Endometriosis Treatment & Case Management

Here’s how it can help manage endometriosis:

Pelvic Floor, Orthopedic, Orofacial, and Gastrointestinal Impact 

Endometriosis pain can lead to muscle tension and fascial dysfunction not just in the pelvic floor, but body wide. Our team assesses and treats these imbalances, using gentle noninvasive ultrasound imaging to guide treatment planning, and to help to reduce pain and improve overall quality of life. 

Pain Management 

Pelvic and orthopedic physical therapy, as well as integrative and lifestyle medicine, include techniques to manage and reduce pelvic pain. Look at our advanced services to understand the modalities and techniques we use to target pain management. 

Improved Whole Body, Not Just Pelvic and Sexual Function

Endometriosis can affect every system in the body. GPH works in a team approach to ensure you have access to the best care possible. This includes not just addressing musculoskeletal health as it refers to the pelvis, but also overall wellness, sexual function, fitness, and quality of life. 

Education and Self-Care 

Physical therapists experienced in pelvic floor and orthopedic therapy are best suited to manage endometriosis care. We educate individuals with endometriosis about their condition and provide strategies for self-care. At GPH, this includes using integrative and lifestyle medicine therapies through a functional medicine lens, which moves beyond traditional orthopedic and/or pelvic physical therapy. 

Imaging Biofeedback

Some pelvic health physical therapists use biofeedback techniques to help individuals become more aware of and control their pelvic floor muscles. This can be beneficial in managing pain and improving muscle function. At GPH, we are advanced trained in MSKUS, which guides are evaluation and treatment making prescriptive care individualized.   

Comprehensive Endometriosis Case Management

Endometriosis does not impact just one system. Many people experience overlapping conditions that contribute to persistent pain and dysfunction, including pelvic floor dysfunction, bladder and bowel symptoms, painful intercourse, hip and back pain, nervous system dysregulation, connective tissue disorders, and hormonal or inflammatory concerns. This is increasingly recognized as the Pelvic Overlap Spectrum (POS). Learn more about the Pelvic Overlap Spectrum here.

We take a whole-person approach to helping you manage endometriosis by assessing all contributing factors, identifying patterns, and helping you understand how multiple systems may be affecting your symptoms. 

We work collaboratively with your healthcare team to prioritize the next steps in your care, using a 7 pronged approach to care which includes: 

1. Pelvic Physical Therapy using Dr. Garner’s V2PF Approach 
2. Orthopedic Physical Therapy 
3. Integrative Medicine
4. Lifestyle Medicine 
5. Systemic Screening & Treatment – This is a multi-faceted process. We consider inflammation,  endocrine mediators, environmental estrogen disruptors, immune function, and gut health. 
6. Case Management – helping you assemble your endo team in your town and/or region, and referring you to the right providers who are providing cutting edge, expert care in endo  
7. Advanced Services – Musculoskeletal ultrasound imaging, manual therapy including visceral manipulation and mobilization, myofascial release, dry needling, and functional medicine are part of the comprehensive care you receive at GPH.

Tailored Programs

We create individualized programs to address specific needs and concerns related to endometriosis. 

Think Endo ToolKit: Think Endo is a FREE toolkit to help better understand endometriosis.

We Use a Functional, Integrative, and Lifestyle Medicine (FILM) Approach

Our therapists seek to find and treat the root cause of dysfunction and pain. We assess all contributing factors, including gut health and the microbiome, hormone management, and inflammation. Once the root cause is identified, we use our backgrounds in Integrative and Lifestyle Medicine, as well as pelvic physical therapy, manual therapy, dry needling, and rehab ultrasound imaging to help you effectively manage endometriosis. 

It’s important to note that pelvic physical therapy is just one aspect of a comprehensive approach to managing endometriosis. It works in conjunction with medical treatments, chiefly endometriosis excision, as the gold standard for removing endo and other interventions prescribed by healthcare professionals.