Endometriosis is known for causing pelvic pain (especially with intercourse and menstruation), which can vary in intensity and duration. The presence of endometrial-like tissue outside the uterus can lead to inflammation, adhesions, and pelvic floor muscle tension. Pelvic floor physiotherapy can help manage these pains, as the pelvic floor muscles provide support to the pelvic organs and are often affected by conditions like endometriosis. A pelvic floor physiotherapist can assess and address pelvic floor dysfunction, offering targeted exercises to relax these muscles as needed. Hence, pelvic floor physiotherapy, with its focus on releasing the muscles of the pelvic floor, release the lower abdominal/inner thigh/hip/low back fascial tissue and breathing education can play a pivotal role in managing these physical manifestations of endometriosis.

Pelvic floor physiotherapists are trained to assess and treat dysfunctions of the pelvic floor muscles, which can be impacted by endometriosis. These muscles support the pelvic organs and contribute to various bodily functions, including bladder and bowel control, as well as sexual function.

What does Pelvic Floor Physiotherapy for Endometriosis Involve? 

Release of Internal and/or External Muscles, Organs and Fascia 

• Release of the pelvic floor muscles aka muscles down there, which helps with bladder urgency (going to the bathroom >2 hours) and pain with sex 

• Release of the lower abdominal fascia, which helps with ovulation and/or period pain 

• Release of back fascia, which helps with low back pain and tension

• Release of inner thigh fascia, which helps with urge incontinence and inner thigh tension

• Release of hip muscles and fascia, which helps with hip pain and discomfort

• Abdominal colon massage, which helps with bloating, constipation, and abdominal discomfort

Exercise Prescription

• Regular, appropriate exercise is crucial for managing both physical and emotional aspects of endometriosis. A pelvic floor physiotherapist can design an individualized exercise program that takes into account the unique needs and limitations of each person, comprised of specific pelvis mobility, strengthening and stretching exercises. Exercise not only helps maintain physical fitness but also contributes to stress reduction and improved mood. 

Postural Education

• Endometriosis-related pain can impact posture and movement patterns. Pelvic floor physiotherapists can provide education on optimal postures and body mechanics, reducing strain on affected areas and promoting better overall function.

Relaxation Techniques

• Chronic pain and stress often go hand in hand. Pelvic Floor Physiotherapists may teach relaxation techniques, including deep diaphragmatic breathing and mindfulness, to help individuals manage stress and reduce the impact of pain on their daily lives. Furthermore, pelvic floor physiotherapists can release the fascial tissue around the rib cage to ensure proper rib cage expansion during diaphragmatic breathing.  

Scar Tissue Management

• For individuals who have undergone surgical interventions for endometriosis, scar tissue management is a critical aspect of pelvic floor physiotherapy. Gentle manual release techniques and the use of the Dolphin Neurostim Unit (delivers a micro-current along the scar to improve scar pliability) can be employed to prevent or address adhesions, promoting optimal healing and minimizing post-surgical complications.

Acupuncture

• Pelvic floor physiotherapists trained in acupuncture may use acupuncture to further manage pain and calm the central nervous system. 

Tailoring Treatment to Individual Needs

• Every person with endometriosis has a unique experience, and pelvic floor physiotherapy recognizes and addresses this diversity. Pelvic Floor Physiotherapists work closely with individuals to understand their specific challenges, preferences, and goals, tailoring treatment plans accordingly.

Pelvic floor physiotherapy is often beneficial for individuals experiencing pain, urinary symptoms, or difficulty with bowel movements related to endometriosis. It can also be effective in addressing sexual dysfunction, providing comfort and adapting recommendations to enhance intimacy.

It's important for individuals with endometriosis to consult with a qualified pelvic floor physiotherapist who has experience in treating this condition. A personalized treatment plan can significantly improve pelvic floor function, reduce pain, and enhance overall well-being. Are you ready to start better managing your endometriosis pain? Book an Initial Pelvic Floor Assessment at Revival Physio with one of our pelvic floor physiotherapists!