Signs can start with your first period—healing shouldn’t have to wait decades.
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.
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:
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.
At Sarton Physical Therapy, we take a whole-body, detailed approach to evaluating pelvic pain. Your session may include:
Our goal is to uncover how endometriosis has impacted your pelvic floor and to build a treatment plan that supports your long-term management.
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.
“When I had my period for 4 weeks on one week off for 4 months straight and in severe pain every single day- my obgyn telling me just take birth control you’ll be fine…I felt I couldn’t function.
From being diagnosed with PCOS and endometriosis I knew I needed to find answers and find them quick. My body was telling me something is not right. I stumbled across Sarton PT and was immediately greeted with an angel who finally had some hope for me. As the tears rolled down my face and no hope in my voice she said never give up hope. I very nervously went to the apt and spent what seemed a fortune at the time to see Julie. After sitting with her for 2 hours I walked out with little to no pain from 1 PT apt! She truly is a Godsend and I have never felt so reassured that after 20 years of constant pain I had some relief. She is remarkable and makes you feel you are beautiful on the inside and out. As the road ahead to make many lifestyle changes- going GF and working to repair my body of pain, I know she and her other amazing staff will be with me every step of the way. There will never be words to describe her amazing work except THANK YOU! I walked out with tears in my eyes- not from pain but the happiness of finally not being in pain. Even if it lasted only a few minutes. Side note I’m paying out of pocket and I have never been so sure of anything in my life…….GO!”
Dr. Christina changed my life!! i’m so grateful beyond words for my experience and healing journey here. i’ve been seeing christina for the last 6 months, during which time I had endometriosis removal surgery, My surgeon Dr Iris Orbuch recommended this office and emphasized how important it was. My life revolved around my periods and 3 weeks out of the month were unbearable, i had what I called “satan cramps” on the first day of my periods which were the most painful thing i’ve experienced in my life. But besides the surgery itself, PT has made the biggest impact on my pain management and health. christina goes above and beyond and her kindness, empathy and attention to detail make her truly amazing at what she does.
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.