Understanding Endometriosis:A Pelvic Floor Therapy Perspective

Endometriosis is a chronic, often painful condition where uterine-like tissue grows outside the uterine cavity. This tissue can be found on the ovaries, fallopian tubes, the outer surface of the uterus, and even other organs in the pelvic region. The condition affects an estimated 1 in 10 women of reproductive age and can lead to a variety of symptoms, including chronic pelvic pain, heavy periods, infertility, and digestive issues.

While endometriosis is often discussed in terms of its gynecological impact, its influence on the pelvic floor is profound and frequently overlooked. Pelvic floor therapy can be an essential part of managing the condition, addressing not only the pain and dysfunction caused by endometriosis but also helping patients regain function and improve quality of life.

How Endometriosis Affects the Pelvic Floor

The pelvic floor is a group of muscles, ligaments, and connective tissues that support the bladder, uterus, rectum, and other pelvic organs. These muscles play a critical role in bladder and bowel control, sexual function, and core stability. When endometrial tissue grows outside the uterus, it can cause inflammation, scar tissue, and adhesions that interfere with the normal function of the pelvic floor.

As endometriosis progresses, the surrounding pelvic tissues can become more sensitive and rigid. Pelvic floor muscles may become overactive or "tight," leading to pelvic pain, discomfort during intercourse, difficulty urinating or having bowel movements, and lower back pain. Additionally, the presence of adhesions (bands of scar tissue that bind organs together) can restrict the movement of pelvic organs, further contributing to pain and dysfunction.

The Role of Pelvic Floor Therapy

Pelvic floor therapy plays an important role in helping individuals with endometriosis manage and reduce symptoms. A trained therapist assesses the function of the pelvic muscles, identifies areas of tension or dysfunction, and works with the patient to improve mobility, flexibility, and strength. Here are several ways we can help:

  • Pain Management: Chronic pelvic pain is one of the most common symptoms of endometriosis. Here at Movement Physio & Wellness we use hands on treatment techniques such as dry needling, cupping, Dolphin Neurostim, and soft tissue mobilization to address muscle tightness and reduce pain. These methods help relax the pelvic muscles and improve blood flow to the affected areas.

  • Improving Muscle Function: Endometriosis often leads to a decrease in pelvic floor muscle function, either through tension or weakness. A pelvic floor therapist will guide the patient through exercises to strengthen or relax these muscles, improving coordination and overall pelvic health. This can aid in symptom relief.

  • Breathing and Relaxation Techniques: Since stress and anxiety can exacerbate pelvic floor tension, relaxation techniques such as diaphragmatic breathing, progressive muscle relaxation, and mindfulness can help reduce the overall tension in the pelvic area.

  • Education and Empowerment: Pelvic floor therapists educate patients about how to manage their symptoms through posture correction, body mechanics, and proper alignment during daily activities. This can empower patients to take an active role in managing their health.

If you are experiencing symptoms of endometriosis, our pelvic floor therapists can help you regain control over your body and feel better. Reach out today!

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Painful Intercourse and Pelvic Floor Health:How Pelvic Floor Physical Therapy Can Help