Endometriosis

Signs can start with your first period—healing shouldn’t have to wait decades.

What is Endometriosis?

Endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside of it, often attaching to pelvic organs such as the ovaries, bladder, rectum, and intestines. These growths can cause inflammation, scar tissue, and adhesions, leading to significant pelvic and abdominal pain.

While endometriosis itself requires a medical specialist for diagnosis and long-term management, it often leads to pelvic floor dysfunction that impacts bladder, bowel, and sexual function. That’s where pelvic floor physical therapy becomes a vital part of your care team. We don’t “cure” endometriosis — but we help you manage the secondary effects, reduce pain, and restore function so you can participate fully in life.

Common Symptoms

How Does It Feel?

  • Chronic pelvic pain or pressure
  • Pain with sexual activity (dyspareunia)
  • Painful or difficult bowel movements
  • Urinary urgency or frequency
  • Abdominal bloating and cramping
  • Pain that worsens around menstruation
  • Muscle tightness or tenderness in the pelvic floor
  • Severe GI pain
  • Chronic Fatigue Syndrome
  • Often accompanied by mast cell activation syndrome, pelvic congestion syndrome and POTS

HOPE

What Causes It?

The exact cause of endometriosis is not fully understood, though research points to hormonal, immune, and genetic factors. What we do know is that chronic inflammation and repeated pain episodes can lead to changes in the pelvic floor muscles—they may become overactive, tight, and tender, contributing to bowel, bladder, and sexual dysfunction.

Other contributing factors include:

  • Adhesions and scar tissue from endometriosis or past surgeries
  • Altered nerve pathways that increase pain sensitivity
  • Emotional stress and anxiety, which can worsen pelvic floor tension

Endometriosis is complex and requires a multidisciplinary approach. Physical therapy works best when coordinated with your endometriosis specialist, gynecologist, or surgeon, especially when addressing pelvic pain from endometriosis.

How We Identify the Root Cause

At Sarton Physical Therapy, we take a whole-body, detailed approach to evaluating pelvic pain. Your session may include:

  • A thorough review of your history, including symptoms, menstrual cycle patterns, and surgical history
  • An orthopedic and postural assessment to identify contributing musculoskeletal issues
  • A pelvic floor evaluation to assess muscle tone, tenderness, scar tissue, and coordination
  • Collaboration with your endometriosis specialist or other team members to ensure your care is integrated and comprehensive

Our goal is to uncover how endometriosis has impacted your pelvic floor and to build a treatment plan that supports your long-term management.

How We Help 
You Heal

Living with endometriosis requires a team effort, and pelvic floor physical therapy is an essential part of that team. At PelvicHealing, we focus on managing the pelvic pain, abdominal tension, and muscle dysfunction that often accompany endometriosis. Treatment may include gentle internal and external manual therapy to release tight pelvic floor muscles, scar tissue mobilization to improve mobility, and visceral techniques to reduce tension in the abdominal wall and pelvic organs.

We also teach strategies for calming the nervous system, improving bladder and bowel control, and easing pain with intimacy. Every plan of care is individualized and designed to complement your treatment with your endometriosis specialist, surgeon, or physician. While physical therapy does not cure endometriosis, it plays a vital role in reducing pain, restoring function, and helping you reclaim a better quality of life.

  • Manual pelvic floor therapy
  • Visceral and myofascial release
  • Scar tissue mobilization
  • Pain science education
  • Home exercise training
  • Guided imagery and relaxation techniques
  • Acupuncture for Pelvic Pain Mission Viejo

Begin Your Healing Journey

You deserve answers and relief from your pelvic pain. Our experienced team is here to guide you in reclaiming your confidence and quality of life.