01/05/2026
Chronic low back, hip, and pelvic pain isn’t always about tight muscles. Sometimes the restriction is deeper.
I recently worked with a client who's experienced chronic low back and hip pain, along with deep hip and pelvic tightness; despite chiropractic care, physical therapy, and massage.
When we reviewed her intake, she shared a history of multiple laparoscopic abdominal and pelvic surgeries. This was an important clue.
Laparoscopic surgery is often described as “minimally invasive” because the incisions are small and less visible. However, beneath the surface, these procedures still create internal scar tissue and adhesions that disrupt normal fascial glide, binding layers of tissue that are meant to move freely.
Imagine the body as a web. The abdomen and pelvis sit at the center of that web; the hips and low back are connected through it.
Scar tissue in the abdomen or pelvis can act like a tight knot in that web; restricting movement and pulling on surrounding tissues. When tissues can’t glide properly, it can create deep tightness, limited mobility, and chronic pain.
While massage can’t remove scar tissue; it can help improve tissue mobility, calm protective holding patterns, and support healthier fascial movement over time.
One supportive tool I often recommend alongside this work, especially when working with the pelvis and abdomen, is castor oil packing. Castor oil packs can help soften abdominal tissues, increase circulation, and make the area more receptive to gentle fascial and deep belly work, especially when internal adhesions may be involved.
If you’ve tried “everything” and still feel stuck, this may be a missing piece worth exploring.
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