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Abdominal Surgery and Back Pain

Months or even years after abdominal surgery, many people develop lingering back pain. The connection isn’t always obvious — but scar tissue and changes in movement play a big role.

How Surgery Affects Movement

  • Scar Tissue Restrictions: Adhesions can limit abdominal expansion, rotation, and spinal mobility.
  • Altered Breathing Mechanics: Tightness in the abdominal wall can disrupt diaphragmatic breathing, stressing the spine.
  • Core Imbalance: Muscles shut down or overcompensate after surgery, leaving the back to take on more load.

Why Traditional Rehab Misses It

Conventional rehab often focuses only on the incision area or only on the back, missing the relationship between the two.

Solutions That Work

  • Gentle scar tissue mobilization and stretching techniques.
  • Breathwork to restore diaphragm function.
  • Functional core training to rebalance load-sharing.

Takeaway: If you have back pain after abdominal surgery, the scar is likely influencing how your body moves and breathes. Address the restriction, not just the spine.

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