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Gynecology (Expert Forum)
Pain after c-section (knot question)
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
Pain after c-section (knot question)
by lhaynes, Nov 04, 2009 12:24PM
I had my second c-section seven weeks ago. I have been having lots of pain on the left side of my incision. I went to my OBGYN and he said that he believes a nerve was caught in the knot on the left side. He gave me some pain meds. Is there any other type of treatment or warning signs that I should look for in case this is something serious? Can it be something else? Should I ask for an ultrasound or some other tests?
Doctor's Answer
by Elaine Brown, MD, Nov 10, 2009 11:01PM
, Nov 10, 2009 11:01PMTo: lhaynes
Hi!
First, congratulations on your new baby!
If you have any redness, swelling, or drainage from the incision, those could be signs of infection.
If the painful area develops a tender lump that gets smaller and larger, especially with straining, it could be a hernia. An ultrasound or CT scan can help determine the integrity of the tissue if there is any doubt. If a lump develops and is associated with severe pain, it could be a strangulated hernia, and that would require a trip to the ER.
If it is a suture, it may yet dissolve and feel a lot better.
If it is an entrapped nerve, injecting the area with cortisone plus an anesthetic may really help, and again, when the sutures reabsorb it may get a lot better spontaneously.
Depending upon what suture your MD uses, some suture take 3-6 months to dissolve. Most probably things will get better as you continue to heal.
Good luck!
Dr B
First, congratulations on your new baby!
If you have any redness, swelling, or drainage from the incision, those could be signs of infection.
If the painful area develops a tender lump that gets smaller and larger, especially with straining, it could be a hernia. An ultrasound or CT scan can help determine the integrity of the tissue if there is any doubt. If a lump develops and is associated with severe pain, it could be a strangulated hernia, and that would require a trip to the ER.
If it is a suture, it may yet dissolve and feel a lot better.
If it is an entrapped nerve, injecting the area with cortisone plus an anesthetic may really help, and again, when the sutures reabsorb it may get a lot better spontaneously.
Depending upon what suture your MD uses, some suture take 3-6 months to dissolve. Most probably things will get better as you continue to heal.
Good luck!
Dr B
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