Hysterectomy Scar Pain - 10 Years Later - Personal Trainer Community - Forum

[muscletrainerdh-NSCA CPT]

Hi all,

I have a 58 year old female who had a hysterectomy 10 years ago.

She has never exercised and when I set her up on a program a week or two later she complained of pain radiating from her hysterectomy scar.

Now, I'm not a doctor and no very little about this surgery, but I know it takes place around the lower abdominal region so I deducted that her abdominal muscles were too weak and that she should focus on them.

This didn't seem to allievate the pain, in fact it made it worse and now the woman doubts my skills as a trainer.

I found all this out through a co-worker and have not seen the member since she complained to me about the pain in the first place.

What can I do to restore her confidence in me?

Is the pain she feeling, just because her ab muscles are weak or is there some sort of "phantom pain" that is associated with the Hysterectomy scar.

Any input would be appreciated.

Thanks,

Dave

[Christina]

Dave,

Have you considered that perhaps she was just experiencing DOMS after training with you? Since she had never exercised she wouldn't be familiar with DOMS.

Christina

[Christina]

I just thought of something. I have a good friend who is an OBGYN. I will ask him.

Christina

[muscletrainerdh-NSCA CPT]

Thanks Christina,

At first that's what I thought, but she says it was not muscle soreness. But let me know what your OBGYN thinks.

I'm sure I may have been a tad bit agressive with her, but also want to make sure there's no underlying condition that I am aggrevating.

Peace,

Dave

[Christina]

Hey Dave,

I just called my friend who is an OBGYN and this is what he had to say about your client. He said there are a thousand questions that you would need to ask your client before you could take the blame for her pain. You need to know what type of hysterectomy she had, whether or not she is hypertensive, a diabetic, her build (endo, meso, ecto) how many children she has had, how big the children were... the list goes on.

He said the pain could be caused by the scar tissue being stretched OR just as we suspected, the woman could simply be out of shape. He also said that it would probably be in your best interest to encourage this type of client to move on. Bottom line: don't blame yourself.

I hope this helps put your mind at ease!

Christina

[muscletrainerdh-NSCA CPT]

Thanks Christina,

This helps alot. I haven't seen the member in over two weeks so I think I will reword your friends questions in an e-mail and send it to her.

Peace,

Dave