How can physiotherapy reduce the pain of endometriosis?

Comment réduire les douleurs de l'endométriose avec la kinésithérapie ?
In collaboration with Major Mouvement, Physiotherapist

Relecture professionnelle

Endometriosis is a female gynecological disease characterized by an inflammatory condition caused by endometrial-like tissue migrating out of the uterus. The disease can take several forms: cystic endometriosis, infiltrated endometriosis or adenomyosis. Endometriosis causes pain that is difficult to reduce.

Endometriosis can cause severe pain that can limit schooling or work. This pain is often poorly controlled by medication. The pain and symptoms resulting from endometriosis are different from one woman to another, as each woman has her own endometriosis. However, pain occurs mainly during menstruation and ovulation, but also during intercourse: this is known as dyspareunia. Another sign of endometriosis is heavy periods.

The problem with endometriosis is that, as well as causing disabling pain on a daily basis, diagnosis is extremely complicated. In fact, the average time taken to diagnose this disease is around 7 years. 7 years during which patients find themselves in a state of total medical vagrancy. In some cases, the disease is even discovered during surgery, as imaging may not match the clinical picture.

Although there is currently no cure for endometriosis, the pain associated with this condition can sometimes be relieved by physiotherapy or osteopathy. Through massage, mobilization and movement, and by listening to the patient's needs, pain can be reduced and managed.

How can physiotherapy reduce pain?

Physiotherapists can work both externally and internally, using massage, mobilization, postural re-education, physiotherapy, respiratory re-education, etc.

There are several techniques:

  • Abdominal and respiratory work: because of pain, patients tend to block themselves. The aim of abdominal and respiratory physiotherapy is to restore breathing, relax and manage pain, and gently stretch sensitive areas. The physiotherapist can first concentrate on the whole abdomen, then on the diaphragm, and finally do visceral work on the visceral fascias, listening to the patient and the tissues that relax during movement. The most important thing is to listen to the patient and her pain, because every endometriosis is different, and so are the pains.

  • The physiotherapist can help reduce pain during intercourse (dyspareunia): by learning to relax the perineum, and beyond the perineum, by concentrating on relaxing the muscles of the vagina, as endometriosis can create adhesions which, by limiting tissue mobility, make intercourse painful. The aim is to restore tissue mobility.

The idea is to promote adapted physical activity that will benefit the patient both physically and mentally, followed by treatment of the pain itself: how to manage pain and relieve it on a daily basis.

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The information contained in the articles on is general information only. Although reviewed by health professionals, this information is not error-free, does not constitute health advice or consultation, and is not intended to provide a diagnosis or suggest a course of treatment. Under no circumstances may this information be used as a substitute for medical advice or consultation with a healthcare professional. If you have any questions, please consult your doctor.