Hysterectomy Recovery: How Can Physiotherapy Aid the Healing Process?

A hysterectomy, the surgical removal of the uterus, is a common procedure performed for conditions such as uterine fibroids, endometriosis, and gynaecological cancers. While the surgery can be effective in addressing these conditions, the recovery phase is critical to ensure optimal outcomes. Physiotherapy, particularly pelvic health physiotherapy, plays a pivotal role in restoring function, alleviating discomfort, and enhancing overall well-being post-surgery.

This article outlines how physiotherapy can support recovery after a hysterectomy, contributing to a smoother, more effective healing process.

1. Pelvic Floor Rehabilitation.

A hysterectomy can weaken the pelvic floor muscles, leading to dysfunctions such as urinary incontinence, pelvic organ prolapse, or pelvic pain. These muscles, which support the bladder, rectum, and other pelvic organs, can lose strength or coordination after surgery. Pelvic floor rehabilitation involves specific exercises that target these muscles to restore their function. Under the guidance of a physiotherapist specialising in pelvic health, patients can perform tailored exercises to improve muscle strength and prevent complications such as stress urinary incontinence. This is crucial for preventing long-term pelvic dysfunctions that could otherwise persist after surgery.

2. Scar Tissue Mobilisation.

Scar tissue development, or adhesions, is a natural part of the healing process but can cause discomfort or restrict movement around the surgical site. Physiotherapists use techniques such as manual therapy and soft tissue mobilisation to improve tissue flexibility and mobility. These interventions can help reduce pain and promote smoother, more functional healing of the abdominal and pelvic areas.

3. Core Muscle Re-education And Postural Alignment.

Post-surgical weakness in the abdominal muscles is common due to the trauma of surgery. Impaired core function can contribute to back pain, poor posture, and difficulty performing daily tasks. Physiotherapists design individualised exercise programs to re-educate the core muscles, enhancing abdominal strength and postural alignment while minimising strain on healing tissues. By promoting optimal posture, physiotherapy also helps reduce unnecessary tension in the back and pelvic regions, preventing secondary musculoskeletal issues.

4. Pain Management And Early Mobility.

In the initial stages of recovery, controlled movement is essential for preventing complications such as blood clots and joint stiffness. Physiotherapists employ pain management strategies through gentle movement, stretching, and relaxation techniques. Early mobility exercises are introduced to enhance circulation, reduce discomfort, and promote healing without overloading the surgical site.

5. Psychosocial Support And Wellbeing.

The emotional and psychological impacts of a hysterectomy should not be underestimated. Physiotherapy addresses not only physical healing but also promotes emotional wellbeing. By encouraging safe physical activity, physiotherapy can help reduce anxiety, improve mood, and support a sense of control and confidence during the recovery period.

6. Long-Term Prevention Of Complications.

One of the primary goals of post-hysterectomy physiotherapy is the prevention of long-term complications. Pelvic floor weakness, if left unaddressed, can lead to chronic conditions such as pelvic organ prolapse or persistent incontinence. A comprehensive physiotherapy program mitigates these risks by enhancing pelvic support and function. Core strengthening and mobility exercises also reduce the likelihood of chronic back pain or postural issues, ensuring that patients regain full functional capacity as they recover.

When To Begin Physiotherapy?

Physiotherapy can usually begin in the early post-operative phase, often within a few days to weeks, depending on the type of hysterectomy performed and the patient’s recovery progress. Initial physiotherapy focuses on pain management and early mobilisation, followed by a gradual progression to pelvic floor strengthening, core reconditioning, and functional exercises as healing progresses. Before starting physiotherapy, it’s important for patients to consult with their surgeon or healthcare provider to ensure they are cleared for physical activity.

If you’ve undergone a hysterectomy or are scheduled for one, speak to your healthcare provider about incorporating physiotherapy into your recovery plan. Early intervention can make a significant difference in both short-term recovery and long-term health outcomes.

If you would like to learn more about the Activ Women's Health clinic, or speak to Suvarna in confidence about any specific female health issue which could be helped by physiotherapy, please contact us on 0114 2352727.