Over 6.5 million women suffer from endometriosis (Giudice, 2010). This disorder is defined by the presence of endometrial tissue outside of the uterus along the surfaces of other pelvic organs including the ovaries, bowels, bladder, rectum, vulva, and along the abdominal cavity. Endometrial tissue has also been found in rare cases along the lung, pericardium, or brain tissues. Unfortunately, this disorder is a major cause of disability and reduced quality of life in women and teenage girls. Many with endometriosis suffer from more than just painful cycles, including pain with sexual relations, deep pelvic and/or abdominal pain, low back pain that may be cyclic or continuous, and generalized myofascial pain. In addition, bowel or bladder symptoms may occur including those associated with irritable bowel syndrome, inflammatory bowel disease, urinary urgency, and/or interstitial cystitis (Giudice, 2010; U.S. Department of Health & Human Services, 2018).
Physical therapy is an important treatment component in the multidisciplinary approach required to best address the many symptoms and comorbidities of endometriosis (Vercellini et al., 2009). At Comber Physical Therapy, we offer many effective treatment techniques to address pelvic floor pain and dysfunction and abdominal and low back pain including manual therapies tailored to a patient’s clinical presentation. These manual therapies may include myofascial release, craniosacral release, visceral mobilization, dry needling, and lymphatic drainage techniques (Fitzgerald & Kotarinos, 2003). In addition, providing appropriate exercise prescription and ergonomics training that promotes gently restoring activity and quality of life is an important component to help a patient become an active participant in their recovery (Awad et al., 2017). Other techniques may include those to specifically address bowel and bladder dysfunction including education, proper toileting techniques, pelvic floor muscle reeducation and relaxation, biofeedback, and dietary advice.
Call Comber today 757- 229-9740 for further information and to set up your private appointment.
Awad, E., Ahmed, H., Yousef, A., & Abbas, R. (2017). Efficacy of exercise on pelvic pain and posture associated with endometriosis. Journal of Physical Therapy Science, 29(12), 2112-2115. doi: 10.1589/jpts.29.2112
FitzGerald, M.P. & Kotarinos, R. (2003). Rehabilitation of the short pelvic floor. I: Background and patient evaluation. International Urogynecology Journal, 14(4), 261-268. doi.org/10.1007/s00192-003-1049-0
Giudice L. C. (2010). Clinical practice: Endometriosis. The New England Journal of Medicine, 362(25), 2389-98. doi:10.1056/NEJMcp1000274 U.S. Department of Health and Human Services, Office of Women’s Health. (2018, March 16). Endometriosis. Retrieved from https://www.womenshealth.gov/a-z-topics/endometriosis
Vercellini, P., Viganò, P., Somigliana, E., Abbiati, A., Barbara, G., & Fedele, L. (2009). Medical, surgical and alternative treatments for chronic pelvic pain in women: A descriptive review, Gynecological Endocrinology, 25:4, 208-221, doi: 10.1080/09513590802530940