Does adding myofascial release (a type of soft tissue manipulation) to silicone patches improve Caesarean scar healing more than using silicone patches alone?

INTERVENTION: Participants will be randomly assigned to one of two comparison groups. Randomization using a 1:1 randomization scheme will be carried out using computer‐generated random numbers (simple randomization). The therapy programme lasts 8 weeks during which all the participants receive the silicone patches to promote scar healing. In addition, women assigned to one of the groups will undergo manual therapy treatment consisting of 8 meetings with a qualified physiotherapist (once a week). They will also repeat the manual techniques themselves at home. The manual scar therapy procedure based on myofascial relaxation techniques consists of techniques such as: 1. Overall stretching technique ‐ 5 min 2. Technique of delicate circles ‐ 5 min 3. Up and down stretching movements in the shape of the letter J ‐ 5 min 4. Vertical lifting technique ‐ 5 min 5. Skin rolling ‐ 5 min 6. S‐shaped technique ‐ 5 min All participants will undergo assessment of the biomechanical properties of the scar area before the start of treatment, 1 month after and 6 months after the therapy programme. CONDITION: Scarring after Caesarean section ; Skin and Connective Tissue Diseases PRIMARY OUTCOME: ; 1. Scar tissue tone assessed using the MyotonPRO digital palpation device before the start of the intervention, immediate after the end of the intervention and 1 month and 6 months after the end of the intervention; 2. Scar tissue stiffness assessed using the MyotonPRO digital palpation device before the start of the intervention, immediate after the end of the intervention and 1 month and 6 months after the end of the intervention; 3. Scar tissue elasticity assessed using the MyotonPRO digital palpation device before the start of the intervention, immediate after the end of the intervention and 1 month and 6 months after the end of the intervention; SECONDARY OUTCOME: ; 1. Scar severity (comprising vascularity, height/thickness, pliability, and pigmentation) assessed using the Vancouver Scar Scale before the start of the intervention, immediate after the end of the intervention and 1 month and 6 months after the end of the intervention; 2. Scar pain assessed using a visual analogue scale (VAS) before the start of the intervention, immediate after the end of the intervention and 1 month and 6 months after the end of the intervention; INCLUSION CRITERIA: 1. Women after Caesarean section within 6 weeks of surgery (transverse cut using the Pfannenstiel method) 2. Full healing of the wound after the scab falls off 3. Healthy on the day of the test 4. End of the puerperium period 5. Aged 18‐45 years