23/05/2023
Our fabulous Pelvic Health Physiotherapist, Lilly Witthoft, has put a post together to recognise Pelvic Pain Awareness Month. See below! ~~ ❤️
In 2017, The International Pelvic Pain Society designated May as Pelvic Pain Awareness Month to raise public recognition for chronic pelvic pain (CPP).
The most common causes of CPP include endometriosis, irritable bowel syndrome, interstitial cystitis, and adhesion formation in the pelvis. CPP is strongly connected to endometriosis; 1 out of 3 CPP patients are diagnosed with endometriosis (Vrekoussis et al., 2020).
How can pelvic floor physiotherapists help with Endometriosis?
Endometriosis is a condition where tissues similar to the endometrium (uterine lining) grow outside of the uterus on the other pelvic organs. Outside the uterus, the tissue thickens and bleeds, just as typical endometrial tissue does during menstrual cycles. Symptoms can have huge effects on everyday life and can include significant pain with menstruation as well as heavy periods, painful bowel movements or urination, generalised pain around the pelvis, abdomen and hips, painful in*******se and more.
Pelvic Floor physios sit as part of a wider multi-disciplinary team in the management of endometriosis, along with a person’s GP, gynaecologist and other health professionals such as a dietician, gastroenterologist or s*xual counsellor.
We can help by:
1. Assessing and manage the pelvic floor muscles, which often hold a lot of tension in endometriosis, heightening the pain cycle of endo.
2. Discussing pain science and the many factors that can influence pain experiences, and creating a plan for practical pain management strategies
3. Helping to establish healthy bowel and bladder habits, and reduce discomfort during voiding.
4. Establishing a safe and comfortable physical exercise routine that is appropriate to the client’s level and symptoms.
References:
Vrekoussis, T., Siafaka, V., Tsitou, A., Tsonis, O., Navrozoglou, I., Makrigiannakis, A., & Paschopoulos, M. (2020). Endometriosis-related chronic pelvic pain: A mini review on pathophysiology and impact on mental health. Journal of Endometriosis and Pelvic Pain Disorders, 12(1), 35-40.