Abstract:

Endometriosis (EMs) is a common disease of the female reproductive system, which can seriously affect the quality of life of patients, especially those with chronic pelvic pain (CPP). The pathological mechanism is complex. Traditional drug therapy and surgical interventions often fail to achieve sustained and complete pain relief, and the recurrence rate is high. Literature data show that physical therapy methods such as physical exercise, myofascial manual therapy, biofeedback, electro-neural modulation, magnetic stimulation therapy, radiofrequency therapy, and acupuncture act on the pain pathway to relieve patients′ pain through mechanisms such as improving local blood circulation, regulating nerve conduction, reducing inflammatory responses, and promoting tissue repair. These approaches are expected to become potential complementary therapies for EMs-related CPP when drug and surgical treatments are ineffective. Currently, the number of high-quality, large-sample randomized controlled trials on physical therapy for EMs is still relatively limited. More studies are needed in the future to confirm its clinical efficacy.

Key words: Endometriosis, Pelvic pain, Chronic disease, Physical therapy modalities, Nervous system