Fascial Scar Mobilization Techniques in Treating Chronic Caesarian Section Scar Pain
Status unconfirmed · Not applicable
Conditions studied: Cesarean Section, Cicatrix, Tissue Adhesions
In brief
Over 1.37 million Caesarian sections (C-sections) are performed annually in the US . It is estimated that 12-20 % of those will result in chronic scar pain. This pain can lead to functional difficulties performing activities of daily living, pain with bowel movements, and pain with sexual activity . There is anecdotal evidence supporting the use of deep fascial scar mobilization techniques in reducing abdominal surgical scar pain, and yet almost no research has been published. The aims of this randomized clinical trial will be to determine if deep fascial scar mobilization techniques or superficial scar mobilization techniques will improve chronic pain and its resulting functional deficits, threshold pressure discomfort, pressure tolerance and mobility restrictions resulting from C-section surgery and to see if these interventions are more effective than no intervention. A positive result may result in an increase in the use of this intervention and thus the reduction of chronic scar pain for many women; it may provide justification for insurance reimbursement for this approach and it will also pave the way for further investigation into the use of these techniques with other types of painful scars including hysterectomy.
Key facts
- Study ID
- NCT02836626
- Run by
- Rocky Mountain University of Health Professions
- People needed
- 29
- Starts
- 2016-06-01
- Expected to finish
- 2017-08-01
- Last updated by the study team
- 2017-04-11
Who can join
Age: 18 and older, up to 65. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- well- healed abdominal scar over 3 months old that is resulting in chronic pain
- pain can be intermittent, at rest or with activity, and must have been present at least at a 3/10 at some point in the month prior to evaluation
- patient must report the presence of chronic pain.
You may not qualify if…
- history of cancer in pelvis or abdomen
- active infection / infectious disease in pelvis or abdomen
- pain medications on days of measurements
- skin irritation/inflammation at site of scar
- currently pregnant
- history of radiation to area
- Age <18
- no pain with pressure and mobility is symmetrical in all directions on initial examination.
Where it is running
- Franklin Pierce University — Manchester, New Hampshire, United States
- ITR Physical Therapy — McLean, Virginia, United States
- Experience Momentum — Lynnwood, Washington, United States
Full record on ClinicalTrials.gov
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