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Cracking the Code on Endometriosis: How Can Pelvic Floor Physical Therapy Help with Endometriosis? Pelvic Floor PT for Endometriosis

Updated: Jan 12


COPE Pelvic PT for Endometriosis



Hey warriors! Today, we're diving deep into a topic that deserves all the attention – endometriosis. Endometriosis affects 1 in 10 reproductive-aged individuals across all races. It's like this secret society that many know little about, but it's time to shine a spotlight on the signs, symptoms, and how Pelvic Physical Therapy might just be the unsung hero in the battle against endometriosis. So, grab a cozy blanket and let's unpack the Endometriosis mystery together.



Understanding Endometriosis: The Sneaky Intruder

Let’s start at the beginning – what exactly is endometriosis? It's like a ninja infiltrating your pelvic space. Imagine tissue similar to the lining of your uterus aka " endometrium" deciding to play hide-and-seek outside where it belongs. It grows outside of the uterus in the pelvis and abdomen. Sneaky, right?


Endometriosis can grow on the ovaries, fallopian tubes, intestines, bladder, and lining of the pelvis, and has been identified in almost every organ of the body. Endometriotic implants grow in response to estrogen and can trigger an inflammatory response in the pelvis. This inflammation is what causes painful symptoms.  


And this mischief leads to a host of symptoms that can be downright challenging.


COPE Pelvic PT for Endometriosis

The SOS Signals: Signs and Symptoms

How does your body sound the alarm about endometriosis? It's like a series of SOS signals that can't be ignored.

  • Menstrual cramping that feels like a wrestling match is happening in your abdomen

  • Pain during or after intimacy/ sex

  • Irregular Periods

  • Pain with Bowel Movements

  • Pain with Urination

  • Pelvic Pain outside of periods


COPE Pelvic PT for Endometriosis sign and symptoms

Unfortunately, all of the above are common players. Let’s not forget the emotional toll and potential fertility challenges that can turn this into a rollercoaster ride. Endometriosis can also cause infertility. Up to 7 in 10 of those with pelvic pain and infertility will have endometriosis.


However, some patients with endometriosis are asymptomatic or have very mild symptoms. The severity of symptoms does not correlate with how much endometriosis is present in your body.  


How is Endometriosis Diagnosed?

Endometriosis is under-diagnosed because the only way to definitively confirm endometriosis is with a biopsy performed during surgery. On average, patients see seven doctors over seven years between symptom onset and diagnosis.


In the primary care setting, endometriosis is a clinical diagnosis based primarily on history and physical exam. There are no accurate blood tests for endometriosis however medical providers can use imaging (such as an ultrasound) to narrow their diagnosis for endometriosis.


Medical professionals can presume endometriosis in patients with classic symptoms and begin treatment without surgery. The more symptoms a patient has, the more likely they will have endometriosis at the time of surgery. 



Pelvic PT: Your Ally in the Battle

Now, enter Pelvic Physical Therapy – the ally you didn’t know you needed. Your PT isn’t just there to slap a temporary fix on the pain; they're on a mission to understand the root cause. Think of them as the Sherlock Holmes of pelvic health, piecing together the clues to give you a personalized solution.



What is the Role of Pelvic Floor Physical Therapy in the Treatment of Endometriosis?

Patients suffering from endometriosis can also experience dysfunction in their pelvic floor. Chronic pain can cause trauma to the muscles, ligaments, nerves, and fascia of the pelvis and abdominal wall. This can result in pain in the pelvis, difficulty urinating, difficulty having bowel movements, painful sex, and pain with movement.


Pelvic floor therapy directly targets the pelvic floor to improve patients’ symptoms. Research shows patients with endometriosis have improved pain relief when treated with pelvic floor physical therapy after surgery. Pelvic floor physical therapy combines exercises, stretches, manual techniques, and behavior modification to improve patients’ quality of life. Pelvic floor physical therapists partner with the patient to identify their function and quality of life goals to achieve maximal results.


Pelvic PT Toolbox: More Than Stretching and Flexing

You might be wondering, what's in the Pelvic PT toolbox for endometriosis? Well, it's not your average stretching-and-flexing routine. Your PT might use hands-on techniques to release tension, guide you through targeted exercises to strengthen specific muscles, and offer insights into lifestyle adjustments. It's a holistic approach that goes beyond the surface to address the core issues.


Dr. Ijeoma Nwankpa Pelvic PT

Tailored Solutions: Because You're Unique

Here’s the beautiful thing about Pelvic PT – it's tailored to you. Your endometriosis journey is as unique as your fingerprint, and your PT gets that. They’ll create a plan that suits your body’s quirks, working towards alleviating pain and enhancing your overall well-being.


In wrapping this up, we’ve embarked on a journey through the labyrinth of endometriosis – from understanding the sneaky nature of this condition to deciphering the SOS signals your body sends. Pelvic Physical Therapy emerges as a guiding light, offering personalized solutions and support to help you reclaim control over your pelvic health.


Remember, you’re not alone in this battle, and seeking the right support is crucial. Here’s to shedding light on endometriosis, embracing your strength, and exploring the tools that empower you on this journey and seeking pelvic floor PT for endometriosis.


You've got this, warrior! 🌸✨


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