Endometriosis “How can physiotherapy help”

Endometriosis affects 1 in 10 women in Canada, Let’s talk about how a Pelvic Physiotherapist can help you!

Endometriosis affects 1 in 10 women in Canada, it's a common condition in which the tissue that is similar to the lining of the uterus grows outside of the uterus and in other parts of the body. This abnormal tissue growth can be found mainly in the pelvis, however, it is not limited to the pelvis, and can found in other parts of the body.

Endometriosis is historically a misdiagnosed or ignored condition which leads to shame and suffering for the women suffering from this condition.


Often due to the many years of pain associated with endometriosis, women will develop what is known as chronic pelvic pain, which involves long-standing pain in the pelvic area. Surgical excision of the abnormal tissue is often effective and augmented with Pelvic Physiotherapy before and after surgery to help manage the associated pelvic pain and symptoms resulting from long-standing muscle tightness or over-activity that has developed over time.

Not all women with endometriosis experience only period pain. There are some common symptoms that many women and girls with endometriosis will experience. Let’s talk about those symptoms where a Pelvic Physiotherapist can help you:

1.Bladder Problems: Urgency, Frequency, Leakage & Pain with Peeing, emptying bladder, etc.

2. Bowel Problems: abdominal cramps, pain & difficulty with emptying the bowels, diarrhea, constipation, urgency, bowel accidents, etc

3. Chronic Pain

4. Muscle tension

5. Back, Hip & Groin Pain

6. Painful Sex (Dyspareunia)

7. Vulval Pain (Vulvodynia)

A Pelvic Health Physiotherapist is professionally trained to treat pelvic pain, release tightness in the muscles in and around the pelvis, restore elasticity to the tissue, assist women in returning to intercourse without pain, return women to exercise without flaring their pelvic condition, and help women in returning to their activities without incontinence.

As a Pelvic Physiotherapy Expert, my part is to provide a change of input to your system so that it moves and feels better, and can thereby recover. Some techniques I use with my patients involve:

  • Pain Neuroscience Education (Educating you about your pain). The more you understand the better it can help you, and it takes away from the “fear of the unknown”

  • Stretches to relax muscles and relieve joint tightness

  • Relaxation and desensitization your pelvic floor muscles, vulva and vaginal tissues

  • Education related to good bladder and bowel habits, toilet technique training

  • Muscle stretching and trigger point release (the same way you release tension in your shoulder, yes, internally/and sometimes externally).

  • Scar tissue mobilization

  • Relaxation and Breathing techniques

  • Pelvic Dry Needling

  • Use of electromyography biofeedback and electrical stimulation (yes, internally and externally).

  • Use of dilators (In some cases)

It is important to remember that no two women with endometriosis are the same. Treatment should be tailored to the individual. Also, while surgical excision of endometriosis is vital for many women, as you can see from this article, not all symptoms are directly related to the endometrial lesions. This is why your surgeon and specialist will often refer you for Pelvic Physiotherapy both before and after the surgery

Having to deal and find treatment for pelvic pain is complex and, in my experience, pelvic pain is best treated with a coordinated and interdisciplinary approach. 

At Harmony Physiotherapy we coordinate all patient care with your specialist and surgeon, physician, psychologist, dietician & other health care professionals that you are seeing. If you feel that you would benefit from the opinion and assessment by a Harmony Heath physiotherapist, I would love to be there to help you change your story!#pelvicphysiotherapy #pelvicpain #endometriosis #endoawareness #ottawapelvicphysiotherapy #ottawahospital #chronicpelvicpain

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