelvic Floor Therapy After Hysterectomy: How Physical Therapy Can Support Recovery

Many women are surprised to learn that recovery from a hysterectomy involves more than simply allowing surgical incisions to heal.

Whether your hysterectomy was performed abdominally, laparoscopically, or vaginally, the procedure affects the muscles, connective tissues, and support structures of the pelvis.

Pelvic floor therapy after a hysterectomy can help address pain, improve function, and support an easier return to daily activities.

What Is a Hysterectomy?

A hysterectomy is the removal of the uterus and may also involve removal of the cervix, ovaries, and/or fallopian tubes. While the surgery may address the original medical concern, many women still experience symptoms during recovery that benefit from pelvic floor physical therapy.

The surgery can impact pelvic floor muscles, scar tissue formation, core strength and coordination, and pressure management within the abdomen and pelvis.

Why Pelvic Floor Therapy After Hysterectomy Matters

Pelvic floor physical therapy focuses on restoring function, not just reducing pain. Every situation is unique, but some benefits may include:

  • Improving pelvic floor muscle coordination

  • Restoring core strength

  • Reducing scar tissue restrictions

  • Improving bladder and bowel function

  • Addressing pelvic pressure or prolapse symptoms

  • Supporting a safe return to exercise and lifting

hysterectomy recovery physical therapy

When Should You Start Pelvic Floor Physical Therapy After a Hysterectomy?

Your surgeon will clear you for pelvic floor physical therapy at your 6-8 week check-up post surgery appointment. It's never too late to address pelvic floor concerns, even if it's months or years after a hysterectomy.

While surgery can address a medical condition, it can sometimes leave behind:

  • Muscle dysfunction

  • Scar tissue restrictions

  • Movement compensations

  • Ongoing pelvic floor symptoms

If you find that you are experiencing pain, leakage, pressure, constipation, painful sex, or difficulty returning to activities you once enjoyed, physical therapy can help address these issues.

pelvic floor PT after surgery

What to Expect at Chicago Mama Physical Therapy

With personalized pelvic floor therapy, our goal is to empower you to care for yourself and feel confident through your recovery—and beyond.

Here's what you can expect:

  • One-on-one, hour-long sessions

  • A private, tranquil treatment room

  • Consistent care with the same therapist each visit

  • A specialist trained in pelvic health and pregnancy/postpartum care

  • A whole-body treatment approach tailored to your goals

  • A clear, supportive roadmap to help you help you regain strength, improve function, and feel more confident in your body as you heal

 
 
 

Next Steps for Healing

If you’re ready to take the next step, we’re here for you. Schedule your free discovery call to learn how pelvic floor therapy can support your hysterectomy recovery.

If you’re in Barrington, IL or the surrounding Northwest suburbs, visit chicagomamapt.com/contact or call 312-554-5146.

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Birth Preparation: How Pelvic Floor Therapy Can Help You Prepare for Labor and Delivery