Endometriosis & Adenomyosis

Pelvic Physical Therapy Support in Boca Raton & Fort Lauderdale

If you’re living with deep pelvic pain, pelvic floor muscle spasms, pain with or after intercourse, bloating, or heavy/painful bleeding — and have been told “this is just how your body is” — you deserve more support. Endometriosis and adenomyosis are complex, inflammatory conditions. While physical therapy does not “cure” them, it can significantly reduce pain, improve function, and help you feel more in control of your body.

What is Endometriosis?

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus. This tissue responds to hormonal changes and can create inflammation, scarring, and adhesions.

Common symptoms:

  • Severe menstrual cramps

  • Chronic pelvic pain

  • Pain with intercourse

  • Pain with bowel movements

  • Bloating (“endo belly”)

  • Infertility challenges

  • Low back or hip pain

What is Adenomyosis?

Adenomyosis occurs when endometrial-like tissue grows into the muscular wall of the uterus. It can cause the uterus to become enlarged and inflamed.

Common symptoms:

  • Heavy or prolonged periods

  • Severe cramping

  • Pelvic pressure

  • Painful intercourse

  • Clotting during cycles

  • Leg pain mimicking sciatica

How Can Physical Therapy Help?

Endometriosis and adenomyosis affect more than just the uterus — they affect the entire pelvic system.

Chronic inflammation and pain often lead to:

  • Pelvic floor muscle tension and guarding

  • Fascial restrictions

  • Abdominal wall dysfunction

  • Nervous system hypersensitivity

  • Hip and sacroiliac joint dysfunction

Pelvic physical therapy addresses these secondary drivers of pain.

In Our Sessions We May Work On:

✓ Pelvic floor muscle relaxation and coordination
Reducing muscle guarding that contributes to pain with penetration, bowel movements, or tampon use.

✓ Myofascial release & manual therapy
Addressing abdominal, pelvic, hip, and scar tissue restrictions.

✓ Nervous system regulation
Chronic pain rewires the nervous system. We incorporate breathwork and down-training techniques to reduce central sensitization.

✓ Hip & core strength
Improving pelvic stability to decrease mechanical strain.

✓ Cycle-informed exercise guidance
Helping you move in ways that support — not flare — your symptoms.

✓ Pre AND post-surgical support (if applicable)
Optimizing mobility and recovery before and after excision surgery.

Request an Appointment

 FAQs

  • Your first visit will include a thorough conversation about your health history, current symptoms, lifestyle, and goals. We'll do a full-body assessment, including posture, breathing, and movement patterns. If appropriate and with your consent, we may also assess your pelvic floor. From there, we’ll begin building a personalized treatment plan.

  • Yes, when appropriate and with full consent. Internal exams can be a helpful tool for understanding pelvic floor function and potential causes of dysfunction. If together we decide on an internal exam, just pants and underwear need to come off! Ps. Yes, you can be on your period for them!

  • Wear something comfortable that allows you to move freely.

  • Yes, as an out-of-network provider I will provide you with a superbill to submit to your insurance.

  • Every body is different. Some clients feel better after just a few visits, while others benefit from ongoing support. We’ll create a plan that fits your goals, timeline, and lifestyle—and I’ll be honest with you every step of the way.