How Endometriosis Affects More Than Your Pelvis—And What You Can Do About It
When most people think of endometriosis, they think of pelvic pain and painful periods. And while those symptoms are common, research has shown that endometriosis is a complex, full-body inflammatory condition that affects far more than just the pelvis. Studies have demonstrated that endometriosis can impact everything from digestion and breathing patterns to nerve function and overall movement. The good news? There are ways to address these widespread effects—pelvic therapy included.
Let’s break down how endometriosis affects different systems in the body and what you can do to find relief beyond just managing pelvic pain.
1. Fascia: The Body’s Internal Spider Web
Fascia is a thin layer of connective tissue that surrounds your muscles, organs, and nerves—think of it like a supportive web holding everything together. Chronic inflammation from endometriosis can cause this fascia to stiffen or form adhesions, making it harder for tissues to move smoothly. This restriction can lead to:
Achy muscles beyond your pelvis (hips, lower back, even shoulders)
Limited mobility that makes everyday movements uncomfortable
Increased pain when moving or staying in one position for too long
How therapy helps: Pelvic and abdominal manual therapy has been shown to improve fascial mobility and reduce pain. Movement and stretching exercises can also help tissues glide more easily, reducing tightness and improving function.
2. Nerve Sensitivity: Why Pain Can Spread
Endometriosis can heighten the sensitivity of the nervous system through a process called central sensitization, where pain signals are amplified and become widespread. That’s why you might feel pain in areas like your lower back, thighs, or abdomen—even if lesions aren’t present there.
How therapy helps: Research supports that nerve gliding techniques, gentle movement, and breathing exercises can calm an overactive nervous system. Incorporating mindfulness-based strategies can also reduce pain perception and improve quality of life.
3. Digestion and the "Endo Belly"
Many people with endometriosis experience gastrointestinal symptoms like bloating, constipation, and abdominal pain—sometimes referred to as "endo belly." Studies have shown that endometriosis-related inflammation and adhesions around the bowel can impair digestion. Additionally, chronic stress and pain can further disrupt the digestive process through nervous system involvement.
How therapy helps: Gentle abdominal massage, visceral manipulation, and targeted posture work can improve bowel motility and reduce bloating. Breathing exercises that stimulate the vagus nerve are also effective in enhancing digestive function.
4. Breathing Patterns and Core Function
Chronic pain often alters breathing patterns, leading to shallow, chest-dominant breathing. Research has shown that this change can contribute to increased tension in the abdomen and pelvic floor. Poor breathing mechanics can also impact posture and core stability.
How therapy helps: Pelvic therapy can retrain breathing patterns to improve diaphragmatic function, reduce tension, and enhance overall core engagement. This simple shift in how you breathe can have significant effects on pain and daily comfort.
5. Emotional Well-Being and the Mind-Body Connection
Living with endometriosis can take a toll on mental health. Studies consistently link chronic pain conditions like endometriosis with increased rates of anxiety, depression, and stress. Emotional stress, in turn, can heighten physical symptoms through the body’s stress response.
How therapy helps: While pelvic therapy doesn’t replace mental health support, it acknowledges the vital mind-body connection. Techniques like mindfulness, relaxation exercises, and gentle movement have been shown to reduce pain perception and improve mood. Collaborating with mental health professionals can further enhance outcomes.
What You Can Do Today
If you’re dealing with endometriosis, evidence-based strategies can support your whole body: ✅ Gentle stretching to ease fascial restrictions
✅ Diaphragmatic breathing for nervous system regulation & overall pelvic health
✅ Postural adjustments, lengthening and strengthening muscles, teaching muscles how to move
✅ Addressing bladder and bowel habits
✅ Building a care team addresses
Final Thoughts
Endometriosis isn’t just a pelvic condition—it affects your entire body, and it deserves a comprehensive approach to care. Pelvic therapy, supported by research, can be an effective way to address not just pelvic pain but the broader impacts on your nerves, fascia, digestion, and emotional health.
You don’t have to navigate this alone. Whether you’re newly diagnosed or have been living with endo for years, evidence-based care is available to help you feel more at ease in your body. And we’re here to support you in finding what works best for you.
