Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside it, often leading to pelvic pain, painful periods, painful sex (dyspareunia), digestive issues, and fatigue. While there is no cure, many strategies can help manage symptoms.

Among them, women’s health physiotherapy plays an important role in improving quality of life.

Why Endometriosis Causes Pain

Inflammation and adhesions can restrict tissue mobility and irritate nerves.
Pelvic floor muscles may become tense and overactive as a protective reaction to pain.
Visceral restrictions (organs not moving freely) can contribute to bloating, cramps, or digestive discomfort.
Central sensitisation: with long-term pain, the nervous system becomes more sensitive, amplifying pain signals.

How Physiotherapy Can Help

1. Pelvic Floor Release

Endometriosis often causes pelvic floor overactivity.
Physiotherapy teaches how to release and relax muscles to reduce pain with daily activities, sex, or pelvic exams.

2. Scar & Abdominal Therapy

After laparoscopies or C-sections, scar tissue can restrict mobility.
Gentle scar massage and soft tissue work restore movement and comfort.

3. Breathing & Postural Techniques

Diaphragmatic breathing helps calm the nervous system and reduce muscle guarding.
Postural strategies improve abdominal and pelvic mobility.

4. Pain Education

Evidence shows that understanding pain mechanisms helps reduce fear and improve coping. Physiotherapists provide tools to manage flare-ups and everyday pain.

5. Exercise & Movement

Gentle, graded exercise helps reduce fatigue and support long-term health.
A physio can adapt activity to your energy levels and pain cycle.

When to See a Physiotherapist

You may benefit from physiotherapy if you experience:

Chronic pelvic pain
Painful periods or painful sex
Abdominal bloating or cramping that limits activity
Post-surgical pain or restricted scars
Fatigue and difficulty with exercise

Endometriosis is complex, but physiotherapy offers evidence-based tools to reduce pain, release tension, and improve daily life. With personalised care, from pelvic floor therapy to scar management and pain education, you can feel more in control of your symptoms.

✨ Living with endometriosis? Book a consultation with our women’s health physiotherapists at Renard Clinic to explore gentle, effective strategies for relief and recovery.