HomeHealthHow Does Physiotherapy Help Patients with Endometriosis Manage Pelvic Pain?

How Does Physiotherapy Help Patients with Endometriosis Manage Pelvic Pain?

Pelvic floor physiotherapy for endometriosis is a specialized form of physical therapy aimed at addressing symptoms and complications related to endometriosis that affect the pelvic floor muscles. Endometriosis can cause pelvic pain, discomfort during intercourse, urinary urgency or frequency, and bowel issues, all of which can impact the pelvic floor muscles.

Pelvic floor physiotherapy in Edmonton can be highly beneficial for individuals with endometriosis, as it addresses the root causes of pelvic pain and dysfunction rather than just masking the symptoms. 

What is Endometriosis?

Endometriosis is characterized by tissue akin to the uterine lining growing beyond the uterus, frequently found on pelvic organs like the ovaries, fallopian tubes, and other nearby organs. This condition can significantly impact a person’s life, causing debilitating pelvic pain, especially during menstruation, intercourse, or bowel movements. It may lead to fertility issues and emotional distress due to its chronic nature and unpredictable symptoms. Other common symptoms include heavy menstrual bleeding, fatigue, digestive problems, and urinary issues. 

Endometriosis can interfere with daily activities, work, relationships, and mental well-being, often requiring a multidisciplinary approach to management, including lifestyle modifications to improve symptoms and quality of life.

Assisting Endometriosis Patients in Managing Pelvic Pain Through Physiotherapy

Pelvic floor physiotherapy in Edmonton aids individuals with endometriosis in managing pelvic pain through various methods tailored to alleviate underlying causes and symptoms. Here’s how pelvic floor therapy can be beneficial:

Manual Therapy: 

This may involve gentle manipulation of the soft tissues and muscles in the pelvic region to release tension, reduce trigger points, and improve blood flow. Manual therapy techniques may include myofascial release, trigger point therapy, and soft tissue mobilization.

  • Myofascial release: These techniques involve applying gentle, sustained pressure to the fascia and the connective tissue around muscles to alleviate tension and improve mobility. In women’s health physiotherapy for endometriosis, therapists use myofascial release to address areas of restricted mobility and relieve pelvic pain.
  • Trigger point therapy: It targets hypersensitive areas within muscles to alleviate pain and enhance muscle function. In pelvic wall therapy for endometriosis, therapists apply pressure to these points to ease tension and minimize discomfort.
  • Visceral mobilization: It involves gentle manipulation of the internal organs, like the uterus, ovaries, and intestines, to improve organ mobility, alleviate adhesions, and restore optimal function. Vaginal floor therapy uses gentle palpation techniques to assess and treat visceral restrictions contributing to pelvic pain in patients with endometriosis.
  • Transcutaneous electrical nerve stimulation Therapy: This therapy may be used to provide pain relief by delivering mild electrical impulses to the pelvic area, which can help disrupt pain signals and promote the release of endorphins.
  • Therapeutic Ultrasound: Therapeutic ultrasound employs high-frequency sound waves to deliver deep heat to tissues, promoting tissue relaxation, increased blood flow, and accelerated healing. Ultrasound therapy may be used to minimize pain, reduce muscle spasms, and improve tissue flexibility in the pelvic region.

Pelvic Floor Muscle Training:

Endometriosis can lead to pelvic floor dysfunction, including tightness or weakness in the pelvic muscles. Physiotherapy can address these issues through targeted exercises to regain strength, flexibility, and coordination of the pelvic floor muscles.

Kegel Exercises: 

Kegel exercises entail contracting and relaxing pelvic floor muscles to enhance strength, endurance, and coordination. Patients with endometriosis may benefit from Kegel exercises to strengthen weakened pelvic floor muscles and improve bladder and bowel control.

Pelvic Floor Contractions: 

Pelvic floor contractions, also known as pelvic floor muscle exercises or pelvic floor squeezes, involve isolating and contracting the pelvic floor muscles without involving surrounding muscles. This helps improve muscle tone and control in patients with endometriosis-related pelvic floor dysfunction.

Pelvic Stiffness Management:

Endometriosis-related pain can limit mobility and lead to stiffness in the pelvic region. Physiotherapy can help improve mobility through stretching exercises and gentle movements, reducing stiffness and enhancing overall function.

Adductor Stretches: 

Stretching the adductor muscles of the inner thigh can help alleviate pelvic tension and improve mobility. Adductor stretches, such as the butterfly stretch or side lunges, can help lengthen these muscles and reduce stiffness in the pelvic region.

Piriformis Stretches: 

The piriformis muscle, situated deep in the buttocks, can become tight and contribute to pelvic pain and stiffness. Piriformis stretches, such as the seated or lying piriformis stretch, can help release tension in this muscle and improve pelvic mobility.

Postural Correction: 

Chronic pelvic pain from endometriosis can affect posture and alignment. Physiotherapists can assess and address any postural imbalances through targeted exercises and education, promoting better alignment and reducing strain on affected areas.

Ergonomic Modifications: 

Pelvic health physiotherapy recommends ergonomic modifications to the patient’s environment to reduce strain on the pelvis and promote better posture. This may include adjusting workstation ergonomics, using supportive pillows or cushions while sitting, and optimizing sleeping positions to maintain spinal alignment.

Pre- and Post-Surgical Rehabilitation: 

For patients undergoing surgery for endometriosis, female pelvic floor physiotherapy plays a crucial role in prehabilitation to optimize physical condition before surgery and rehabilitation afterward to promote recovery, restore function, and manage any post-operative pain or complications.

Scar Management: 

Physiotherapists may provide scar management techniques, such as scar massage, gentle stretching, and desensitization exercises, to promote optimal healing and reduce scar tissue adhesions.

Managing Pelvic Pain with Confidence:

Pelvic floor physiotherapy in Edmonton plays a pivotal role in the comprehensive management of pelvic pain associated with endometriosis. By addressing muscular imbalances, dysfunction, and mobility restrictions within the pelvic floor, In Step Physical Therapy offers a holistic approach to easing discomfort and enhancing the overall well-being of individuals with endometriosis. 

By providing a safe and supportive environment, pelvic floor physiotherapy helps individuals with endometriosis feel heard, understood, and validated in their experiences. By breaking the silence surrounding pelvic pain and advocating for comprehensive, multidisciplinary care, pelvic floor physiotherapy contributes to a more compassionate and holistic approach to managing endometriosis-related pelvic pain.

Must Read