Endometriosis Back Pain: Why Your Back Hurts with Endo

Endometriosis back pain happens when lesions grow on or near the uterosacral ligaments, rectum, or pelvic nerves. The pain is often deep, aching, and worse around your period. Treatment includes addressing the underlying endo, pelvic physical therapy, and pain management.

Managing endo back pain

Back pain from endo is treated alongside other symptoms.

  • Hormonal treatment or excision surgery to reduce lesion activity.
  • Pelvic floor physical therapy for referred pain and muscle tension.
  • Heat, NSAIDs, and gentle stretching for day-to-day relief.
  • Track when pain flares to see if it follows your cycle.

Track how you feel and spot the pattern

PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.

Start tracking free

Track how you feel and spot the pattern

PhaseBloom logs your symptoms and mood against your cycle in seconds a day, so you can see which days hit hardest and prepare before they arrive.

Start tracking free

Frequently asked questions

Can endometriosis cause lower back pain?

Yes. Lesions near the uterosacral ligaments or pelvic nerves commonly cause deep, aching lower back pain that worsens around menstruation. It is a well-documented symptom.

How do I tell if back pain is from endo?

Endo back pain is usually cyclical (worse before and during your period), deep rather than muscular, and comes with other endo symptoms like pelvic pain. A specialist can help evaluate.

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