PHYSIOTHERAPY TECHNIQUES ON PAIN CONTROL IN WOMEN WITH DEEP INFILTRATING ENDOMETRIOSIS

Abstract

 Introduction: Endometriosis is characterized by the presence of tissue closely resembling the endometrium outside the uterine cavity, inducing a chronic inflammatory reaction; it can be found in the ovaries, pelvic peritoneum, and rectovaginal septum, and—rarely—in the pericardium or even the intestine. Deep infiltrating endometriosis is considered the most severe form of the disease due to its ability to infiltrate more than 5 mm beneath the peritoneal surface and affect vital pelvic structures, such as the uterosacral ligaments, rectovaginal septum, intestinal wall, and urinary tract. Objectives: To analyze the efficacy of pelvic physical therapy and its associated interventions for patients with deep infiltrating endometriosis. To categorize the most commonly used approaches for rehabilitation in patients with intestinal endometriosis, explain the mechanism of combined physical therapy and pharmacological treatment, and clarify how physical therapy can improve these women's quality of life. Methodology: This research is a qualitative and descriptive literature review aimed at gathering, comparing, and analyzing scientific findings regarding physical therapy and pharmacological techniques used for pain management in women with deep infiltrating endometriosis.