Backache After Hysterectomy Surgery
Experiencing backache after a hysterectomy? Learn the common causes, effective management strategies, and when to seek medical advice for post-hysterectomy back pain. Get relief and understand your recovery.
Written by Dr.Sonia Bhatt
Last updated on 9th Jul, 2025
Introduction
If you've recently undergone a hysterectomy (surgery to remove the uterus) and are experiencing back pain, you're not alone. Many women report backaches after this procedure, which can be concerning if you're unsure why it's happening or how to manage it.
This article will help you understand the possible causes of back pain after a hysterectomy, how to ease discomfort, and when to seek medical advice.
Why Does Backache Happen After Hysterectomy?
A hysterectomy is a major surgery, and while it helps treat various conditions like fibroids, endometriosis, or cancer, it can sometimes lead to back pain. Here are some common reasons:
1. Surgical Positioning & Muscle Strain
During surgery, you lie in a specific position for an extended period, which can strain your back muscles. Additionally, weakened abdominal muscles after surgery may force your back to compensate, leading to discomfort.
2. Nerve Irritation or Damage
Sometimes, nerves in the pelvic area may get irritated during surgery, causing referred pain in the lower back.
3. Changes in Posture & Core Weakness
Since the uterus is removed, your core muscles may weaken temporarily, affecting posture and putting extra stress on your back.
4. Scar Tissue Formation
Internal scar tissue (adhesions) can sometimes pull on surrounding tissues, leading to back pain.
5. Emotional Stress & Tension
Recovery can be stressful, and anxiety or tension may contribute to muscle stiffness and backaches.
Consult Top Gynaecologists
How to Manage Back Pain After Hysterectomy?
While some discomfort is normal, persistent or severe pain should not be ignored. Here are some ways to ease backache:
1. Gentle Movement & Walking
Start with short walks to improve circulation and reduce stiffness.
Avoid sitting or lying down for too long.
2. Proper Posture & Support
Sit with a small pillow behind your lower back.
Avoid slouching or standing for long periods.
3. Heat or Cold Therapy
A warm heating pad can relax tense muscles.
Ice packs may help if there’s swelling.
4. Pain Relief Medications
Over-the-counter pain relievers (like acetaminophen or ibuprofen) can help, but consult your doctor first.
5. Pelvic Floor & Core Strengthening Exercises
Once your doctor approves, gentle stretches and pelvic floor exercises (like Kegels) can help strengthen muscles.
Avoid heavy lifting or strenuous activities for at least 68 weeks.
6. Massage & Physical Therapy
A gentle massage can relieve muscle tension.
A physical therapist can guide you with safe exercises.
7. Hydration & Nutrition
Drink plenty of water to keep muscles hydrated.
Eat antiinflammatory foods (like fruits, vegetables, and omega3rich foods) to aid healing.
When to See a Doctor?
Most back pain improves within a few weeks, but contact your doctor if:
Pain is severe or worsening.
You notice swelling, redness, or fever (signs of infection).
Pain radiates down your legs (possible nerve issue).
You have difficulty urinating or controlling bowel movements.
Can Back Pain Be Prevented?
While some discomfort is unavoidable, these steps may help reduce the risk:
Follow your surgeon’s recovery instructions carefully.
Gradually reintroduce physical activity.
Use proper body mechanics (bend at the knees, not the waist).
Consider pelvic floor therapy before and after surgery.
Final Thoughts
Back pain after a hysterectomy is common but usually temporary. With rest, gentle movement, and proper care, most women recover well. However, if pain persists or worsens, don’t hesitate to consult your doctor. If you need expert advice or want to discuss your symptoms, you can book a consultation with a specialist on Apollo 24|7 for personalized care.
Consult Top Gynaecologists
Consult Top Gynaecologists
Dr. Sanjan Das
Obstetrician and Gynaecologist
15 Years • MBBS,MS
Bengaluru
Apollo Clinic, Sarjapur Road, Bengaluru
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. Sreeparna Roy
Obstetrician and Gynaecologist
8 Years • MBBS , MS (OBSTETRICS & GYNAECOLOGY), Fellowship in Infertility, Endoscopy & Ultrasonography), Fellowship in Laparoscopy & Hysteroscopy,DRM
Barasat
Diab-Eat-Ease, Barasat
Dr. Sangeetha M
Obstetrician and Gynaecologist
20 Years • MBBS,Dipolma in Obstetrics & Gynaecology
Bansdroni
Siddhita Healthcare., Bansdroni
Dr. Sreeparna Roy
Obstetrician and Gynaecologist
8 Years • MBBS , MS (OBSTETRICS & GYNAECOLOGY), Fellowship in Infertility, Endoscopy & Ultrasonography), Fellowship in Laparoscopy & Hysteroscopy,DRM
Kolkata
Dr Utsa Basu Clinic, Kolkata
Consult Top Gynaecologists
Dr. Sanjan Das
Obstetrician and Gynaecologist
15 Years • MBBS,MS
Bengaluru
Apollo Clinic, Sarjapur Road, Bengaluru
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. Sreeparna Roy
Obstetrician and Gynaecologist
8 Years • MBBS , MS (OBSTETRICS & GYNAECOLOGY), Fellowship in Infertility, Endoscopy & Ultrasonography), Fellowship in Laparoscopy & Hysteroscopy,DRM
Barasat
Diab-Eat-Ease, Barasat
Dr. Sangeetha M
Obstetrician and Gynaecologist
20 Years • MBBS,Dipolma in Obstetrics & Gynaecology
Bansdroni
Siddhita Healthcare., Bansdroni
Dr. Sreeparna Roy
Obstetrician and Gynaecologist
8 Years • MBBS , MS (OBSTETRICS & GYNAECOLOGY), Fellowship in Infertility, Endoscopy & Ultrasonography), Fellowship in Laparoscopy & Hysteroscopy,DRM
Kolkata
Dr Utsa Basu Clinic, Kolkata
