Undergoing a hysterectomy is a major surgical procedure that can bring about significant changes to a woman’s body. Whether the surgery was performed for medical reasons or as a proactive choice, the recovery process is crucial to ensuring your long-term well-being. One integral aspect of this journey is physical therapy, a key player in aiding your body’s return to normal function. In this blog, we’ll delve into the importance of physical therapy in post-hysterectomy recovery and provide valuable insights into the rehabilitation process.

Understanding Hysterectomy and Its Impact

A hysterectomy involves the surgical removal of the uterus, and in some cases, may also include the removal of the ovaries and fallopian tubes. This procedure is typically performed to treat various gynecological conditions such as fibroids, endometriosis, pelvic inflammatory disease, and certain types of cancer. While a hysterectomy can bring relief from certain health issues, it can also lead to physical changes that require careful rehabilitation.

Why Physical Therapy Matters

After a hysterectomy, the body undergoes significant changes that may affect pelvic floor muscles, core strength, posture, and overall mobility. Increased prevalence of stress incontinence is noted post hysterectomy and which can affect quality of life. A new study published in American Journal of Obstetrics and Gynecology concluded that women who underwent hysterectomy had 3 times higher risk of incontinence surgery. Physical therapy rehab plays a vital role in addressing these changes and promoting a smooth recovery. Here’s why it matters post-hysterectomy:

  1. Pelvic Floor Rehabilitation: The pelvic floor muscles, which support the bladder, uterus, and rectum, can weaken due to surgery. Physical therapists specialize in exercises that target these muscles, aiding in their recovery and enhancing bladder and bowel control.
  2. Core Strengthening: The core muscles are crucial for maintaining stability, balance, and posture. Strengthening these muscles can help compensate for the loss of uterine support and minimize any discomfort or pain.
  3. Pain Management: Postoperative pain is common, and physical therapists can provide techniques to manage pain effectively without compromising your recovery process.
  4. Mobility Restoration: Surgery can limit your mobility, and physical therapy can guide you through exercises that gradually restore your range of motion and flexibility.
  5. Scar Tissue Management: Surgical scars can lead to tissue tightness and discomfort. Physical therapists can use techniques to minimize scar tissue adhesions and improve tissue mobility.

The Rehabilitation Journey

Rehabilitation after a hysterectomy is a gradual process that requires patience, commitment, and professional guidance. Here’s a glimpse of what your rehabilitation journey might look like:

  1. Initial Assessment: Your physical therapist will conduct a thorough assessment of your condition, taking into account your medical history, surgical details, and current physical state. This assessment will serve as the foundation for your personalized rehabilitation plan.
  2. Pain Management Techniques: Your therapist may use manual techniques, modalities like heat or ice, and guided breathing exercises to help manage postoperative pain.
  3. Scar Tissue Management: Techniques like scar massage and gentle stretching can help prevent excessive scar tissue buildup and improve tissue flexibility.
  4. Pelvic Floor Exercises: These exercises aim to strengthen and engage the pelvic floor muscles.
  5. Core Strengthening: Gradual core exercises, such as pelvic tilts and gentle abdominal contractions, will be incorporated to restore core strength and stability.
  6. Progressive Mobility Exercises: As your body heals, your physical therapist will guide you through a range of motion exercises that prevent stiffness and promote overall mobility and functional movement.

Tips for a Successful Recovery

  1. Follow Your Physical Therapist’s Plan: Your rehabilitation plan is tailored to your specific needs. Adhering to the plan diligently will yield the best results.
  2. Stay Hydrated and Nourished: Proper hydration and a balanced diet support the healing process and overall well-being.
  3. Practice Patience: Recovery takes time. Be patient with yourself and celebrate small milestones along the way.
  4. Open Communication: Maintain open communication with your physical therapist, discussing any concerns or changes you experience during the recovery process.
  5. Avoid Overexertion: While it’s important to engage in your exercises, avoid pushing yourself too hard too soon. Gradual progress is key.


Physical therapy is an invaluable component of your post-hysterectomy recovery journey. By working closely with a qualified physical therapists like us and dedicating yourself to the rehabilitation plan, you can regain your strength, mobility, and overall well-being.

Remember, each person’s recovery is unique, so focus on your own progress and celebrate the victories, no matter how small they may seem. Your body is resilient, and with the right guidance, you can navigate the road to recovery with confidence. Don’t suffer in silence and advocate for rehab with your surgeon/provider.

Curious to learn a little bit more about how pelvic health physical therapy? Request a FREE 10-minute consult call today

Be empowered in education,

OrthoPelvic Physical Therapy

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