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Endometriosis and Persistent pelvic pain… The role of Pelvic Physiotherapy

Persistent pelvic pain is known to be continuous pain that can be cyclical or non-cyclical that occurs for at least 6 months. In many suffers underlying issues such as endometriosis can be attributed to this type of pain pattern.

What is endometriosis?

This is known as an inflammatory condition that is known for the presence of endo-like tissues outside of the uterus that commonly affects the ovaries and lining of the pelvis. As a result, pain can be associated with the surrounding compartments that is the bladder and/or bowels and dyspareunia (pain with sexual intercourse). It is suspected this inflammatory state affects the pelvic floor muscles and other muscles inside the pelvis becoming a source of pain or create referred pain.

The muscles length tension is often comprised, impacting its range of movement. Limited movement may in turn influence the pelvic floor muscle to function properly, leading up to problems with bladder and/or bowel control, or emptying and/or penetrative pain.

Given the nature of this condition it often needs a multidisciplinary approach. That is a gynaecologist, psychologist, dietician and a pelvic physiotherapist. Physiotherapists trained in pelvic health are able to assist those with endometriosis in a number of ways.

This may include assessment of bladder and bowel habits, education of fluid intake and known irritants. Assessment of the pelvic floor muscles to determine their contribution to symptoms. Treatment options may include stretching of the external muscles, pelvic floor down training, internal soft tissue manipulation, and desensitization, relaxed breathing and mindful. Further strategies can be employed to help reduced inflammation such as TENS, pain neuroscience education and a graded exercise program.

As the month of March continues with endometriosis awareness month, our hope is that the awareness continues to improve and women continue to arm and advocate for themselves in their health journey and recovery.

Get the care you deserve.

If you would like to see one of your pelvic health physiotherapists to assist with you with pelvic pain contact Here for Mernda and Here for Bundoora.

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