You did the Kegels. You saw the physiotherapist. But months later, the pain when you sit, walk, or try to be intimate is still there. You're not imagining it, and it's not something you just have to live with.
We look at the scar, not just the symptoms.
Most providers treat the pain location. We assess the scar tissue that's likely disrupting your nerve signals and pelvic muscle activation first.
Advanced technology targets what hands can't reach.
Focused shockwave and electromagnetic therapy work deep in scar tissue to break up adhesions and restart healing, alongside hands-on pelvic physiotherapy.
We build the habits that prevent pain from coming back.
Scar release alone isn't enough. We guide you through progressive pelvic retraining so your muscles can actually fire, protect, and hold their gains.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
Pain or burning when sitting, standing, or walking, even months after giving birth
Painful intercourse that hasn't improved despite time and trying pelvic floor exercises
Low back, hip, or SI joint pain that started after your delivery and won't resolve
You've been told "it's normal" or "just do more Kegels," but nothing has changed
6, 12, or even more months postpartum and still waiting to feel like yourself again
You want to understand exactly why the pain is there before committing to any more treatments that might not address the real cause
The Real Problem
Explore 4 slides on Episiotomy scar
Most women with persistent episiotomy scar pain have several of these problems happening at once. That's why we assess the whole chain, from your perineum to your hips and low back, not just the painful spot.
OUR APPROACH
INITIAL VISIT
Full assessment of your episiotomy scar, pelvic floor function, and fascial tension patterns up through the hips and SI joints
Identify exactly which combination of scar adhesion, nerve disruption, and muscle dysfunction is driving your pain
You leave with a written treatment plan, a clear explanation of what's happening, and transparent pricing before you commit to anything
First 3 to 6 Weeks
Focused shockwave therapy to break up dense scar adhesions and stimulate tissue remodeling and nerve regeneration in the perineal region
EMTT (electromagnetic pulse therapy) for deeper tissue effect and pain signal modulation in resistant or complex cases
Hands-on scar mobilization and pelvic manual therapy to restore fascial mobility and begin reactivating proper muscle signaling
Reduce sitting and walking pain, and make daily activity tolerable again.
6+ Weeks and Beyond
Guided pelvic floor physiotherapy to retrain proper muscle activation patterns now that the scar is no longer blocking signals
Progressive exercises targeting coordination, endurance, and load tolerance so the pelvic floor can sustain the gains from treatment
A structured home program (including pelvic massage and targeted exercise) to reduce the chance of pain returning over time
What To Expect
Every case is different, but research and our clinical experience consistently show:
Many patients notice a meaningful shift within 1 to 3 sessions of focused shockwave. Full benefit from a complete course typically builds over several weeks as the tissue continues to remodel after treatment ends.
Functional gains tend to be significant. Women in clinical research reported being able to sit longer, resume exercise more comfortably, and return to intercourse after treatment. Muscle strength and endurance also improved substantially in pelvic rehabilitation studies.
Treating the scar addresses the pattern that keeps pain returning. Women who complete the full program and maintain their home exercise routine tend to sustain their progress well beyond the treatment period, rather than cycling through temporary relief.
Our promise: we will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your situation needs a different kind of care, we will refer you directly.
EVIDENCE
Focused extracorporeal shockwave therapy has been shown to significantly reduce disability and pain in postpartum pelvic dysfunction, with improvements appearing within the first week of treatment in a prospective clinical trial.
Shockwave therapy applied to hypertrophic and surgical scars has been shown to improve scar pliability, reduce scar height, and decrease pain, consistent with tissue remodeling and collagen reorganization in multiple clinical studies.
Extracorporeal magnetotransduction therapy (EMTT) significantly improved physical function scores and reduced pain compared to sham treatment in a double-blind, placebo-controlled randomized trial of 126 participants.
Pelvic floor rehabilitation produced large improvements in muscle strength, endurance, and sexual function compared to no treatment in a randomized controlled trial, with pain reductions of approximately 7 points on a 10-point scale.
Systematic reviews confirm that pelvic floor muscle training in the postpartum period effectively prevents and treats pelvic floor dysfunction, and that shockwave carries a Grade A recommendation in related chronic pelvic pain indications.
Outcomes are group averages from clinical trials; individual results vary.
BY THE NUMBERS
Figures are group averages from published clinical trials and may not reflect individual outcomes.
Here are answers to some of the most common questions about Episiotomy scar.
6 results found
Persistent pain with weight-bearing is one of the most common signs that the scar itself hasn't fully resolved. Episiotomy scars form dense fibrous tissue that can tether to deeper pelvic structures, and any load, including sitting or walking, pulls on that tethering. The pain isn't coming from weakness. It's coming from restricted tissue. We assess this specifically during your initial visit to understand exactly what's happening.
Yes, and this is one of the most underappreciated reasons why pelvic floor exercises alone fail for some women. Scar tissue can compress or disrupt the nerves that run through the pelvic floor, interrupting the signals your brain sends to those muscles. When signals don't get through properly, exercises can't activate the right muscles no matter how consistently you do them. Clearing the scar first is what makes the rehab work. We explain this in detail at your assessment.
Research protocols typically use 5 to 10 shockwave sessions. In our clinical experience, many patients begin to notice meaningful changes within 3 to 5 sessions, though this varies based on scar severity, how long the issue has persisted, and how well pelvic rehab is progressing alongside treatment. We give you an honest estimate at the first visit based on your specific situation.
Recurring pain after a period of improvement usually means the scar hasn't been fully released, or that pelvic floor muscle retraining hasn't been maintained consistently enough. When the scar's pull on surrounding tissue isn't addressed, pain tends to return with any increase in activity, stress, or reduction in exercise. The goal of our program is to treat the source and build habits that prevent the cycle from restarting. We map this out at your first appointment.
While most perineal pain resolves in the first 6 to 8 weeks postpartum, research shows that approximately 10% of women with perineal injury continue to experience pain at 18 months or beyond. Persistent pain at 6 months is a signal that something isn't resolving on its own. It is not something you have to wait out. Identifying the specific driver at this stage, whether scar adhesion, nerve entrapment, or pelvic floor dysfunction, makes treatment more targeted and effective.
Standard pelvic physiotherapy typically focuses on muscle activation and Kegel-style exercises. If the underlying scar adhesion hasn't been released, those exercises can't reach the root cause, and the results will be limited. Our approach uses focused shockwave to treat the scar tissue directly before asking the muscles to work. Once the scar is mobile and nerves can signal again, the physiotherapy component becomes far more effective. We review what you've tried and why it may not have been enough at your first visit.
YOUR NEXT STEP
Stop guessing, stop collecting treatments that don't address the real issue, and get a plan that treats the system, not just the symptoms.
Initial Episiotomy scar Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full-body assessment including perineal scar, pelvic floor function, hips, and SI joints
Identify which combination of scar, nerve, and muscle factors are driving your pain
Review of your history, previous treatments, and any imaging if available
Clear written treatment plan with transparent pricing before you commit to anything
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
We use cookies to analyze site traffic and improve your experience. See our Privacy Policy for details.