Can Endometriosis Cause Back Pain?
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it, often causing severe pain and reproductive challenges. While pelvic pain is the most common symptom, many women also experience chronic back pain—but few realize the two may be linked.
🧠 Understanding the Link Between Endometriosis and Back Pain
Endometrial tissue can grow on organs and structures near the lower back, such as the ovaries, fallopian tubes, pelvic walls, or ligaments. When this tissue responds to hormonal changes, it can trigger inflammation, nerve irritation, and scarring—leading to pain that radiates to the lower back or even down the legs.
📍 Common Characteristics of Endometriosis-Related Back Pain
- Usually occurs around your menstrual period
- Feels dull, achy, or cramp-like
- May radiate to hips or buttocks
- Can worsen with prolonged sitting or standing
- Often resistant to typical back pain treatments
📋 Differentiating It from Other Types of Back Pain
Back pain from poor posture or injury tends to improve with stretching, rest, or physical therapy. Endometriosis-related back pain, however:
- Coincides with menstrual cycles
- Is accompanied by pelvic pain, bloating, or heavy periods
- Persists despite usual back pain relief methods
🩺 Diagnosis and Treatment Options
If you suspect your back pain may be linked to endometriosis, a gynecologist can conduct a pelvic exam, ultrasound, or laparoscopy to confirm the diagnosis. Treatment options include:
- Hormonal therapies: Birth control pills, IUDs, or GnRH agonists
- Pain management: NSAIDs like ibuprofen or naproxen
- Surgical intervention: Laparoscopic removal of endometrial growths
- Physical therapy: Specialised for pelvic and back pain relief
💡 Lifestyle Tips to Manage Back Pain Naturally
- Apply a heating pad to your lower back
- Practice gentle stretching or prenatal-style yoga
- Use ergonomic support while sitting or sleeping
- Keep a symptom diary to track flare-ups
🔗 More Resources from Ichhori
🧘 Final Thoughts
If your back pain seems to follow your menstrual cycle or is paired with pelvic discomfort, don’t ignore it—it might be more than just muscle strain. Endometriosis-related back pain is very real, and recognising the connection is the first step toward relief and healing. Consult your doctor to get a proper diagnosis and start a management plan tailored to you.