The implants of endometriosis create an environment of inflammation, scar tissue and adhesions within the pelvic and abdominal cavity. This affects the neuromusculoskeletal system and results in the formation of myofascial trigger points within the pelvis, hip, back and abdomen.

Though physiotherapy cannot remove implants of endometriosis, which is done by a specialized surgeon, it is an integral treatment option for the patient with endometriosis, as these implants irritate the neuromusculoskeletal system resulting in pain and it is this resultant pain that the physiotherapist helps with.

Pelvic health physiotherapists are specially trained physiotherapists that evaluate the muscles, fascia, nerves, alignment and movement patterns in the pelvis and the whole body for issues that trigger the musculoskeletal pain because of endometriosis.

Many women are surprised by the relief they feel from treating the musculoskeletal issues contributing to their pain and the improvement in the quality of their life. These specialized physiotherapists develop a treatment program customized to the specific needs of the individual.

Physiotherapy modalities include a thorough evaluation of the problem, education, pelvic floor muscle relaxation or strengthening exercises, manual therapy, soft tissue mobilization, trigger point release, neural dynamics, optimizing bladder and bowel health, breathing techniques and other therapeutic exercises.

Pelvic health physiotherapists also teach techniques that can be used at home during a pain flare. Having a professional to help you, assures you, that despite all the things that have happened to your body, you have influence over your own daily life and that your pain can get better!

The key is a team approach and collaborative care. You need an excellent surgeon to do a proper excision surgery of the implants of endometriosis and a pelvic health physiotherapist to treat the musculoskeletal problems.

Both are critical members of the team treating endometriosis.

Dr. Snigdha Mehta

Obstetric and Pelvic Health Physiotherapist

Certified by Academy of Pelvic Health, American Physical Therapy Association