If you're living with endometriosis, you know it’s more than just “bad period cramps.” It's a complex condition that can affect your pelvic floor, bladder, bowels, and daily quality of life. Many people with endo experience chronic pain, painful sex, urinary or bowel symptoms, and deep muscular tension that doesn't go away on its own.

This is where pelvic floor physical therapy can make a major difference. At Rhode Island Pelvic Wellness, we offer specialized care for endometriosis that goes beyond the surface to help you manage symptoms, reduce pain, and feel more connected to your body again.

What Is Endometriosis?

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it—often on the ovaries, bladder, bowel, or pelvic walls. These tissues can cause inflammation, scar tissue, and adhesions, which may lead to:

Chronic pelvic pain
Pain with intercourse
Painful bowel movements or urination
Bloating or abdominal pressure
Low back or hip pain
Infertility

While surgery and medication may be part of managing endometriosis, pelvic floor dysfunction is often overlooked—and it’s a key piece of the puzzle.

How Endo Affects the Pelvic Floor

When the body is in chronic pain, the pelvic floor muscles may become tight, overactive, or guarded as a protective response. Over time, this can lead to even more symptoms like:

Painful penetration or internal speculum exams
Trouble fully emptying the bladder or bowel
Urinary urgency or frequency
Difficulty relaxing the body and pelvic floor

Even if your endometriosis is being medically treated, these muscle and nerve patterns often stay active unless they are directly addressed.

How Pelvic Floor PT Can Help

Pelvic floor physical therapy is a gentle, evidence-based way to treat the muscular and fascial tension that often comes with endometriosis. Here’s how we can help:

🌿 Manual Therapy

We use hands-on techniques to release tight muscles, reduce scar tissue restrictions, and restore mobility in the pelvic floor, abdomen, and hips.

🧠 Nervous System Regulation

Chronic pelvic pain can heighten your body’s sensitivity. We use breathwork, movement, and education to calm the nervous system and decrease pain signaling.

💡 Body Awareness and Education

Understanding how your body works can be empowering. We teach you how to relax tight muscles, modify painful activities, and build strength when the time is right.

💩 Bowel and Bladder Support

Many with endo also experience constipation or bladder symptoms. We help retrain the pelvic floor to coordinate properly during urination and bowel movements.

🫶 Whole-Person Support

We consider your physical, emotional, and hormonal health—and connect you with other providers when needed, like endometriosis specialists, acupuncturists, nutritionists, or therapists.

What Makes Our Care Different

At Rhode Island Pelvic Wellness, you’re never rushed or dismissed. We provide:

One-on-one, hour-long sessions with a pelvic floor physical therapist
Trauma-informed, gentle care that meets you where you are
Collaboration with your full care team
A calming, non-clinical space that feels safe and welcoming

You don’t have to push through or pretend it’s not that bad. If you’re ready to take the next step in your endometriosis care, we’re here to support you. Learn more about us here!

📍 Located in East Greenwich, Rhode Island
📩 Reach out today to ask any questions—we’re happy to help.

Ready to book? Click here. We can’t wait to meet you!

Pelvic Floor Physical Therapy for Endometriosis